A41.9 G62.8 R13.9
Conditions
Interventions
Group 1: After 2 weeks patients will be examined using fiberoptic endoscopic evaluation of swallowing (FEES) and they will be scored according to the Penetration Aspiration Scale (PAS). Thereby we ass
Sponsors
HNO-Klinik
Universität Jena
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with severe sepsis and/or septic shock according to the ACCP/SCCM
Exclusion criteria
Exclusion criteria: Patient has a history of diseases with high risk for polyneuropathia/myopathia: neuromuscular disorders, diabetes mellitus, alcohol abuse, steroid therapy due to asthma, COPD, etc.; patient is likely to die within less than 24 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dysphagia at T2 defined as FEES PAS score > 4 | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome are the endoscopic evaluation of swallowing (FEES) and the score according to the Penetration Aspiration Scale (PAS) after 2 weeks and 4 months. Additionally, all patients with a PAS score >1 will be subject to videofluoroscopy. Moreover, patients will be scored according to the Functional Oral Intake Scale after 2 weeks and after 4 months. Further swallowing- and nutrition-related parameters, such as aspiration of saliva, tongue movement, vocal cord mobility, and pneumonia, CIP/CIM as an independent risk factor for the development of chronic dysphagia defined by a FEES penetration-aspiration score > 4 at T2 in septic patients will be assessed as well. | — |
Countries
Germany
Contacts
Public ContactOrlando Guntinas-Lichius
HNO-Klinik Universität Jena
Outcome results
None listed