neurog. dysphagia post stroke
Conditions
Interventions
Group 1: Intervention group
Patients are placed in the nursing wheelchair after positioning in neutral position LiN and dysphagia is assessed with FEES within 24 h to 72 h after acute stroke
Group 2:
Sponsors
Verbund Krankenhaus Bernkastel Wittlich
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Diagnostic confirmation of stroke with CT and / or MRI - Non-apparative dysphagia diagnostics - Gugging Swallowing Screen GUSS (Trapl et al. 2007) 3 - Admission to the stroke unit within 24 h after event - Performance of FEES within 24 h to 72 h after event, - Minimum age 18 years.
Exclusion criteria
Exclusion criteria: Early deterioration, direct admission to the intensive care unit, documented palliative care, immediate surgery, another serious medical illness or unstable coronary disease, no voice response, systolic blood pressure below 120 mm Hg or above 220 mm Hg, Oxygen saturation below 92% with supplemental oxygen, patients requiring ventilation, tracheostomy, patients with subarachnoid hemorrhage, body temperature above 38.5 degrees Celsius, drop in blood pressure more than 30 Hg after reaching the sitting position in bed. Pre-existing conditions: External anamnesis (doctor's letters, transfer of care, transfer reports, relatives' reports) or self-reported pre-existing dysphagia, e.g. neurodegenerative diseases, neuromuscular diseases, ENT tumors or after a previous stroke, contraindications to sitting, e.g. decubitus ulcers on the bedside.e.g. decubitus at the overlying skin layers of the buttocks, acute fracture of the femoral neck bone, against FEES e.g.: acute lesions of the face / facial skull, morphological changes that prevent nasal passage of the endoscope, no consent for participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| endoscopic dysphagia severity scale FEDSS Messzeitpunkt unmittelbar nach der Lagerung nach Lin in den Pflegerollstuhl | — |
Secondary
| Measure | Time frame |
|---|---|
| Penetration-Aspiration Scale PAS according to Rosenbeck Time of measurement immediately after positioning after Lin in nursing wheelchair | — |
Countries
Germany
Contacts
Public ContactKai Hansen
Verbundkrankenhaus Bernkastel Wittlich
Outcome results
None listed