Neurogenic Dysphagia, Flexible Endoscopic Evaluation of Swallowing
Conditions
Brief summary
Neurogenic dysphagia is one of the most frequent and prognostically relevant neurological deficits in a variety of disorders, such as stroke, parkinsonism and advanced neuromuscular diseases. Flexible endoscopic evaluation of swallowing (FEES) is now probably the most frequently used tool for objective dysphagia assessment in Germany. It allows evaluation of the efficacy and safety of swallowing, determination of appropriate feeding strategies and assessment of the efficacy of different swallowing manoeuvres. The literature furthermore indicates that FEES is a safe and well-tolerated procedure. The FEES-Registry aims at evaluating findings and side effects of FEES in a heterogeneous collective of patients with neurogenic dysphagia.
Interventions
Sponsors
University Hospital Muenster
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* suspected neurogenic dysphagia * Patients being scheduled for a FEES * written informed consent
Exclusion criteria
\- none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patients subjective FEES-related discomfort | during the procedure | Number of patients with procedure related discomfort measured with a 4 point scale ranging from 1=no discomfort to 4=extremely painful sensation during the procedure |
| FEES-related side effects - 1. systolic blood pressure increase | during the procedure | Systolic blood pressure will be measured directly prior, during and after the procedure. The initial value will be compared to the highest blood pressure value measured during/directly after the procedure. |
| FEES-related side effects - 2. Oxygen saturation decline | during the procedure | Oxygen saturation will be measured directly prior, during and directly after the procedure. The initial value will be compared to the lowest value measured during/directly after the procedure. |
| FEES-related side effects - 3. Heart rate decrease | during the procedure | Heart rate will be measured directly prior, during and directly after the procedure. The initial value will be compared to the lowest value measured during/directly after the procedure. |
| FEES-related side effects - 4. Nose bleed | during the procedure | Number of patients with nose bleed during the procedure |
| FEES-related side effects - 5. Laryngospasm | during the procedure | Number of patients with laryngospasm during the procedure |
| FEES-related side effects - 6. Decreased level of consciousness | during the procedure | Number of patients with a decline in consciousness during the procedure (measured with the Richmond agitation and sedation scale) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes of dietary status after FEES | immediately prior and immediately after the procedure | Dietary status will be assessed directly prior to the procedure and immediately thereafter. Dietary status will be assessed with the Functional Oral Intake Scale (FOIS scale). |
Countries
Germany
Outcome results
None listed