Acute Stroke, Dysphagia
Conditions
Brief summary
In order to discover dysphagia scales, which shows meaningful predictability of aspiration and functional health status in patients with acute stroke, authors plan to find out more predictable indicators than existing penetration-aspiration scale (PAS) to validate their predictions and their internal and external validity over 6 months following stroke .
Detailed description
To determine the dysphagia scale with significant predictions of aspiration and functional health status in patients with acute stroke, video-fluoroscopic swallowing study (VFSS) will be performed to the patients who will be referred for VFSS among stroke patients who would be diagnosed by Brain MRI / CT. When any type of dysphagia is found, participant will be assigned to the test group (DYS), and when no dysphagia is found, they will be assigned to the control group (NOD). Numerous kinds of assessment will be conducted before and after VFSS, before discharge, and 3, 6, and 9 months after the stroke onset.
Interventions
None listed
Sponsors
Ulsan University Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* brain MRI / CT-based stroke patients who were referred for VFSS
Exclusion criteria
* In case of a history of dysphagia * Unstable patient in neurology * 2 or higher of NIHSS 1a (level of consciousness) * Patients with other neurological diseases * Patients with decompression skull resection * Refusal of participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Body mass index (Kg/m2) | 1 day before and 1 day, 3 weeks after the VFSS, 3 month, 6 months and 9 months after the stroke onset | Body mass index (Kg/m2) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Check the Penetration/aspiration on PAS | 1 day after the VFSS, 3 month, 6 months and 9 months after the stroke onset | Penetration/aspiration on PAS (DYS) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change of Swallowing-Quality of Life | 1 day before and 1 day, 3 weeks after the VFSS, 3 month, 6 months and 9 months after the stroke onset | Swallowing-Quality of Life: 1-44: the higher, the worse |
| Check the Aspiration pneumonia | 1 day, 3 weeks after the VFSS, 3 month, 6 months and 9 months after the stroke onset | number of participants diagnosed aspiration pneumonia |
| Change of Eating Assessment Tool | 1 day, 3 weeks after the VFSS, 3 month, 6 months and 9 months after the stroke onset | Eating Assessment Tool |
| change of Video-fluoroscopic Dysphagia Scale | 1 day after the VFSS | Video-fluoroscopic Dysphagia Scale (VDS); 0-100; the higher, the worse |
| Change of Korean-modified Barthel index | 1 day before and 1 day, 3 weeks after the VFSS, 3 month, 6 months and 9 months after the stroke onset | Korean-modified Barthel index: 0-100: the higher, the better |
| Dynamic Imaging Grade of Swallowing Toxicity | 1 day after the VFSS | Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) Scale; 0-4; the higher, the worse |
| Dysphagia Item of Common Terminology Criteria for Adverse Events | 1 day after the VFSS | Dysphagia-related Item score, based on the Common Terminology Criteria for Adverse Events (CTCAE); 0-4; the higher, the worse |
| American Speech-Language Hearing Association National Outcomes Measurements System Swallowing Scale | 1 day after the VFSS | American Speech-Language Hearing Association National Outcomes;Measurements System Swallowing Scale (ASHA NOMS); 1-7; the higher, the better |
| Confirmation of death | 3 month, 6 months and 9 months after the stroke onset | number of participant of death confirmation |
| Modified Barium Swallowing Study Impairment Profile | 1 day after the VFSS | Modified Barium Swallowing Study Impairment Profile (MBSImP); 0-62; the higher, the worse |
| Change of Grasping force (kg) | 1 day before and 1 day, 3 weeks after the VFSS, 3 month, 6 months and 9 months after the stroke onset | Grasping force (kg) |
Countries
South Korea
Contacts
Primary ContactChang Ho Hwang
Outcome results
None listed