Development of Dysphagia Protocol in Ankara City Hospital Stroke Patients

NCT ID: NCT04739514

Last Updated: 2021-02-04

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 55 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-02-01
• Study Completion Date: 2021-06-30

Brief Summary

Stroke, also called cerebrovascular disease, is a sudden-onset neurological disorder that causes a regional or general dysfunction in the brain due to vascular causes. Dysphagia, one of the common complications of stroke, is associated with increased morbidity and mortality.The aim of this study is to evaluate the clinical evaluation of swallowing in stroke patients and to determine the factors affecting the severity and prognosis of dysphagia in patients with dysphagia.Fifty-five patients with acute stroke and dysphagia who were admitted to Ankara City Hospital Neurology Clinic and diagnosed with stroke by neurology and who did not meet the exclusion criteria will be included in this study. When the patients are admitted to the neurology clinic and will be discharged, they will be evaluated three times, in the first month after discharge.

Detailed Description

Stroke, also called cerebrovascular disease, is a sudden-onset neurological disorder that causes a regional or general dysfunction in the brain due to vascular causes. Dysphagia, one of the common complications of stroke, is associated with increased morbidity and mortality.The aim of this study is to evaluate the clinical evaluation of swallowing in stroke patients and to determine the factors affecting the severity and prognosis of dysphagia in patients with dysphagia.Fifty-five patients with acute stroke and dysphagia who were admitted to Ankara City Hospital Neurology Clinic and diagnosed with stroke by neurology and who did not meet the exclusion criteria will be included in this study. When the patients are admitted to the neurology clinic and will be discharged, they will be evaluated three times, in the first month after discharge. Clinical evaluations will be made by the responsible investigator in the examination room. Patients will be evaluated with a bedside swallowing screening test. Patients will be divided into 3 groups as mild, moderate and severe dysphagia according to the test. The patients will be evaluated while they are in the neurology clinic and 1 month after the treatment is given.

Conditions

Stroke, Acute

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Mild dysphagia

Group Type: ACTIVE_COMPARATOR

Exercises for dysphagia rehabilitation

Intervention Type: OTHER

Diet modifications, postural exercises, compensatory exercises, swallowing exercises

Moderate dysphagia

Group Type: ACTIVE_COMPARATOR

Exercises for dysphagia rehabilitation

Intervention Type: OTHER

Diet modifications, postural exercises, compensatory exercises, swallowing exercises

Severe dysphagia

Group Type: ACTIVE_COMPARATOR

Exercises for dysphagia rehabilitation

Intervention Type: OTHER

Diet modifications, postural exercises, compensatory exercises, swallowing exercises

Interventions

Exercises for dysphagia rehabilitation

Diet modifications, postural exercises, compensatory exercises, swallowing exercises

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosed with acute stroke by neurology
• Having trouble swallowing
• 18-85 years old, volunteers

Exclusion Criteria

• Unconscious
• Uncooperative
• Those with oropharyngeal structural damage
• Patients with malignancies involving the head and neck region

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Nazife Kapan

OTHER

Sponsor Role: lead

Responsible Party

Nazife Kapan

principal investigator

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Ankara Şehir Hastanesi

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Central Contacts

Nazife K Kapan, Dr.

Role: CONTACT

nazifekapan@gmail.com

03125526000

Müyesser A Aras, Prof. Dr.

Role: CONTACT

drmuyesser@hotmail.com

03125526000

Facility Contacts

Nazife Kapan, Dr.

Role: primary

nazifekapan@gmail.com

03125526000

Müyesser Aras, Prof. Dr.

Role: backup

drmuyesser@hotmail.com

03125526000

References

Broadley S, Cheek A, Salonikis S, Whitham E, Chong V, Cardone D, Alexander B, Taylor J, Thompson P. Predicting prolonged dysphagia in acute stroke: the Royal Adelaide Prognostic Index for Dysphagic Stroke (RAPIDS). Dysphagia. 2005 Fall;20(4):303-10. doi: 10.1007/s00455-005-0032-y.

Reference Type: BACKGROUND

PMID: 16633876 (View on PubMed)

Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, de Ferranti SD, Floyd J, Fornage M, Gillespie C, Isasi CR, Jimenez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Mackey RH, Matsushita K, Mozaffarian D, Mussolino ME, Nasir K, Neumar RW, Palaniappan L, Pandey DK, Thiagarajan RR, Reeves MJ, Ritchey M, Rodriguez CJ, Roth GA, Rosamond WD, Sasson C, Towfighi A, Tsao CW, Turner MB, Virani SS, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation. 2017 Mar 7;135(10):e146-e603. doi: 10.1161/CIR.0000000000000485. Epub 2017 Jan 25. No abstract available.

Reference Type: RESULT

PMID: 28122885 (View on PubMed)

Other Identifiers

AŞH-NK-TEZ

Identifier Type: -

Identifier Source: org_study_id