Non-standardized Vs. Standardized Screening for Dysphagia

University of Miami

Status: Enrolling

Conditions: Dysphagia

Treatments: Other: Non-standardized clinical swallow evaluation; Other: Mann Assessment of Swallowing Ability (MASA) (dysphagia screening tool)

Study type: Interventional

Funder types: Other

Identifiers

NCT05603897

20220558

Details and patient eligibility

About

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).

Enrollment: 50 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Mann Assessment of Swallowing Ability (MASA) Group

Experimental group

Description:

Participants in this group will receive the MASA dysphagia screening once upon admission to inpatient rehabilitation for approximately 20 minutes.

Treatment:

Other: Mann Assessment of Swallowing Ability (MASA) (dysphagia screening tool)

Non-standardized clinical swallow evaluation Group

Other group

Description:

Participants in this group will receive standard of care treatment (dysphagia screening once upon admission to inpatient rehabilitation using a non-standardized clinical swallow evaluation for approximately 15 minutes).

Treatment:

Other: Non-standardized clinical swallow evaluation