Safety and clinical impact of FEES – results of the FEES-registry
| Autor: | Markus Perniß, R. Thomas, Juliane Dunkel, Cornelius J. Werner, Götz Bräuer, Beate Lindner-Pfleghar, Christian Ledl, Julia Schwarze, Michael Ohms, Hermann Weber, Sandra Hagen, Sriramya Lapa, Rainer Wirth, Ingo Wittich, Waltraud Pfeilschifter, Tanja Plass, Robin Roukens, Ulrich Vahle, Kathi Schweikert, Christine Helfer, Renate Damm-Lunau, Kolja Busch, Duygu Özsucu, Hartwig Woldag, Nancy Voigt, Nikolaus Lange, Tobias Warnecke, Christian L. Roth, Tobias Schmidt-Wilcke, Ulrich Birkmann, Christina Horn-Schenk, Sophie Held, Matthias auf dem Brinke, Hermann Neugebauer, Amelie Fellgiebel, Elisabeth Garms, Rainer Dziewas, Jörg Glahn, Madeleine Müller, Holger Stege, Mirko Hiller, Christoph Kley, Dirk Theuerkauf, Franziska Cerra, M. Mertl-Rötzer, Beate Schumann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Neurology business.industry MEDLINE medicine.disease Dysphagia lcsh:RC346-429 lcsh:RC321-571 Swallowing Multicenter trial Emergency medicine medicine Neurosurgery medicine.symptom business Stroke lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry lcsh:Neurology. Diseases of the nervous system Neuroradiology Research Article |
| Zdroj: | Neurological Research and Practice Neurological Research and Practice, Vol 1, Iss 1, Pp 1-8 (2019) |
| ISSN: | 2524-3489 0303-7762 |
| Popis: | Background At present, the flexible endoscopic evaluation of swallowing (FEES) is one of the most commonly used methods for the objective assessment of swallowing. This multicenter trial prospectively collected data on the safety of FEES and also assessed the impact of this procedure on clinical dysphagia management. Methods Patients were recruited in 23 hospitals in Germany and Switzerland from September 2014 to May 2017. Patient characteristics, professional affiliation of the FEES examiners (physicians or speech and language therapists), side-effects and cardiorespiratory parameters, severity of dysphagia and clinical consequences of FEES were documented. Results 2401 patients, mean age 69.8 (14.6) years, 42.3% women, were included in the FEES-registry. The most common main diagnosis was stroke (61%), followed by Parkinson’s disease (6.5%). FEES was well tolerated by patients. Complications were reported in 2% of examinations, were all self-limited and resolved without sequelae and showed no correlation to the endoscopist’s previous experience. In more than 50% of investigations FEES led to changes of feeding strategies, in the majority of cases an upgrade of oral diet was possible. Discussion This study confirmed that FEES, even when performed by less experienced clinicians is a safe and well tolerated procedure and significantly impacts on the patients’ clinical course. Implementation of a FEES-service in different clinical settings may improve dysphagia care. Trial registration ClinicalTrials.gov NCT03037762, registered January 31st 2017. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|