Ischemic Stroke Clinical Trial
Official title:
Dysphagia Screening in Acute Stroke Using High-resolution Impedance Manometry (DASH); Its Implication to Diet Decision and Clinical Outcome
Dysphagia occurs relatively commonly in patients with acute stroke, and can lead to aspiration pneumonia and malnutrition. By using the stroke registry of our hospital, we will evaluate the feasibility and usefulness of Dysphagia screening in Acute Stroke using High-resolution impedance manometry (DASH). The hypothesis tested in this study is that high-resolution impedance manometry (HRiM) can provide the clinical efficacy to evaluate dysphagia and the diet plan in acute stroke patients.
The hypothesis tested in this study was that high-resolution manometry can provide the
clinical efficacy to evaluate dysphagia and the diet plan in acute stroke patients. By using
of stroke registry of our hospital, we assessed feasibility and usefulness of Dysphagia
screening in Acute Stroke using High-resolution impedance manometry in patients with acute
stroke.
The registry had the contents of two evaluation steps; the first step was the process to
identify the patients with risk of possible aspiration and the second step was for detection
of silent aspirators.
Firstly, the patient was interviewed regarding difficulties with food intake, chewing and
swallowing, and the neurological signs were confirmed by two independent neurologists. After
then, the patients were stratified into three aspiration risk group and controlled by proper
diet program. Finally the emergence of aspiration pneumonia was observed.
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Observational Model: Case-Only, Time Perspective: Retrospective
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