Toronto Bedside Swallowing Screening Test (TOR-BSST)

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

311 participants

Study Classification

OBSERVATIONAL

Study Start Date

2002-10-31

Brief Summary

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This research will assess the accuracy of the Toronto Bedside Swallowing Screening Test (TOR-BSST), a new dysphagia screening test for patients with stroke. The purpose of the TOR-BSST is to predict the presence of dysphagia in stroke patients across their continuum of care in a simple and efficient manner. This initial research will assess the accuracy of the TOR-BSST in the acute and rehabilitative settings using videofluoroscopy as the gold standard for comparison. The results from this research will also assess the stability of the TOR-BSST across nursing, its primary user, and generate an estimate for the prevalence of dysphagia in adult stroke patients in the acute and rehabilitative settings. Participants in this research will be 315 stroke patients from several teaching centres in Ontario, namely 105 acute patients from the University Health Network, Sunnybrook \& Women's College Health Sciences Centre, and Hamilton General Hospital, and 210 patients in the rehabilitation setting from the Toronto Rehabilitation Institute and Parkwood Hospital, London. Both the TOR-BSST and videofluoroscopic assessment will be administered within 24 hours of each other and interpreted according to published preferred practice guidelines for dysphagia. This research will be the first to implement and assess a standardised method for screening for dysphagia in stroke patients across the continuum of stroke recovery.

Detailed Description

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Conditions

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Cerebrovascular Accident Deglutition Disorders

Keywords

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Cerebrovascular Accident Deglutition Disorders stroke dysphagia screening

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Toronto Bedside Swallowing Screening Test

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patients with a new diagnosis of brainstem or cerebellar stroke
* patients with a new diagnosis of cortical stroke with NIH Stroke Scale score of 4 or above

Exclusion Criteria

* patients with a previous history of stroke with dysphagia
* patients with a confirmed history of Parkinson's, Parkinsonian Syndrome, ALS, MSA, MS, dementia, or other neurodegenerative disease
* patients with a history of cranial neurosurgery
* patients with a known previous or current oropharyngeal dysphagia due to structural or neurological cause
* patients with active COPD or current pneumonia

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rosemary Martino, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Toronto

Nicholas E Diamant, MD

Role: PRINCIPAL_INVESTIGATOR

University Health Network, Toronto

Locations

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Hamilton General Hospital

Hamilton, Ontario, Canada

Site Status

Parkwood Hospital

London, Ontario, Canada

Site Status

Sunnybrook and Women's College Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Toronto Rehabilitation Institute

Toronto, Ontario, Canada

Site Status

Toronto Western Hospital, University Health Network

Toronto, Ontario, Canada

Site Status

Countries

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Canada

References

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Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005 Dec;36(12):2756-63. doi: 10.1161/01.STR.0000190056.76543.eb. Epub 2005 Nov 3.

Reference Type BACKGROUND

PMID: 16269630 (View on PubMed)

Martino R, Pron G, Diamant N. Screening for oropharyngeal dysphagia in stroke: insufficient evidence for guidelines. Dysphagia. 2000 Winter;15(1):19-30. doi: 10.1007/s004559910006.

Reference Type BACKGROUND

PMID: 10594255 (View on PubMed)

Other Identifiers

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CSN II.10

Identifier Type: -

Identifier Source: org_study_id

Toronto Bedside Swallowing Screening Test (TOR-BSST) - A Bedside Swallowing Screening for Stroke Patients

Study Results

Basic Information

Brief Summary

Detailed Description

Conditions

Keywords

Study Design

Interventions