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Sarcopenic dysphagia is described as a swallowing disorder caused by a loss of muscle mass and strength, sarcopenia. It induces chronic complications like micro-inhalations and the worsening of chronic undernutrition, according to a vicious circle. Awareness of the high prevalence of sarcopenic dysphagia and its serious consequences among elderly people with disabilities and hospitalized patients is recent, which explains the low rate of screening in the population concerned. In this context, methods of prevention, evaluation and intervention of sarcopenic dysphagia adapted to the most exposed population are needed.
Two European learned societies have developed recommendations that include increased awareness of swallowing disorders, the use of screening scores, preventive measures, diagnostic standardization, and implemented interventions (rehabilitation, textural adaptation, etc.). In order to respect these recommendations, a pedagogical sheet, entitled DYSPHAGING was elaborated within our unit in a multiprofessional way in 4 steps (1 - Screen; 2 - Protect; 3 - Confirm; 4 - Rehabilitate).
This feasibility study aims to evaluate the rate of completion and the conditions for implementing steps 1 and 2 in hospital and institutional care units.
Sarcopenic dysphagia is described as a swallowing disorder caused by a loss of muscle mass and strength, sarcopenia. It induces chronic complications like micro-inhalations and the worsening of chronic undernutrition, according to a vicious circle. Awareness of the high prevalence of sarcopenic dysphagia and its serious consequences among elderly people with disabilities and hospitalized patients is recent, which explains the low rate of screening in the population concerned. In this context, methods of prevention, evaluation and intervention of sarcopenic dysphagia adapted to the most exposed population are needed.
Two European learned societies have developed recommendations that include increased awareness of swallowing disorders, the use of screening scores, preventive measures, diagnostic standardization, and implemented interventions (rehabilitation, textural adaptation, etc.). In order to respect these recommendations, a pedagogical sheet, entitled DYSPHAGING was elaborated within our unit in a multiprofessional way in 4 steps (1 - Screen; 2 - Protect; 3 - Confirm; 4 - Rehabilitate).
This feasibility study aims to evaluate the rate of completion and the conditions for implementing steps 1 and 2 in hospital and institutional care units.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DYSPHAGING Interventional group | Other |
Patient characteristics will be collected at each site at the end of the study by a clinical research assistant based on their medical records. At the end of the study, each allied health professionals who has been involved in the care of at least one patient will fill out a satisfaction questionnaire. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EAT-10 (Eating assessment Tool) screening questionnaire | Other | After inclusion, issuance of the EAT-10 screening questionnaire for swallowing disorders by the healthcare team |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of complete achievement of steps 1 and 2 | The judgment criterion is validated if
| Three days |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of eligible patients refusing to participate in the study | Number of eligible patients who refused to participate in the study | 18 months |
| Age, gender, comorbidities (CIRS-G), autonomy (ADL, IADL), co-medications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marion MERDINIAN, Dr | Contact | 00 33 4 78 86 56 83 | marion.merdinian@chu-lyon.fr | |
| Claire FALANDRY, Pr | Contact | 00 33 4 78 86 66 34 | claire.falandry@chu-lyon.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Lyon Sud - Court Séjour Gériatrique | Recruiting | Lyon | 69495 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38642998 | Derived | Durlach O, Tripoz-Dit-Masson S, Masse-Deragon N, Subtil F, Niasse-Sy Z, Herledan C, Guittard L, Goldet K, Merazga S, Chabert M, Suel A, Dayde D, Merdinian M, Falandry C. Feasibility of a screening and prevention procedure for risks associated with dysphagia in older patients in geriatric units: the DYSPHAGING pilot study protocol. BMJ Open. 2024 Apr 19;14(4):e081333. doi: 10.1136/bmjopen-2023-081333. |
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| Protective measures for the upper airways | Procedure | In the event of an EAT ≥2 score, immediate implementation or within three days by the healthcare team of protective measures for the upper airways in 3 sectors: 1: Postural maneuvers; 2: Hygienodietetic rules; 3: Food textures |
|
Patient characteristics will be collected at each site at the end of the study by a clinical research assistant based on their medical records.
| 19 months |
| Rate of partial completion of the protocol | Proportion of non-performance of step 1 and/or step 2 within the time limit. Proportion of steps 2 carried out incompletely), description of the reasons | 19 months |
| Diagnosis of undernutrition and/or neurocognitive disorders and/or patent lung infection and/or COPD described in the patient's medical file, nutritional risk situation assessed by the Mini Nutritional Assessment® (MNA) | Patient characteristics will be collected at each site at the end of the study by a clinical research assistant based on their medical records. | 19 months |
| Composition and disciplines of the care team | At the end of the study, all data on the each allied health professionals will be collected on the dysphaging sheet | 19 months |
| Caregiver satisfaction (Likert scale). | At the end of the study, each allied health professionals who has been involved in the care of at least one patient will fill out a satisfaction questionnaire. | 19 months |
| ID | Term |
|---|---|
| D003680 | Deglutition Disorders |
| ID | Term |
|---|---|
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010608 | Pharyngeal Diseases |
| D010038 | Otorhinolaryngologic Diseases |
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