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Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner
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 in...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657144/ https://www.ncbi.nlm.nih.gov/pubmed/19284543 http://dx.doi.org/10.1186/1472-6920-9-13 |
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author | Warnecke, Tobias Teismann, Inga Oelenberg, Stephan Hamacher, Christina Ringelstein, E Bernd Schäbitz, Wolf R Dziewas, Rainer |
author_facet | Warnecke, Tobias Teismann, Inga Oelenberg, Stephan Hamacher, Christina Ringelstein, E Bernd Schäbitz, Wolf R Dziewas, Rainer |
author_sort | Warnecke, Tobias |
collection | PubMed |
description | 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. |
format | Text |
id | pubmed-2657144 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-26571442009-03-18 Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner Warnecke, Tobias Teismann, Inga Oelenberg, Stephan Hamacher, Christina Ringelstein, E Bernd Schäbitz, Wolf R Dziewas, Rainer BMC Med Educ Research Article 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. BioMed Central 2009-03-10 /pmc/articles/PMC2657144/ /pubmed/19284543 http://dx.doi.org/10.1186/1472-6920-9-13 Text en Copyright © 2009 Warnecke et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Warnecke, Tobias Teismann, Inga Oelenberg, Stephan Hamacher, Christina Ringelstein, E Bernd Schäbitz, Wolf R Dziewas, Rainer Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner |
title | Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner |
title_full | Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner |
title_fullStr | Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner |
title_full_unstemmed | Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner |
title_short | Towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner |
title_sort | towards a basic endoscopic evaluation of swallowing in acute stroke – identification of salient findings by the inexperienced examiner |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657144/ https://www.ncbi.nlm.nih.gov/pubmed/19284543 http://dx.doi.org/10.1186/1472-6920-9-13 |
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