Development of Dysphagia Protocol in Ankara City Hospital Stroke Patients

Study Overview
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Brief Summary
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Stroke, also called cerebrovascular disease, is a sudden-onset neurological disorder that causes a regional or general dysfunction in the brain due to vascular causes. Dysphagia, one of the common complications of stroke, is associated with increased morbidity and mortality.The aim of this study is to evaluate the clinical evaluation of swallowing in stroke patients and to determine the factors affecting the severity and prognosis of dysphagia in patients with dysphagia.Fifty-five patients with acute stroke and dysphagia who were admitted to Ankara City Hospital Neurology Clinic and diagnosed with stroke by neurology and who did not meet the exclusion criteria will be included in this study. When the patients are admitted to the neurology clinic and will be discharged, they will be evaluated three times, in the first month after discharge.

Detailed Description
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Stroke, also called cerebrovascular disease, is a sudden-onset neurological disorder that causes a regional or general dysfunction in the brain due to vascular causes. Dysphagia, one of the common complications of stroke, is associated with increased morbidity and mortality.The aim of this study is to evaluate the clinical evaluation of swallowing in stroke patients and to determine the factors affecting the severity and prognosis of dysphagia in patients with dysphagia.Fifty-five patients with acute stroke and dysphagia who were admitted to Ankara City Hospital Neurology Clinic and diagnosed with stroke by neurology and who did not meet the exclusion criteria will be included in this study. When the patients are admitted to the neurology clinic and will be discharged, they will be evaluated three times, in the first month after discharge. Clinical evaluations will be made by the responsible investigator in the examination room. Patients will be evaluated with a bedside swallowing screening test. Patients will be divided into 3 groups as mild, moderate and severe dysphagia according to the test. The patients will be evaluated while they are in the neurology clinic and 1 month after the treatment is given.

Official Title
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Development of Dysphagia Protocol in Ankara City Hospital Stroke Patients

Conditions
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Stroke, Acute

Intervention / Treatment
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* Other: Exercises for dysphagia rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed with acute stroke by neurology Having trouble swallowing 18-85 years old, volunteers Exclusion Criteria: Unconscious Uncooperative Those with oropharyngeal structural damage Patients with malignancies involving the head and neck region

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Mild dysphagia<br> | Other: Exercises for dysphagia rehabilitation<br>* Diet modifications, postural exercises, compensatory exercises, swallowing exercises<br>|
| Active Comparator: Moderate dysphagia<br> | Other: Exercises for dysphagia rehabilitation<br>* Diet modifications, postural exercises, compensatory exercises, swallowing exercises<br>|
| Active Comparator: Severe dysphagia<br> | Other: Exercises for dysphagia rehabilitation<br>* Diet modifications, postural exercises, compensatory exercises, swallowing exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gugging swallowing screening test | The gugging test is a validated test in the assessment of bedside swallowing. This test was defined as 20 points (no dysphagia), 15-19 (mild dysphagia), 10-14 (moderate dysphagia) and 9 points or less (severe dysphagia). | Change from Baseline Gugging swallowing screening test at 1 months | 
| Eating assessment tool-10 | The eating assessment tool-10 is a test that evaluates dysphagia symptoms and severity without any food intake. This test is a test consisting of 10 questions in total and scoring the questions between no problem and serious problem. As the score increases, the severity of dysphagia increases. | Change from Baseline Gugging swallowing screening test at 1 months |