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

Sponsor

University Health Network, Toronto (Other)

Overall Status

Completed

CT.gov ID

NCT00141752

Collaborator

Canadian Stroke Network (Other), Toronto Rehabilitation Institute (Other), Parkwood Hospital, London, Ontario (Other), Sunnybrook Health Sciences Centre (Other), Hamilton Health Sciences Corporation (Other)

311

Enrollment

Locations

62.2

Patients Per Site

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Cerebrovascular Accident Deglutition Disorders	Device: Toronto Bedside Swallowing Screening Test (TOR-BSST)

Study Design

Study Type:

Observational

Actual Enrollment :

311 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

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

Study Start Date :

Oct 1, 2002

Actual Primary Completion Date :

Dec 1, 2006

Outcome Measures

Primary Outcome Measures

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Hamilton General Hospital	Hamilton	Ontario	Canada	L8L 2X2
2	Parkwood Hospital	London	Ontario	Canada	N6C 5J1
3	Sunnybrook and Women's College Health Sciences Centre	Toronto	Ontario	Canada	M4N 3M5
4	Toronto Rehabilitation Institute	Toronto	Ontario	Canada	M5G 2A2
5	Toronto Western Hospital, University Health Network	Toronto	Ontario	Canada	M5T 2S8

Sponsors and Collaborators

University Health Network, Toronto
Canadian Stroke Network
Toronto Rehabilitation Institute
Parkwood Hospital, London, Ontario
Sunnybrook Health Sciences Centre
Hamilton Health Sciences Corporation

Investigators

Principal Investigator: Rosemary Martino, PhD, University of Toronto
Principal Investigator: Nicholas E Diamant, MD, University Health Network, Toronto