Dysphagia, Swallowing Disorder
Conditions
Brief summary
In traditional video-fluoroscopic-swallowing study, a lipid-soluble contrast (barium sulfate) has been used more than 30 years. However, it can cause chemical pneumonitis and subsequently impair reliability of video-fluoroscopic-swallowing study if aspirated. The authors reviewed the safety and usefulness of an water soluble agent-based swallowing test.
Detailed description
Parallel-group, case-controlled trial was conducted from September 2015 to November 2017. All the patients who referred for video-fluoroscopic-swallowing study were screened. Based on the pre-emptive evaluation, high-risky patients were allocated to iohexol (Omnipaque)-used video-fluoroscopic-swallowing study and others were allocated to barium sulfate-used video-fluoroscopic-swallowing study. Statistical Package for the Social Sciences 24 was used to perform statistical analysis for the data. Quantitative data were presented as mean ± standard errors.
Interventions
None listed
Sponsors
Ulsan University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All the patients who referred for video-fluoroscopic-swallowing study
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Laryngeal protection | within 1 hour after video-fluoroscopic-swallowing study | Penetration aspiration scale (zero to eight) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral feeding | within 1 week before video-fluoroscopic-swallowing study | Success of Oral feeding after video-fluoroscopic-swallowing study or not |
Other
| Measure | Time frame | Description |
|---|---|---|
| Symptoms of chemical pneumonitis | within 1 week before video-fluoroscopic-swallowing study | Radiological alteration on a chest xray |
| Tracheostomy | within 1 day before video-fluoroscopic-swallowing study | Presence of tracheostomy or not |
| Days to discharge | within 1 day after discharge | Total Days from video-fluoroscopic-swallowing study to discharge |
| Hospital stay | within 1 day after discharge | Total days from admission to discharge |
| Allergic reaction | within 2 days before video-fluoroscopic-swallowing study | Contrast allergic reaction to the Iohexl |
Countries
South Korea
Outcome results
None listed