A Documentation System to Save Time and Ensure Proper Application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES®)

Hey, Christiane; Pluschinski, P; Stanschus, S.; Euler, Harald Α.; Sader, Robert; Langmore, Susan E.; Neumann, Katrin

doi:10.1159/000316314

Cited by 25 publications

(14 citation statements)

References 38 publications

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“…The procedure has also been used to good effect in research to measure the degree of swallow dysfunction and to test the effect of therapies. While protocols have been published and disseminated [ 52 ] further efforts to achieve standardization for scoring and interpretation of the exam are necessary.…”

Section: Discussionmentioning

confidence: 99%

Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Langmore¹,

Murray²

2012

Manual of Diagnostic and Therapeutic Techniques for Disorders of Deglutition

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The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is an instrumental assessment of deglutitive function that utilizes a fl exible laryngoscope to view pharyngeal and laryngeal structures during swallowing. In this assessment the laryngoscope is placed transnasally and advanced to the pharynx to view structural movements, bolus transit and airway protection. The chapter elucidates the utility and practical application of laryngoscopy to assess swallowing function for the practicing clinician. The chapter includes a description of the procedure and guides the reader in the integration of visual fi ndings that are revealed via the laryngoscope to better identify disordered physiology and further patient management.

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Section: Discussionmentioning

confidence: 99%

Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Langmore¹,

Murray²

2012

Manual of Diagnostic and Therapeutic Techniques for Disorders of Deglutition

View full text Add to dashboard Cite

show abstract

“…These studies used tools developed for generic usability studies, and questionnaires played an important role (1, 6, 8-9, 18, 25, 28, 34-36, 38). Efficiency of performing a certain system function was measured in several studies, mostly as time spent filling in a single form or searching a data item (N = 9, 23%) (1,6,9,14,18,28,(33)(34)(35).…”

Section: Indicatorsmentioning

confidence: 99%

“…Slower data entry was explained, e.g., by learning effects and increase in the amount of data (28). However, there were also studies which found that structured data is faster to enter (14,18) and makes work processes easier (36). Two articles by the same author described the effect of data organization on the data retrieval time; relatively small changes in the data structure may have a significant impact on the retrieval time (33,34).…”

Section: Indicatorsmentioning

confidence: 99%

Literature Review of Patient Record Structures from the Physician’s Perspective

et al. 2016

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The Finnish Patient Data Repository is a nationwide electronic health record (EHR) system collecting patient data from all healthcare providers. The usefulness of the large amount of data stored in the system depends on the underlying data structures, and thus a solid understanding of these structures is in focus in further development of the data repository. This study seeks to improve that understanding by a systematic literature review. The review takes the physician's perspective to the use and usefulness of the data structures. The articles included in this review study data structures intended to be used in the actual care process. Secondary use and nursing aspects have been covered in separate reviews. After applying the predefined inclusion and exclusion criteria only 40 articles were included in the review. The research on widespread systems in everyday use was especially scarce, most studies concentrated on narrow fields. Majority of these studies were primarily developed for specialist use in secondary care units. Most structures or applications studied were at an early stage of development. In many applications the use of structured data was found to improve the completeness of the documented data and facilitate its automated use. However, there seem to be some applications where narrative text cannot be easily replaced by structured data. Usability results regarding structured representation were conflicting. The scattered nature and paucity of research hinders the generalizability of the findings, and from the system design or implementation point of view the practical value of the scientific literature reviewed is limited.

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“…In clinical studies of swallowing dysfunction, the incidence of both penetration and aspiration are associated with increased risk of developing pneumonia, which can be life threatening (1). The 8-Point Penetration-Aspiration Scale (PAS) (2), used in clinical research studies, is an established and validated instrument for measuring the airway protection during swallowing (3–7). No such scale, however, currently exists for animal models of swallowing dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Development, Reliability, and Validation of an Infant Mammalian Penetration–Aspiration Scale

et al. 2012

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A penetration-aspiration scale exists for assessing airway protection in adult videofluoroscopy and fiberoptic endoscopic swallowing studies, however no such scale exists for animal models. The aim of this study was threefold to 1) develop a Penetration-Aspiration Scale (PAS) for infant mammals, 2) test the scale’s intra- and inter-rater reliability, and 3) to validate the use of the scale for distinguishing between abnormal and normal animals. After discussion and reviewing many videos, the result was a 7-Point Infant Mammal PAS. Reliability was tested by having 5 judges score 90 swallows recorded with videofluoroscopy across two time points. In these videos, the frame rate was either 30 or 60 frames per second and the animals were either normal, had a unilateral superior laryngeal nerve (SLN) lesion, or had hard palate local anesthesia. The scale was validated by having one judge score videos of both normal and SLN lesioned pigs and testing the difference using a t-test. Raters had a high intra-rater (average kappa of 0.82, intraclass correlation coefficient (ICC)= 0.92) and high inter-rater reliability (average kappa of 0.68, ICC= 0.66). There was a significant difference in reliability for videos captured at 30 and 60 frames per second for scores of 3 and 7 (p<0.001). The scale was also validated for distinguishing between normal and abnormal pigs (p<0.001). Given the increasing number of animal studies using videofluoroscopy to study dysphagia, this scale provides a valid and reliable measure of airway protection during swallowing in infant pigs that will give these animal models increased translational significance.

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A Documentation System to Save Time and Ensure Proper Application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES®)

Cited by 25 publications

References 38 publications

Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

Literature Review of Patient Record Structures from the Physician’s Perspective

Development, Reliability, and Validation of an Infant Mammalian Penetration–Aspiration Scale

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