Yale Swallow Protocol in Extubated Patients

Status Completed

Clinical Trial Summary

The purpose of this study is to determine if the Yale Swallow Protocol is an effective screen for aspiration in recently extubated patients.

Clinical Trial Description

Dysphagia is prevalent in recently extubated patients with estimates ranging from 29-84% of recently extubated patients having some form of dysphagia with elevated risk for silent aspiration.One challenge providers face when managing post extubation dysphagia (PED) is that there are no best practice guidelines on how to evaluate for PED, specifically how to evaluate for silent aspiration (aspiration without cough response). One method that has been suggested is the Yale Swallow Protocol (YSP), a pass/fail screen for aspiration consisting of a three ounce water challenge as well as a brief cognitive screen and oral motor exam. The assumption of the YSP is that silent aspiration (aspiration without a cough response) is volume dependent. This is based on a study of over 4000 patients that underwent both a FEES (5mL puree and 5mL liquid boluses) and a 3oz water challenge. Results from previous literature indicated that the 3oz water swallow had a high sensitivity for detecting aspiration (98%). This was again studied with a double blind research design with 25 patients, comparing results of the 3oz water challenge with results of videofluoroscopic swallow study. This showed 100% sensitivity for detecting aspiration, 64% specificity, 78% positive predictive value, and 100% negative predictive value. However, no published study has evaluated the YSP in recently extubated patients and so it is unclear if the high sensitivity and specificity would be retained. Investigators aim to determine the sensitivity and specificity of the Yale Swallow Protocol in identifying aspiration in recently extubated patients. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03352908
Study type	Observational
Source	University of Wisconsin, Madison
Contact
Status	Completed
Phase
Start date	October 25, 2017
Completion date	October 29, 2020

View Details

See also
Status	Clinical Trial	Phase
Active, not recruiting	`NCT03711474` - Dysphagia Following Anterior Cervical Spine Surgery; Single Dose Steroid vs Saline (DysDexVSSal)	Phase 4
Enrolling by invitation	`NCT04074356` - Non-invasive Markers of Esophageal Function in Adults	N/A
Suspended	`NCT04349462` - Post Critical Illness Dysphagia in the Intensive Care Unit	N/A
Not yet recruiting	`NCT05982977` - Study on the Effect Mechanism of Acupuncture Combined With Swallowing Training in Oral Dysphagia of Stroke	N/A
Recruiting	`NCT03605381` - MORbidity PRevalence Estimate In StrokE
Active, not recruiting	`NCT03455608` - PRO-ACTIVE: Prophylactic Swallow Intervention for Patients Receiving Radiotherapy for Head and Neck Cancer	N/A
Active, not recruiting	`NCT03604822` - Music Therapy Protocol to Support Bulbar and Respiratory Functions in ALS	N/A
Recruiting	`NCT03682081` - Interventions for Patients With Alzheimer's Disease and Dysphagia	N/A
Completed	`NCT05700838` - Refining Cough Skill Training in Parkinson's Disease and Dysphagia	Phase 1
Not yet recruiting	`NCT04064333` - Slow-Stream Expiratory Muscle Strength Training for Veterans With Dysphagia Living in Long-term Care	N/A
Completed	`NCT02927691` - Novel Management of Airway Protection in Parkinson's Disease: A Clinical Trial	Phase 2
Not yet recruiting	`NCT02724761` - Prophylactic Racemic Epinephrine in Anterior Cervical Discectomy and Fusion	N/A
Completed	`NCT01919112` - Fostering Eating After Stroke With Transcranial Direct Current Stimulation	N/A
Completed	`NCT01370083` - Tongue Pressure Profile Training for Dysphagia Post Stroke	Phase 2
Withdrawn	`NCT01200147` - Effectiveness of Rupture of Schatzki's Ring Using Biopsy Forceps Versus SIngle Dilation	N/A
Completed	`NCT01723358` - Neuromuscular Electrical Stimulation (NMES) Treatment Technique Therapy in the Management of Young Infants With Severe Dysphagia	Phase 2
Completed	`NCT00570557` - Development of a Web-Based Course to Maintain Skills in Nurses Trained to Screen for Dysphagia	N/A
Recruiting	`NCT00166751` - Sonographic Assessment of Laryngeal Elevation	N/A
Completed	`NCT01476241` - Percutaneous Endoscopic Gastrostomy Tube Placement by Otorhinolaryngologist	N/A
Completed	`NCT00717028` - Functional Endoscopic Evaluation of Swallowing	N/A