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- Title
Towards a basic endoscopic evaluation of swallowing in acute stroke -- identification of salient findings by the inexperienced examiner.
- Authors
Warnecke, Tobias; Teismann, Inga; Oelenberg, Stephan; Hamacher, Christina; Ringelstein, E. Bernd; Schäbitz, Wolf R.; Dziewas, Rainer
- Abstract
Background: Dysphagia is common after stroke. Fiberoptic endoscopic evaluation of swallowing (FEES) is a powerful tool for dysphagia assessment. The purpose of this study was to assess whether a previously established endoscopic examination protocol based on the identification of typical findings indicative of stroke -- related dysphagia may be learned and adopted by clinicians so far inexperienced in this field. Methods: After receiving a structured lecture on this topic, participants were asked to rate video sequences of endoscopic swallowing examinations of acute stroke patients. The first part of the testing ("single findings-rating") comprised of 16 single sequences, the second part ("complete examination-rating") presented the key sequences of 8 complete examinations. Before the second part was started, results of the first were discussed. Results: At the "single findings-rating" 88.8% of video-sequences were assessed correctly, while at the "complete examination-rating" the average performance had improved to 96%. Furthermore, no overlooking of relevant pathologies was noted in the second part of the testing. Conclusion: This study suggests that the presented endoscopic examination protocol is reliably interpreted by inexperienced clinicians after a short lecture and may therefore easily and successfully be adopted in dysphagia management of acute stroke care.
- Subjects
DEGLUTITION disorders; CEREBROVASCULAR disease; HEALTH outcome assessment; ENDOSCOPY; CARDIAC patients
- Publication
BMC Medical Education, 2009, Vol 9, p1
- ISSN
1472-6920
- Publication type
Article
- DOI
10.1186/1472-6920-9-13