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Compliance and complications with viscosity modified-diet in dysphagia patients

Status Approved

  • First Submitted Date

    2021/03/23

  • Registered Date

    2021/04/09

  • Last Updated Date

    2021/03/23

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0006076
    Unique Protocol ID 2019-0518
    Public/Brief Title Compliance and complications with viscosity modified-diet in dysphagia patients
    Scientific Title Compliance and complications with viscosity modified-diet in dysphagia patients
    Acronym CCVMDDP
    MFDS Regulated Study No
    IND/IDE Protocol No
    Registered at Other Registry No
    Healthcare Benefit Approval Status Not applicable
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number 2019-0518
    Approval Date 2019-04-18
    Institutional Review Board Name Asan Medical Center Institutional Review Board
    Institutional Review Board Address 88, Olympic-ro 43-gil, Songpa-gu, Seoul
    Institutional Review Board Telephone 02-3010-7166
    Data Monitoring Committee No
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Min Ho Chun
    Title MD, PhD
    Telephone +82-2-3010-3796
    Affiliation Asan Medical Center
    Address 88, Olympic-ro 43-gil, Songpa-gu, Seoul, Republic of Korea
    Contact Person for Public Queries
    Name Hyejoon Ahn
    Title MD
    Telephone +82-2-3010-0679
    Affiliation Asan Medical Center
    Address 88, Olympic-ro 43-gil, Songpa-gu, Seoul, Republic of Korea
    Contact Person for Updating Information
    Name Hyejoon Ahn
    Title MD
    Telephone +82-2-3010-0679
    Affiliation Asan Medical Center
    Address 88, Olympic-ro 43-gil, Songpa-gu, Seoul, Republic of Korea
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Single
    Overall Recruitment Status Active, not recruiting
    Date of First Enrollment 2019-07-20 Actual
    Target Number of Participant 20
    Primary Completion Date 2021-12-31 , Anticipated
    Study Completion Date 2021-12-31 , Anticipated
    Recruitment Status by Participating Study Site 1
    Name of Study Asan Medical Center
    Recruitment Status Active, not recruiting
    Date of First Enrollment 2019-07-20 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name Asan Medical Center
    Organization Type Medical Institute
    Project ID 2019-0518
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Asan Medical Center
    Organization Type Medical Institute
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    1. Objective
    To investigate the viscosity of thickened fluids ingested by dysphagia patients with brain lesion and the incidence of adverse effects based on fluid viscosity.
    
    2. Hypothesis
    There is no significant difference in the incidence of complications according to the viscosity of the liquid actually consumed by patients with dysphagia brain lesions.
    
    3. Background
    Previous studies on whether the use of thickeners reduces the incidence of pneumonia are controversial. However, there are no studies that measured the viscosity of thickened liquids ingested by patients. Therefore, no studies have evaluated the correlation between pneumonia incidence and the viscosity of thickened liquids ingested by patients.
    The purpose of this study was to investigate the viscosity of the thickened fluids consumed by dysphagia patients with brain lesion and to evaluate the incidence of adverse events according to the viscosity of these liquids. 
    
    4. Method
    This was a prospective observational study at a single site. We enrolled 20 dysphagia patients with brain lesion who were recommended to use thickeners following the videofluoroscopic swallowing study. Patients were educated to drink thickened fluid of level 2 or 3 based on the International Dysphagia Diet Standardization Initiative (IDDSI) flow test. We evaluated the viscosity of the fluid that patients drank once a week for 2 weeks, and reviewed medical records regarding adverse effects. Patients were divided into two groups based on the average value obtained from viscosity evaluations.  Adverse events were compared between the groups, including pneumonia, urinary tract infection (UTI), constipation, and dehydration status.
  • 8. Study Design

    Study Design Information - Study Type, Observational Study Model, Time Perspective, Target Number of Participant, Cohort/Group Number, Cohort/Group, Cohort/Group Label, Cohort/Group Description, Biospecimen Collection & Archiving, Biospecimen Description
    Study Type Observational Study
    Observational Study Model Others
    Time Perspective Prospective  
    Target Number of Participant 20
    Cohort/Group Number 2
    Cohort/
    Group 1

    Cohort/Group Label

    Thin fluid group

    Cohort/Group Description

    The patients were divided into the following two groups based on the average value of two viscosity evaluations : a thin fluid group (IDDSI level 0-2) and a thick fluid group (IDDSI level 3-4).
    Cohort/
    Group 2

    Cohort/Group Label

    Thick fluid group

    Cohort/Group Description

    The patients were divided into the following two groups based on the average value of two viscosity evaluations : a thin fluid group (IDDSI level 0-2) and a thick fluid group (IDDSI level 3-4).
    Biospecimen
    Collection & Archiving
    Not collect nor Archive
    Biospecimen Description
  • 9. Subject Eligibility

    Subject Eligibility Information
    Study Population Description
    Dysphagia patients with brain lesion
    Sampling Method
    This study was a simple observational study and did not use sampling method.
    Condition(s)/Problem(s) * (R00-R99)Symptoms, signs and abnormal clinical and laboratory findings, NEC 
       (R13)Dysphagia 

    Humans, Dysphagia, Viscosity, Prospective studies
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    19Year~No Limit

    Description

    (a) 진단시 19세 이상; (b) 허혈성 뇌졸중, 출혈성 뇌졸중, 외상성 뇌손상, 그리고 뇌종양으로 진단 받은 환자; (c) 비디오 투시연하검사 상 thin fluid 에서 PAS 점수가 2점 이상이고; (d) 비디오 투시연하검사상 점도증진제 사용을 추천 받은 환자
    Exclusion Criteria
    (a) 두경부암 병력이 있는 자; (b) 심각한 인지저하가 있는 자; (c) Oral thrush 또는 active oral infection이 있는 자; (d) 진행성 또는 감염성 신경질환을 진단 받은 자; (e) 내과적인 질환으로 수분공급을 제한하는 자; (f) 심각한 호흡기질환의 과거력이 있는 자; (g) 최근 4주내에 폐렴을 진단 받은 자
    Healthy Volunteers No
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome Not applicable
    Primary Outcome(s) 1
    Outcome
    the viscosity of the fluid ingested by the patients
    Timepoint
    once a week for 2 weeks
    Secondary Outcome(s) 1
    Outcome
    incidence of adverse effects according to fluid viscosity
    Timepoint
    at discharge
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered No
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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