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Flexible endoscopic evaluation of swallowing (FEES) to determine neurological intensive care patients' oral diet.
- Source :
- International Journal of Speech-Language Pathology; Feb2021, Vol. 23 Issue 1, p83-91, 9p, 1 Diagram, 4 Charts
- Publication Year :
- 2021
-
Abstract
- Dysphagia is common in critically ill neurological patients and is associated with a high mortality and morbidity. Data on the usefulness of flexible endoscopic examination of swallowing (FEES) in neurological intensive care unit (ICU) patients are lacking, raising the need for evaluation. FEES was performed in neurological intensive care patients suspected of dysphagia. We correlated findings with baseline data, disability status, pneumonia and duration of hospitalisation, as well as a need for mechanical ventilation or tracheotomy. This analysis consisted of 125 patients with suspected dysphagia. Most of the patients (81; 64,8%) suffered from acute stroke. Dysphagia was diagnosed using FEES in 90 patients (72%). FEES results led to dietary modifications in 80 patients (64%). The outcome at discharge was worse in dysphagic stroke patients diagnosed by FEES as compared to non-dysphagic stroke patients (p = 0.009). Patients without oral diet had higher need for intubation (p = 0.007), tracheotomy (p = 0.032) and higher mortality (p < 0.001) in comparison to patients with at least small amounts of oral intake. As the clinical assessment of the patients often classified the dysphagia incorrectly, the broad use of FEES in ICU patients might help to adequately adjust patients' oral diet. This knowledge might contribute to lower mortality and morbidity. [ABSTRACT FROM AUTHOR]
- Subjects :
- PNEUMONIA
LENGTH of stay in hospitals
TRACHEOTOMY
NEUROLOGICAL disorders
STROKE
CRITICALLY ill
RESPIRATORY aspiration
PATIENTS
DEGLUTITION disorders
DIET
INGESTION
MANN Whitney U Test
NIH Stroke Scale
ARTIFICIAL respiration
FEEDING tubes
SEVERITY of illness index
DISABILITIES
FOOD
CHI-squared test
DESCRIPTIVE statistics
DATA analysis software
ENDOSCOPY
Subjects
Details
- Language :
- English
- ISSN :
- 17549507
- Volume :
- 23
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Speech-Language Pathology
- Publication Type :
- Academic Journal
- Accession number :
- 149554041
- Full Text :
- https://doi.org/10.1080/17549507.2020.1744727