Feasibility Study of Screening for Sarcopenic Dysphagia and the Implementation of Measures to Prevent Its Complications in Geriatric or Institutionalized Patients Aged ≥ 70 Years.

Status: Recruiting
Location: See location...
Intervention Type: Procedure, Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 70
Healthy Volunteers: f
View:

• Patient aged ≥ 70 years,

• Patient affiliated to a social security system,

• Patient hospitalized in the health sector or in a medico-social institute,

• Patient informed of the study (information leaflet provided) and having orally signified their consent to inclusion in the study.

• Patient under legal protection, guardianship or curatorship,

Locations
Other Locations
France
Centre Hospitalier Lyon Sud - Court Séjour Gériatrique
RECRUITING
Lyon
Contact Information
Primary
Marion MERDINIAN, Dr
marion.merdinian@chu-lyon.fr
00 33 4 78 86 56 83
Backup
Claire FALANDRY, Pr
claire.falandry@chu-lyon.fr
00 33 4 78 86 66 34
Time Frame
Start Date: 2023-06-01
Estimated Completion Date: 2024-10-01
Participants
Target number of participants: 102
Treatments
Other: DYSPHAGING Interventional group
* Step 1: delivery of the EAT-10 questionnaire for swallowing disorders screening;~* Step 2: in case of EAT≥2 score, immediate implementation of upper airway protection measures in 3 areas:~ 1: Postural adjustments; 2 : Hygienic and dietary rules ; 3: Food textures The hypothesis is that allied health professionals in acute geriatric wards, rehabilitation units, and Long Term Care Units are able to implement the current recommendations for screening for sarcopenic dysphagia and to implement preventive measures but in a systematic way.~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.
Sponsors
Leads: Hospices Civils de Lyon

This content was sourced from clinicaltrials.gov