Can Hospital Acquired Pneumonia be Prevented in Patients Who Gurgle?

Bridgeport Hospital

Status and phase: Withdrawn; Phase 2; Phase 1

Conditions: Hospital Acquired Pneumonia in Gurgling Patients

Treatments: Other: Anti-gurgling intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT01134133

Gurgle

Details and patient eligibility

About

Hospital inpatients who have gurgling sounds heard during speech or breathing have been observed to have a higher risk of hospital acquired pneumonia. Patients who gurgle and who consent to participation will be randomized to receive routine clinical management or management to include measures employed to reduce risks of aspiration, namely, 1. head of bed up (30 degrees or higher), 2. swallowing evaluation by speech therapist (and feeding predicated on formal evaluation), 3. prompting managing physicians to reduce sedating medications to minimal effective dose.

Enrollment: 50 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Gurglers who consent to participate

Exclusion criteria

• Non-gurglers
• Patients presenting with pneumonia prior to identification with gurgling
• Patients receiving comfort-care-only

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind