Aspiration Pneumonia, Deglutition Disorders, Dysphagia, Intensive Care Neurological Disorder
Conditions
Keywords
Dysphagia, Aspiration, Management of Dysphagia, Deglutition Disorders, Deglutition, FEES, Intensive Care Neurological Disorder
Brief summary
Dysphagia is associated with high rates of mortality and morbidity. Adjusting the oral diet of ICU-patients based on flexible endoscopic evaluation of swallowing (FEES) findings might reduce pneumonia rate, mortality and need for intubation/tracheotomy.
Detailed description
Dysphagia, a common complication in neurological disorders, leads to high rates of mortality and morbidity. It is prevalent in critically ill patients, especially those who need mechanical ventilation. The investigators therefore investigate the effect of adjusting the oral diet of our intensive care unit (ICU) patients based on flexible endoscopic evaluation of swallowing (FEES) findings, thereby assessing the impact of FEES on a neurological ICU. All patients treated on the investigators neurological ICU will be eligible for this study. The investigators will correlate findings with baseline data, disability status, pneumonia and duration of hospitalisation, as well as a need for mechanical ventilation or a tracheotomy.
Interventions
Adjustment of oral diet based on findings in fiberendoscopic evaluation of swallowing (FEES)
Sponsors
Study design
Eligibility
Inclusion criteria
* Treatment on neurological ICU * Clinical suspicion of Dysphagia
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pneumonia Rate | Up to 130 days | self-explanatory |
| Mortality | Up to 130 days | self-explanatory |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay in hospital | Up to 130 days | self-explanatory |
| Intubation/Tracheotomy | Up to 130 days | Rate of Intubation/Tracheotomy |
Countries
Germany