Functionality, Cognition And Swallowing Skills In Patients With AcuteSTROKE

NCT06288243 | Completed

• 1 other identifier: Samatya
• Study Type: observational
• Target: 97
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: Studies in which the results of the screening test evaluating swallowing skills in acute stroke patients are evaluated together with other components that may affect swallowing function are limited. The aim of this study is to determine which factors are associated with swallowing abilities in patients with acute stroke, including lesion location, cognitive level, clinical features, risk factors for stroke, and level of functionality. Methods: The 97 acute stroke patients included in the study were grouped in terms of lesion type, affected side, and risk factors for stroke. Turkish MMASA (TR-MMASA) was used to evaluate the swallowing ability of the patients. Additionally, Standardized Mini Mental Test (SMMT) and Modified Rankin Scale (MRS) were applied to evaluate cognition level and functionality, respectively.

Conditions

Stroke, Acute; Swallowing Disorder; Cognitive Impairment; Stroke; Movement Disorders; Dysphagia

Keywords

stroke; acute stroke; dysphagia; cognitive status; functionality

Outcome Measures

Primary Outcomes (2)

• The Correlation Between Swallowing Skills and Cognitive Status

  Is there correlation between the scores obtained from the TR-MMASA(Turkish Modified Mann Swallowing Ability test and the scores obtained from the SMMT(Standardized Mini Mental Test)? The TR-MMASA test is a test based on clinical observation that gives a score between 92 and 100 for the patient's swallowing skills. A score of 92 and below means non-oral nutrition, and a score above 92 means that it can be fed orally. SMMT test is a test that measures the cognitive level of the patient based on clinical observation between 0-30. As the score value decreases, it means that the cognitive level worsens.

  During the first 5 months of the study.

• The Correlation Between Swallowing Skills and Functionality

  Is there correlation between the scores obtained from the TR-MMASA(Turkish Modified Mann Swallowing Ability) test and the scores obtained from the MRS(Modified Rankin Scale) test? The TR-MMASA test is a test based on clinical observation that gives a score between 92 and 100 for the patient's swallowing skills. A score of 92 and below means non-oral nutrition, and a score above 92 means that it can be fed orally. MRS test is the test that evaluates the patient's functional independence. Scoring 0-2 points from the test means that the patient is functionally dependent, and scoring 3-6 points means that the patient is functionally independent.

  During the first 5 months of the study.

Secondary Outcomes (2)

• The relationship between stroke risk factors and swallowing skills

  During the first 5 months of the study.

• The relationship between demographic informations and swallowing skills

  During the first 5 months of the study.

Interventions

Clinician-observed assessment tests DIAGNOSTIC_TEST

Turkish Modified Mann Swallowing Ability Test, which evaluates swallowing skills Standardized Mini-Mental Test assessing Cognitive Status Modified Rankin Scale to evaluate functionality

Eligibility Criteria

• Age: 45 Years - 92 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients who had an acute stroke and were treated in the neurology clinic

You may qualify if:

• Stroke diagnosis by a specialist neurologist with radiological confirmation cranial computed tomography (CT) or magnetic resonance imaging

You may not qualify if:

• History of head and neck cancer or trauma,
• Having received radiotherapy in the last 12 months,
• A neurological or neurodegenerative disorder independent of stroke affecting swallowing function.

Sponsors & Collaborators

• Medipol University: lead

Study Sites (1)

Medipol University

Istanbul, Turkey (Türkiye)

Location

Related Publications (2)

• Carnaby-Mann G, Lenius K. The bedside examination in dysphagia. Phys Med Rehabil Clin N Am. 2008 Nov;19(4):747-68, viii. doi: 10.1016/j.pmr.2008.05.008.

  PMID: 18940639 RESULT

• Antonios N, Carnaby-Mann G, Crary M, Miller L, Hubbard H, Hood K, Sambandam R, Xavier A, Silliman S. Analysis of a physician tool for evaluating dysphagia on an inpatient stroke unit: the modified Mann Assessment of Swallowing Ability. J Stroke Cerebrovasc Dis. 2010 Jan;19(1):49-57. doi: 10.1016/j.jstrokecerebrovasdis.2009.03.007.

  PMID: 20123227 RESULT

MeSH Terms

Conditions

Stroke; Deglutition Disorders; Cognitive Dysfunction; Movement Disorders

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Esophageal Diseases; Gastrointestinal Diseases; Digestive System Diseases; Pharyngeal Diseases; Otorhinolaryngologic Diseases; Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Study Officials

• Seyhun Topbaş, Prof.Dr.

  Medipol University

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Lecturer

Study Record Dates

• First Submitted: February 15, 2024
• First Posted: March 1, 2024
• Study Start: December 1, 2018
• Primary Completion: May 28, 2019
• Study Completion: May 29, 2019
• Last Updated: March 1, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)