Dysphagia
Conditions
Keywords
difficulty swallowing
Brief summary
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).
Interventions
OTHERMann Assessment of Swallowing Ability (MASA) (dysphagia screening tool)
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.
OTHERNon-standardized clinical swallow evaluation
Participants will receive current standard of care for dysphagia screening and treatment.
Sponsors
University of Miami
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dysphagia measured by MASA | Up to 20 minutes | 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. |
Countries
United States
Contacts
CONTACTGemayaret Alvarez, MD
CONTACTClaudia Santesteban-bidot, M.S.
PRINCIPAL_INVESTIGATORGemayaret Alvarez, MD
University of Miami
Outcome results
None listed