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Managing swallowing in stroke patients - free water versus thickened fluids

In stroke patients who aspirate thin liquids does a free water protocol increase fluid intake and improve hydration status without increasing the risk of pneumonia when compared to the provision of thickened fluids only ?

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12610000752066
Enrollment
410
Registered
2010-09-10
Start date
2009-10-30
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This randomised control trial is designed to determine which of two treatments results in the better health outcomes for aspirating stroke patients; free water protocol or thickened fluids only.

Interventions

Free Water Protocol. Allowing aspirating patients access to water between meals but not with food or drink. They also have access to thickened fluids at their bedside and at mealtimes and can choose whether they drink thickened fluids or water. Patients will remain on this protocol until they are assessed as no longer aspirating. The protocol includes a strict oral hygiene regime of twice daily teeth brushing and rinsing mouth after all food..

Sponsors

Royal Adelaide Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Inpatient in a dedicated stroke unit. Stroke is the primary reason for admission Able to participate in a modified barium swallow procedure Aspirating thin fluids

Exclusion criteria

Known progressive neurological condition. History of brain tumour or brain injury. History of head or neck cancer. Chronic supressed immune system. Chronic obstructive pulmonary disease. Acute medical illness. Receiving alternative non-oral forms of hydration or nutrition. Aspirating smooth pureed food and/or moderately thick fluids. On fluid restriction. Pregnant or breast feeding.

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 7, 2026