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.
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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
125
Adjustment of oral diet based on findings in fiberendoscopic evaluation of swallowing (FEES)
Universitätsklinikum Gießen
Giessen, Hesse, Germany
Pneumonia Rate
self-explanatory
Time frame: Up to 130 days
Mortality
self-explanatory
Time frame: Up to 130 days
Length of stay in hospital
self-explanatory
Time frame: Up to 130 days
Intubation/Tracheotomy
Rate of Intubation/Tracheotomy
Time frame: Up to 130 days
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