Dysphagia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Case group: 1. Age >= 18 years; 2. Laryngoscopy confirming leakage/aspiration (PAS >= grade 3); 3. Nasogastric tube in place for >= 24 hours; 4. Laryngoscopic assessment meeting all three criteria of ‘restricted vocal cord movement, epiglottic mucosal oedema, and abnormal epiglottic shape’ as described in the literature; 5. Complete clinical data; 6. Clinical diagnosis of stroke. Control group: 1. Age >= 18 years; 2. Laryngoscopy confirming leakage/aspiration (PAS >= grade 3); 3. Nasogastric tube in place for >=24 hours; 4. No evidence of nasogastric tube syndrome at laryngoscopic assessment; 5. Complete clinical data; 6. Clinical diagnosis of stroke. 7. Matched with the case group in a 1:2 ratio for age, sex and primary diagnosis (to reduce confounding bias);
Exclusion criteria
Exclusion criteria: 1. Patients with pre-existing vocal cord paralysis or severe laryngeal pathology; 2. Patients with a history of neck surgery or radiotherapy, or those with head and neck tumours; 3. Patients with severe cognitive impairment who are unable to cooperate during laryngoscopy; 4. Patients whose clinical records are missing key information (e.g. laryngoscopy reports or imaging); 5. Patients whose nasogastric tube was removed within 48 hours of intubation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Nasogastric Tube Syndrome ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of nasogastric tube;Repeated nasogastric tube insertion;History of diabetes;hypertension;brain lesion;Course of disease;consciousness;Tracheotomy ;Budesonide nebulisation;History of gastroesophageal;Nutritional score;sedative-hypnotic drugs; | — |
Countries
China
Contacts
The People’s Hospital of Longgang District, Shenzhen