Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults DOI Creative Commons
James A. Curtis, Anaïs Rameau, Valentina Mocchetti

и другие.

Folia Phoniatrica et Logopaedica, Год журнала: 2024, Номер unknown, С. 1 - 16

Опубликована: Ноя. 19, 2024

Introduction: Flexible endoscopic evaluations of swallowing (FEES) involve the administration a variety foods and liquids to assess outcomes related pharyngeal residue, penetration, aspiration. While type color thin used during FEES have been found significantly affect ratings, it is unknown if similar effects are observed with pureed foods. Therefore, aims this study were puree (applesauce vs. pudding) (natural, blue, green) on ratings aspiration FEES. Methods: Pharyngeal assessed in 37 consecutive outpatient adults undergoing Patients presented two types puree: 5 mL applesauce pudding. Each was once either blue or green food coloring added by clinician. also no clinician-added (“natural”). The order presentation randomized between patients all data blindly analyzed pairs independent raters using Visual Analysis Swallowing Efficiency Safety (VASES). Multilevel statistical models examine oropharyngeal hypopharyngeal Penetration-Aspiration Scale scores (PAS). Results: Pudding trials associated higher residue compared trials. Blue-colored when natural applesauce. Lastly, green-colored pudding both pudding, respectively. Conclusion: This identified statistically significant but not penetration aspiration, as seen These suggest that clinicians researchers should consider standardizing

Язык: Английский

Systematic approach to contextualize findings of flexible endoscopic evaluation of swallowing in neurogenic dysphagia– towards an integrated FEES report DOI Creative Commons
Rainer Dziewas, Tobias Warnecke, Bendix Labeit

и другие.

Neurological Research and Practice, Год журнала: 2024, Номер 6(1)

Опубликована: Май 9, 2024

Abstract Flexible endoscopic evaluation of swallowing (FEES) is one the most important methods for instrumental evaluation. The challenging part examination consists in interpretation various observations encountered during endoscopy and deduction clinical consequences. This review proposes framework an integrated FEES-report that systematically moves from salient findings FEES to more advanced domains such as dysphagia severity, phenotypes impairment pathomechanisms. Validated scales scores are used enhance diagnostic yield. In concluding report, FEES-findings put into perspective context. potential etiology conceivable differential diagnoses considered, further steps proposed, treatment options evaluated, a timeframe re-assessment suggested. designed be adaptable open continuous evolution. Additional items, novel protocols, pathophysiological observations, advancements disease-related knowledge, new options, can easily incorporated. Moreover, there customizing this approach report on structural dysphagia.

Язык: Английский

Процитировано

9
Dysphagie nach Extubation auf der Intensivstation DOI Creative Commons

Daniela Bertschi,

Jan Waskowski,

Philipp Venetz

и другие.

Medizinische Klinik - Intensivmedizin und Notfallmedizin, Год журнала: 2025, Номер unknown

Опубликована: Апрель 15, 2025

Zusammenfassung Schluckstörungen nach Extubation (Postextubationsdysphagie, PED) sind auf Intensivstationen häufig vorhanden und machen etwa 20 % eines gemischt medizinisch-chirurgischen Notfallpatientenkollektivs von aus. Die PED ist sowohl im Kollektiv neurologischer als auch nichtneurologischen Intensivstationspatienten unabhängiger Risikofaktor für eine erhöhte 28- 90-Tage-Mortalität (28-Tage-Mortalität: plus 9 %). Das Mortalitätsrisiko bis zu einem Jahr Intensivstationsaufenthalt nachzuweisen. Aufgrund der Konsequenzen sollte bei allen Extubation/Dekanülierung ein systematisches Dysphagiescreening erfolgen (z. B. Wasserschlucktest) zur Diagnosesicherung fiberoptische endoskopische Evaluation des Schluckakts (FEES). Behandlung erfolgt interdisziplinär mit Ernährungsanpassung/Nahrungsaufbau bzw. Nahrungskarenz, Physiotherapie/Logopädie zukünftig ggf. interventionellen Verfahren.

Процитировано

0
Characterizing the Validity of Using VASES to Derive DIGEST-FEES Grades DOI Creative Commons
James A. Curtis, Lauren Tabor Gray, Loni C. Arrese

и другие.

Folia Phoniatrica et Logopaedica, Год журнала: 2024, Номер unknown, С. 1 - 10

Опубликована: Апрель 17, 2024

<b><i>Introduction:</i></b> Visual Analysis of Swallowing Efficiency and Safety (VASES) Dynamic Imaging Grade Toxicity for Flexible Endoscopic Evaluation (DIGEST-FEES) are two complimentary methods assessing swallowing during FEES. Whereas VASES is intended to facilitate trial-level ratings pharyngeal residue, penetration, aspiration, DIGEST-FEES protocol-level impairment grades safety efficiency. The aim this study was assess the validity using derive grades. <b><i>Methods:</i></b> were blindly analyzed from 50 FEES – first original grading method (<i>n</i> = 50) then again a VASES-derived 50). Weighted Kappa (κ<sub><i>w</i></sub>) absolute agreement (%) used relationship between Spearman’s correlations assessed with measures construct validity. <b><i>Results:</i></b> Substantial (κ<sub><i>w</i></sub> 0.76–0.83) observed methods, 60–62% all matching exactly, 92–100% within one grade each other. Furthermore, strength relationships (<i>r</i> 0.34–0.78) similar same 0.34–0.83). <b><i>Conclusion:</i></b> Findings demonstrate substantial Using also appears maintain level established DIGEST-FEES. Therefore, clinicians researchers may consider increase transparency standardization ratings. Future research should seek replicate these findings explore simultaneous use in greater sampling raters across other patient populations.

Язык: Английский

Процитировано

1
Respiratory–Swallow Coordination and Its Relationship With Pharyngeal Residue, Penetration, and Aspiration in People With Parkinson's Disease DOI
James A. Curtis, James C. Borders, Brianna Kiefer

и другие.

Journal of Speech Language and Hearing Research, Год журнала: 2024, Номер 67(11), С. 4314 - 4338

Опубликована: Окт. 10, 2024

Purpose: Respiratory–swallow coordination (RSC) frequently changes in people with Parkinson's disease (PwPD). Little is known about how these relate to impairments swallowing safety (penetration and aspiration) efficiency (pharyngeal residue). Therefore, the aims of this study were assess relationships between RSC, pharyngeal residue, penetration, aspiration PwPD. Method: Twenty-four PwPD recruited undergo simultaneous assessment safety, efficiency. RSC was assessed using respiratory inductive plethysmography nasal airflow included measurements pause duration, phase patterning, lung volume during swallowing. Swallowing flexible endoscopic evaluation swallowing, analyzed Visual Analysis Efficiency Safety, aspiration. All data blindly analyzed, 20% repeated for interrater reliability assessment. Multilevel statistical models used examine Results: A total 812 swallows from 24 participants. Only 33.4% exhibited typical exhale–swallow–exhale pattern. Additionally, 95% participants abnormal swallow function. More severe hypopharyngeal residue ratings associated inhaling before compared exhaling swallow. more events penetration (a) swallow, (b) after (c) longer swallow-related durations. Inhaling strongest relationship when all other variables. Conclusions: significant Clinicians should attend assessing Future research needed if training an pattern can be improve disordered Open Science Form: https://doi.org/10.23641/asha.27211770

Язык: Английский

Процитировано

0
Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults DOI Creative Commons
James A. Curtis, Anaïs Rameau, Valentina Mocchetti

и другие.

Folia Phoniatrica et Logopaedica, Год журнала: 2024, Номер unknown, С. 1 - 16

Опубликована: Ноя. 19, 2024

Introduction: Flexible endoscopic evaluations of swallowing (FEES) involve the administration a variety foods and liquids to assess outcomes related pharyngeal residue, penetration, aspiration. While type color thin used during FEES have been found significantly affect ratings, it is unknown if similar effects are observed with pureed foods. Therefore, aims this study were puree (applesauce vs. pudding) (natural, blue, green) on ratings aspiration FEES. Methods: Pharyngeal assessed in 37 consecutive outpatient adults undergoing Patients presented two types puree: 5 mL applesauce pudding. Each was once either blue or green food coloring added by clinician. also no clinician-added (“natural”). The order presentation randomized between patients all data blindly analyzed pairs independent raters using Visual Analysis Swallowing Efficiency Safety (VASES). Multilevel statistical models examine oropharyngeal hypopharyngeal Penetration-Aspiration Scale scores (PAS). Results: Pudding trials associated higher residue compared trials. Blue-colored when natural applesauce. Lastly, green-colored pudding both pudding, respectively. Conclusion: This identified statistically significant but not penetration aspiration, as seen These suggest that clinicians researchers should consider standardizing

Язык: Английский

Процитировано

0