Safety and clinical impact of FEES - results of the FEES-registry

被引：69

作者：

Dziewas, Rainer ^{[1
]}

Auf Dem Brinke, Matthias ^{[2
]}

Birkmann, Ulrich ^{[3
]}

Braeuer, Goetz ^{[4
]}

Busch, Kolja ^{[5
]}

Cerra, Franziska ^{[6
]}

Damm-Lunau, Renate ^{[7
]}

Dunkel, Juliane ^{[8
]}

Fellgiebel, Amelie ^{[7
]}

Garms, Elisabeth ^{[9
]}

Glahn, Joerg ^{[6
]}

Hagen, Sandra ^{[10
]}

Held, Sophie ^{[11
]}

Helfer, Christine ^{[12
,13
]}

Hiller, Mirko ^{[14
]}

Horn-Schenk, Christina ^{[15
]}

Kley, Christoph ^{[3
]}

Lange, Nikolaus ^{[16
]}

Lapa, Sriramya ^{[17
]}

Ledl, Christian ^{[18
]}

Lindner-Pfleghar, Beate ^{[19
,20
]}

Mertl-Roetzer, Marion ^{[18
]}

Mueller, Madeleine ^{[21
]}

Neugebauer, Hermann ^{[19
,20
]}

oezsucu, Duygu ^{[12
,13
]}

Ohms, Michael ^{[22
]}

Perniss, Markus ^{[23
]}

Pfeilschifter, Waltraud ^{[17
]}

Plass, Tanja ^{[9
]}

Roth, Christian ^{[8
]}

Roukens, Robin ^{[24
]}

Schmidt-Wilcke, Tobias ^{[25
,26
]}

Schumann, Beate ^{[27
]}

Schwarze, Julia ^{[22
]}

Schweikert, Kathi ^{[21
]}

Stege, Holger ^{[28
]}

Theuerkauf, Dirk ^{[2
]}

Thomas, Randall S. ^{[10
]}

Vahle, Ulrich ^{[15
]}

Voigt, Nancy ^{[29
]}

Weber, Hermann ^{[16
]}

Werner, Cornelius J. ^{[30
]}

Wirth, Rainer ^{[31
]}

Wittich, Ingo ^{[11
]}

Woldag, Hartwig ^{[28
]}

Warnecke, Tobias ^{[1
]}

机构：

[1] Univ Klinikum Munster, Klin Neurol, Albert Schweitzer Campus 1A, D-48149 Munster, Germany

[2] Asklepios Fachklin Furstenhof, Brunnenallee 39, D-34537 Bad Wildungen, Germany

[3] Betriebsstatte St Johannes Sieglar, GFO Kliniken Troisdorf, Wilhelm Busch Str 9, D-53844 Troisdorf, Germany

[4] Helios Klinikum Aue, Gartenstr 6, D-08280 Aue, Germany

[5] St Marien Hosp GmbH, Klinikum Westmunsterland, Boltenhof 7, D-46325 Borken, Germany

[6] Ruhr Univ Bochum, Univ Klin Neurol & Neurogeriatrie, Johannes Wesling Klinkum, Univ Klinikum, Hans Nolte Str 1, D-32429 Minden, Germany

[7] August Bier Klin, Diekseepromenade 7-11, D-23714 Malente, Germany

[8] Klinikum Kassel, Klin Neurol, Monchebergstr 41-43, D-34125 Kassel, Germany

[9] Michael Wicker GmbH & Co OHG, Neurol Klin Westend, Dr Born Str 9, D-34537 Bad Wildungen, Germany

[10] Asklepios Kliniken Schildautal, Karl Herold Str 1, D-38723 Seesen, Germany

[11] Benedictus Krankenhaus Feldafing GmbH & Co KG, Dr Appelhans Weg 6, D-82340 Feldafing, Germany

[12] Vivantes Klinikum Neukolln, Klin Hals Nasen Ohrenheilkunde Kopf & Halschirurg, Rudower Str 48, D-12351 Berlin, Germany

[13] Vivantes Klinikum Neukolln, Klin Neurol, Rudower Str 48, D-12351 Berlin, Germany

[14] Dysphagienetzwerk Sudsachsen, Dysphagiezentrum, Scherbank 18, D-09456 Annaberg Buchholz, Germany

[15] Marienkrankenhaus Schwerte, Klin Geriatrie, Schutzenstr 9, D-58239 Schwerte, Germany

[16] Sozialstiftung Bamberg, Buger Str 80, D-96049 Bamberg, Germany

[17] Klinikum Goethe Univ, Klin Neurol, Schleusenweg 2-16, D-60528 Frankfurt, Germany

[18] Schon Klin Bad Aibling, Kolbermoorer Str 72, D-83043 Bad Aibling, Germany

[19] Univ Ulm, RKU, Oberer Eselsberg 45, D-89081 Ulm, Germany

[20] Rehabil Kliniken Ulm, Oberer Eselsberg 45, D-89081 Ulm, Germany

[21] Klin Neurorehabil Paraplegiol, REHAB Basel, Burgfelderhof 40, CH-4012 Basel, Switzerland

[22] Herz Jesu Krankenhaus Hiltrup, Klin Neurol Klin Neurophysiol, Westfalenstr 109, D-48165 Munster, Germany

[23] OGD Ostprignitz Ruppiner Gesundheitsdienste GmbH, Fehrbelliner Str 38, D-16816 Neuruppin, Germany

[24] St Mauritius Therapieklin Meerbusch, Strumper Str 111, D-40670 Meerbusch, Germany

[25] Mauritius Therapieklin Meerbusch, Strumper Str 111, D-40670 Meerbusch, Germany

[26] Univ Klinikum Dusseldorf, Inst Clin Neurosci & Med Psychol, Dusseldorf, Germany

[27] Uniklin RWTH Aachen, Klin Neurol, Pauwelsstr 30, D-52074 Aachen, Germany

[28] Ruppiner Kliniken GmbH, Klin Geriatrie, Fehrbelliner Str 38, D-16816 Neuruppin, Germany

[29] Neurol Rehabil Zentrum Leipzig, Muldentalweg 1, D-04828 Bennewitz, Germany

[30] Uniklin RWTH Aachen, Klin Neurol, Sekt Interdisziplinare Geriatrie, Pauwelsstr 30, D-52074 Aachen, Germany

[31] Ruhr Univ Bochum, Marien Hosp Herne, Klin Altersmed & Fruhrehabil, Katholische Kliniken Rhein Ruhr,Univ Klinikum, Holkeskampring 40, D-44625 Herne, Germany

来源：

NEUROLOGICAL RESEARCH AND PRACTICE | 2019年 / 1卷 / 01期

关键词：

FIBEROPTIC ENDOSCOPIC EVALUATION; LEVODOPA RESPONSIVENESS; PARKINSONS-DISEASE; SWALLOWING FEES; DYSPHAGIA; STROKE; COMPLICATIONS; DIAGNOSIS; RELIABILITY; PREVALENCE;

D O I：

10.1186/s42466-019-0021-5

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: At present, the flexible endoscopic evaluation of swallowing (FEES) is one of the most commonly used methods for the objective assessment of swallowing. This multicenter trial prospectively collected data on the safety of FEES and also assessed the impact of this procedure on clinical dysphagia management. Methods: Patients were recruited in 23 hospitals in Germany and Switzerland from September 2014 to May 2017. Patient characteristics, professional affiliation of the FEES examiners (physicians or speech and language therapists), side-effects and cardiorespiratory parameters, severity of dysphagia and clinical consequences of FEES were documented. Results: 2401 patients, mean age 69.8 (14.6) years, 42.3% women, were included in the FEES-registry. The most common main diagnosis was stroke (61%), followed by Parkinson's disease (6.5%). FEES was well tolerated by patients. Complications were reported in 2% of examinations, were all self-limited and resolved without sequelae and showed no correlation to the endoscopist's previous experience. In more than 50% of investigations FEES led to changes of feeding strategies, in the majority of cases an upgrade of oral diet was possible. Discussion: This study confirmed that FEES, even when performed by less experienced clinicians is a safe and well tolerated procedure and significantly impacts on the patients' clinical course. Implementation of a FEES-service in different clinical settings may improve dysphagia care.

引用

页数：8

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