Non-standardized vs. Standardized Screening for Dysphagia

University of Miami50 enrolled

Overview

The purpose of this study is to compare two different screening tests for detecting dysphagia (difficulty swallowing) as well as the risk for aspiration (silent swallowing of liquids/solids into the lungs) in patients after an ischemic stroke (when a blood clot blocks or narrows an artery leading to the brain).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

Conditions

Dysphagia

Interventions

Mann Assessment of Swallowing Ability (MASA) (dysphagia screening tool)OTHER

Upon 1-2 days of admission to inpatient rehabilitation, the MASA will be administered for approximately 20 minutes during initial speech language pathology evaluation. The MASA will be administered at bedside as a cognitive/speech language evaluation as well as oropharyngeal function examination.

Non-standardized clinical swallow evaluationOTHER

Participants will receive current standard of care for dysphagia screening and treatment.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults ≥ 18 years old * Patients admitted to Lynn Rehabilitation Center with an admitting diagnosis consistent with acute ischemic stroke within the past 1 month * Patients able to provide informed, written consent. If patients are not cognitively able to give informed consent, then consent will be obtained from patient proxy in person or over the phone * Able to read and comprehend verbal instruction in English and/or Spanish Exclusion Criteria: * Adults \> 80 years old * Pregnant women * Prisoners * Those with a prior history of dysphagia * Those with any diagnoses that include acute intracranial hemorrhage, subdural hematoma, subarachnoid hemorrhage, traumatic brain injury

Locations (1)

Lynn Rehabilitation Center / University of Miami

Miami, Florida, United States

RECRUITING

Outcomes

Primary Outcomes

Dysphagia measured by MASA

The MASA is a 24-item clinical test that evaluates swallowing in the order in which swallowing phases occur. Each item is quantitatively scored using either a 5-point or 10-point score at the end of which a total score out of 200 is summed up. The MASA takes approximately 15-20 minutes to perform and can then be repeated during a patient's clinical course to monitor for recovery.

Time frame: Up to 20 minutes

Central Contacts

Gemayaret Alvarez, MD

CONTACT

305-585-9420 g.alvarez3@med.miami.edu

Claudia Santesteban-bidot, M.S.

CONTACT

305-585-9449 claudia.santesteban@jhsmiami.org

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.