FEES to Determine Neurological Intensive Care Patients' Oral Diet

University of Giessen

Status: Completed

Conditions: Dysphagia; Intensive Care Neurological Disorder; Deglutition Disorders; Aspiration Pneumonia

Treatments: Other: Adjustment of oral diet

Study type: Interventional

Funder types: Other

Identifiers

NCT03753841

GI 208/16-1

Details and patient eligibility

About

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.

Full 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.

Enrollment: 125 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Treatment on neurological ICU
• Clinical suspicion of Dysphagia

Exclusion criteria

• none

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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125 participants in 2 patient groups

Adjustment of oral diet

Active Comparator group

Description:

Patients who need a change in their diet regime, in whom FEES shows that they have not the adequat diet.

Treatment:

Other: Adjustment of oral diet

No adjustment of oral diet

No Intervention group

Description:

Patients who have the adequat diet based on FEES findings.