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International Dysphagia Diet

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1. Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale Full Text available with Trip Pro

Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale To assess consensual validity, interrater reliability, and criterion validity of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale, a new functional outcome scale intended to capture the severity of oropharyngeal dysphagia, as represented by the degree of diet texture restriction recommended for the patient.Participants assigned International (...) survey.Respondents (N=170) from 29 countries.Not applicable.Consensual validity (percent agreement and Kendall τ), criterion validity (Spearman rank correlation), and interrater reliability (Kendall concordance and intraclass coefficients).The International Dysphagia Diet Standardisation Initiative Functional Diet Scale showed strong consensual validity, criterion validity, and interrater reliability. Scenarios involving liquid-only diets, transition from nonoral feeding, or trial diet advances in therapy showed

2018 Archives of physical medicine and rehabilitation

2. Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

provided following discharge from hospital including therapy provided by the child’s local speech-language pathologist (e.g., private, educational or community health settings) and outpatient reviews Delphi survey A series of surveys (typically three) completed by a group of experts in order to reach a consensus on a particular issue Dysarthria A motor speech disorder due to an impairment (e.g., weakness) in the muscles used for speaking Dysphagia Swallowing disorder Dyspraxia See apraxia of speech (...) Language disorder Difficulty comprehending and/or using spoken language Morphology Structure of words (e.g., grammar) Mutism Complete absence of speech Narrative skills Skills needed for storytelling (e.g., describing events in a logical order) Oral motor The use and function of the facial muscles (lips, tongue, jaw, cheeks) Oral phase Transferring the food/fluid to the back of the mouth Oral preparatory phase Preparing the food/fluid in the oral cavity for it to be swallowed Oropharyngeal phases Oral

2017 Clinical Practice Guidelines Portal

3. International Dysphagia Diet

International Dysphagia Diet International Dysphagia Diet Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 International Dysphagia Diet (...) International Dysphagia Diet Aka: International Dysphagia Diet II. Background Based on International Dysphagia Diet Standardization Initiative (IDDSI) III. Levels Transitional Foods 7: Regular Foods 6: Soft and Bite-Sized Foods 5: Minced and Moist Foods Foods-Drinks 4: Pureed food (extremely thick drink) 3: Liquidised food (moderately thick drink) Drinks 2: Mildly thick drink 1: Slightly thick drink 0: Thin drink IV. Resources Complete IDDSI Framework Detailed Definitions International Dysphagia Diet

2018 FP Notebook

4. International Dysphagia Diet

International Dysphagia Diet International Dysphagia Diet Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 International Dysphagia Diet (...) International Dysphagia Diet Aka: International Dysphagia Diet II. Background Based on International Dysphagia Diet Standardization Initiative (IDDSI) III. Levels Transitional Foods 7: Regular Foods 6: Soft and Bite-Sized Foods 5: Minced and Moist Foods Foods-Drinks 4: Pureed food (extremely thick drink) 3: Liquidised food (moderately thick drink) Drinks 2: Mildly thick drink 1: Slightly thick drink 0: Thin drink IV. Resources Complete IDDSI Framework Detailed Definitions International Dysphagia Diet

2018 FP Notebook

5. The Global Leadership Initiative on Malnutrition-Defined Malnutrition Predicts Prognosis in Persons With Stroke-Related Dysphagia. (Abstract)

The Global Leadership Initiative on Malnutrition-Defined Malnutrition Predicts Prognosis in Persons With Stroke-Related Dysphagia. This study aimed to clarify the association between malnutrition and improvement of swallowing ability during rehabilitation of stroke patients.This was a retrospective cohort study.One hundred eighty-eight older adults with oropharyngeal dysphagia after stroke who were admitted to a rehabilitation hospital.The International Dysphagia Diet Standardization Initiative (...) Functional Diet Scale (IDDSI-FDS) was used to assess swallowing ability. The Global Leadership Initiative on Malnutrition (GLIM) definition was used to diagnose malnutrition. The primary outcome was IDDSI-FDS score at discharge.The mean age of the patients was 78.9 ± 7.7 years, and 36.7% were women. A total of 122 (64.8%) patients were diagnosed with malnutrition. Compared with those without malnutrition, malnourished patients had more severe dysphagia on admission. After adjusting for confounders

2019 Journal of the American Medical Directors Association

6. Development of International Terminology and Definitions for Texture-Modified Foods and Thickened Fluids Used in Dysphagia Management: The IDDSI Framework Full Text available with Trip Pro

Development of International Terminology and Definitions for Texture-Modified Foods and Thickened Fluids Used in Dysphagia Management: The IDDSI Framework Dysphagia is estimated to affect ~8% of the world's population (~590 million people). Texture-modified foods and thickened drinks are commonly used to reduce the risks of choking and aspiration. The International Dysphagia Diet Standardisation Initiative (IDDSI) was founded with the goal of developing globally standardized terminology (...) individuals with dysphagia; healthcare professionals; food service providers; researchers; and industry. The results revealed common use of 3-4 levels of food texture (54 different names) and ≥3 levels of liquid thickness (27 different names). Substantial support was expressed for international standardization. Next, a systematic review regarding the impact of food texture and liquid consistency on swallowing was completed. A meeting was then convened to review data from previous phases, and develop

2016 Dysphagia

7. Diet and the Gut

carbohydrates in the pathogenesis of gastrointestinal symptoms, as opposed to their effects individually [ – ], that results in symptoms. The grouping of these fermentable carbohydrates as part of the low FODMAP diet has been associated with symptom improvement in up to three-quarters of patients with functional gastrointestinal disorders [ , , , ]. 4.2.5 Recommendations Fructose ingestion (in excess of glucose) is modified as a component of the low FODMAP diet. Reduction of all dietary FODMAPs, rather than (...) those who suffer from gastrointestinal ailments—rightly perceive their diet as being a major determinant of such symptoms and seek guidance on optimal dietary regimens. Many medical practitioners, including gastroenterologists, are unfortunately often ill-prepared to deal with such issues. This is a reflection of the lack of education on the topic of diet and nutrition in many curricula. Dietary changes have the potential to alleviate symptoms, but they may also result in regimens

2018 World Gastroenterology Organisation

8. Medical Nutrition Education, Training, and Competencies to Advance Guideline-Based Diet Counseling by Physicians: A Science Advisory From the American Heart Association

out professional activities and to adhere to ethical principles Demonstrates Empathy when counseling patients with alcoholism, obesity, eating disorders, dietary nonadherence, and culturally based dietary habits Professionalism in communications with all care team members and the ability to serve as a role model to those with less nutrition and medical knowledge Integrity in the delivery of evidence-based diet information (and avoids financial or other conflicts related to industry or business (...) Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; and Stroke Council Originally published 30 Apr 2018 Circulation. 2018;137:e821–e841 You are viewing the most recent version of this article. Previous versions: Abstract Growing scientific evidence of the benefits of heart-healthy dietary patterns and of the massive public health and economic burdens attributed to obesity and poor diet

2018 American Heart Association

9. IDDSI Nutritional Drink for Dysphagia Study

/oesophageal motility disorders. A modified textured diet and/or fluid is considered as an effective intervention in management of dysphagia. The International Dysphagia Diet Standardisation Initiative (IDDSI) have developed a new framework around the terms and descriptors used in the management of individuals with dysphagia. Malnutrition is very common in patients with dysphagia and the use of pre-thickened oral nutritional supplements (ONS) has been found as an effective way to manage this. However, due (...) will evaluate the gastrointestinal (GI) tolerance, compliance , acceptability and safety of a ready-to-use oral nutritional supplement drink for patients with dysphagia. Condition or disease Intervention/treatment Phase Dysphagia Malnutrition Dietary Supplement: IDDSI nutritional supplement drink Not Applicable Detailed Description: Dysphagia is a complex condition common in a number of diagnoses including stroke, Parkinson's disease, head and neck cancer, dementia, learning disabilities and gastric

2018 Clinical Trials

10. Role of Genetic Polymorphism in Neuroplasticity Involved in Dysphagia Recovery

outcome rating scale [ Time Frame: 4 weeks, 6 months after onset ] The Dysphagia Outcome and Severity Scale (DOSS) is a simple, easy-to-use, 7-point scale developed to systematically rate the functional severity of dysphagia based on objective assessment and make recommendations for diet level, independence level, and type of nutrition with level 1 indicating severe dysphagia and level 7 indicating normal swallowing function. Change in SWAL-QOL(swallowing quality of life)) survey score [ Time Frame: 4 (...) if the patient has difficulties in consenting or consenting to participate directly in the language disability. In the case of a suspected feeding swallowing disorder in the patient, the patient should be confirmed by VFSS(Videofluoroscopic Swallwing Study) or FEES(Fiberoptic Endoscopic Evaluation of Swallowing) Exclusion Criteria Patients who do not meet the above criteria Patients with difficulty in collecting blood for genetic testing Patients who were not able to followed-up for 6 months(follow up loss

2018 Clinical Trials

11. Improving Detection of Dysphagia in the CICU

and associated sequelae of post-operative dysphagia also necessitate sensitive and accurate clinical screening tools for early identification of swallowing impairments during recovery and appropriate and timely care (e.g., timing to oral diet or other therapeutic interventions). Currently, no validated dysphagia screening tools exist for the cardiac ICU (CICU) and a set of sensitive clinical markers to detect swallowing impairment are yet to be determined. Although nursing and speech language pathology (...) are responsible for the assessment of deglutition, currently no practice guidelines exist for the evaluation of swallowing in the intensive care hospital setting.11 Consequently, assessment practice patterns are highly variable with sub-optimal practice patterns and patient outcomes (Knowledge Gap 2). The current proposal seeks to directly address these gaps in knowledge and clinical care by seeking to identify risk factors for dysphagia following cardiac surgery, identifying simple markers to reliably detect

2018 Clinical Trials

12. Dysphagia

Evaluation and management of oropharyngeal dysphagia 10 Fig. 2 Evaluation and management of esophageal dysphagia 13 Fig. 3 Management options in patients with achalasia 18 WGO Global Guidelines—Dysphagia 3 © World Gastroenterology Organisation, 2014 1 Introduction Dysphagia refers either to the difficulty someone may have with the initial phases of a swallow (usually described as “oropharyngeal dysphagia”) or to the sensation that foods and or liquids are somehow being obstructed in their passage from (...) An accurate history covering the key diagnostic elements is useful and can often establish a diagnosis with certainty. It is important to carefully establish the location of the perceived swallowing problem: oropharyngeal vs. esophageal dysphagia. 2.1 Oropharyngeal dysphagia Clinical history Oropharyngeal dysphagia can also be called “high” dysphagia, referring to oral or pharyngeal locations. Patients have difficulty in initiating a swallow, and they usually identify the cervical area as the area

2014 World Gastroenterology Organisation

13. Standardization of a Videofluoroscopic Swallow Study Protocol to Investigate Dysphagia in Dogs Full Text available with Trip Pro

Standardization of a Videofluoroscopic Swallow Study Protocol to Investigate Dysphagia in Dogs Videofluoroscopic swallow study (VFSS) is the gold standard for diagnosis of dysphagia in veterinary medicine but lacks standardized protocols that emulate physiologic feeding practices. Age impacts swallow function in humans but has not been evaluated by VFSS in dogs.To develop a protocol with custom kennels designed to allow free-feeding of 3 optimized formulations of contrast media and diets (...) protocol that reflects natural feeding practices may allow emulation of physiology resulting in clinical signs of dysphagia. Age did not result in significant changes in swallow metrics, but additional studies are needed, particularly in light of substantial normal variation.Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

2017 Journal of Veterinary Internal Medicine

14. Swallowing Disorders (Overview)

into the distal bronchus. Delayed posteroanterior chest image shows aspiration of liquid barium into the distal bronchus. Signs and symptoms Signs and symptoms of oral or pharyngeal dysphagia include the following: Coughing or choking with swallowing Difficulty initiating swallowing Food sticking in the throat Sialorrhea Unexplained weight loss Change in dietary habits Recurrent pneumonia Change in voice or speech (wet voice) Nasal regurgitation Signs and symptoms of esophageal dysphagia include the following (...) for more detail. Next: Background The term dysphagia, a Greek word that means disordered eating, typically refers to difficulty in eating as a result of disruption in the swallowing process. Dysphagia can be a serious health threat because of the risk of , , , weight loss, and airway obstruction, and it exerts a large influence on the outcome of rehabilitation (eg, length of hospital stay, mortality/morbidity). [ ] (See Prognosis and Treatment.) Dysphagia can be secondary to defects in any of the 3

2014 eMedicine.com

15. Swallowing Disorders (Follow-up)

into the distal bronchus. Delayed posteroanterior chest image shows aspiration of liquid barium into the distal bronchus. Signs and symptoms Signs and symptoms of oral or pharyngeal dysphagia include the following: Coughing or choking with swallowing Difficulty initiating swallowing Food sticking in the throat Sialorrhea Unexplained weight loss Change in dietary habits Recurrent pneumonia Change in voice or speech (wet voice) Nasal regurgitation Signs and symptoms of esophageal dysphagia include the following (...) for more detail. Next: Background The term dysphagia, a Greek word that means disordered eating, typically refers to difficulty in eating as a result of disruption in the swallowing process. Dysphagia can be a serious health threat because of the risk of , , , weight loss, and airway obstruction, and it exerts a large influence on the outcome of rehabilitation (eg, length of hospital stay, mortality/morbidity). [ ] (See Prognosis and Treatment.) Dysphagia can be secondary to defects in any of the 3

2014 eMedicine.com

16. Swallowing Disorders (Diagnosis)

into the distal bronchus. Delayed posteroanterior chest image shows aspiration of liquid barium into the distal bronchus. Signs and symptoms Signs and symptoms of oral or pharyngeal dysphagia include the following: Coughing or choking with swallowing Difficulty initiating swallowing Food sticking in the throat Sialorrhea Unexplained weight loss Change in dietary habits Recurrent pneumonia Change in voice or speech (wet voice) Nasal regurgitation Signs and symptoms of esophageal dysphagia include the following (...) for more detail. Next: Background The term dysphagia, a Greek word that means disordered eating, typically refers to difficulty in eating as a result of disruption in the swallowing process. Dysphagia can be a serious health threat because of the risk of , , , weight loss, and airway obstruction, and it exerts a large influence on the outcome of rehabilitation (eg, length of hospital stay, mortality/morbidity). [ ] (See Prognosis and Treatment.) Dysphagia can be secondary to defects in any of the 3

2014 eMedicine.com

17. Swallowing Disorders (Treatment)

into the distal bronchus. Delayed posteroanterior chest image shows aspiration of liquid barium into the distal bronchus. Signs and symptoms Signs and symptoms of oral or pharyngeal dysphagia include the following: Coughing or choking with swallowing Difficulty initiating swallowing Food sticking in the throat Sialorrhea Unexplained weight loss Change in dietary habits Recurrent pneumonia Change in voice or speech (wet voice) Nasal regurgitation Signs and symptoms of esophageal dysphagia include the following (...) for more detail. Next: Background The term dysphagia, a Greek word that means disordered eating, typically refers to difficulty in eating as a result of disruption in the swallowing process. Dysphagia can be a serious health threat because of the risk of , , , weight loss, and airway obstruction, and it exerts a large influence on the outcome of rehabilitation (eg, length of hospital stay, mortality/morbidity). [ ] (See Prognosis and Treatment.) Dysphagia can be secondary to defects in any of the 3

2014 eMedicine.com

18. Management of patients with stroke: Identification and management of dysphagia

bolus movement through the hypopharynx and gauging the success of airway protection manoeuvres. 63 FEES cannot be used to assess oral stage of swallowing disorders or determine bolus movement at the point of swallowing. There is some evidence, in a neurological dysphagia-specific group (not all stroke patients), that patient outcome with respect to development of pneumonia is essentially the same whether dietary and behavioural management are guided by the results of MBS or FEES. 62 C The modified (...) and management of dysphagia within an acute stroke management plan can reduce the occurrence of pneumonia. 18 Despite this evidence, the detection and management of swallowing problems in acute stroke is inadequate in many hospitals. 19 The aim of this guideline is to assist practitioners in reducing the morbidity associated with dysphagia by early detection of swallowing disorders in stroke patients and application of appropriate methods to support food and fluid intake. Although much has been written

2010 SIGN

19. Dietary Modulation of Neuroinflammation in Age-Related Memory Disorders

Dietary Modulation of Neuroinflammation in Age-Related Memory Disorders Dietary Modulation of Neuroinflammation in Age-Related Memory Disorders - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Dietary (...) or disease Intervention/treatment Phase Memory Loss Inflammation Dietary Supplement: 650 mg of Cocoapro flavanols Dietary Supplement: 0 mg of Cocoapro flavanols Not Applicable Detailed Description: Within 25 years, the US population aged 65 and over will double in size to 80 million bringing, with it an epidemic of aging-related cognitive decline, from normal cognitive aging to neurodegenerative disorders including Alzheimer's Disease. These conditions impair quality of life and functional status, impose

2018 Clinical Trials

20. Mediterranean-type Diet for Older Adults With Obstructive Sleep Apnea

; Gastrointestinal disease, with intolerance to fat intake; Impossibility to follow the Mediterranean diet due to the presence of mastication and/or swallowing disorders; History of food allergy with hypersensitivity to any of the components of olive oil and/or oleaginous; Eating habits in the last two months that characterize the diet of the Mediterranean; Significant alterations in appetite in the last three months or change of weight over 5 kg in the last three months; Illegal use of drugs or chronic (...) Mediterranean-type Diet for Older Adults With Obstructive Sleep Apnea Mediterranean-type Diet for Older Adults With Obstructive Sleep Apnea - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Mediterranean-type

2018 Clinical Trials

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