Schluckstörungen

Hey C, Sader RA, Belogradski D, Pluschinski P, Stanschus S, Euler HA, Neumann K
Computer-assisted documentation of the fi beroptic endoscopic evaluation of swallowing
Medical Science Monitor, 2009, 15, MT41-46
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Abstract: Background: Because documentation and report writing in fiberoptic endoscopic evaluation of swallowing (FEES) is time consuming and susceptible to omissions, a software solution to ameliorate these problems by maintaining document quality is desirable. Material/Methods: Based on the FEES procedure of Langmore, a documentation software (DS) which presents a digitized FEES recording and masks with precast text fields was designed to facilitate and unify data input. The oropharyngeal secretion scale of Murray and the penetration-aspiration scale of Rosenbek were integrated to increase comparability of dysphagia information. Four independent examiners analyzed 12 digitized FEES-recordings, 6 without and 6 with the DS, to determine its effect on the times needed for total evaluation, interpretation, documentation, report writing, and report completeness. Results: The documentation software (DS) reduced the total evaluation time from 42 min to 18 min and increased the evaluation completeness from 55% to 95%, both with very large effect sizes. The time saving was mainly due to an automated report generation at the end of the analysis. Conclusions: The DS can be offered as a valuable and effective tool in daily clinical routine and for research purposes.

Hey, C., Sader, R., Euler, A., & Neumann, K.
Effektivierung der Schluckdiagnostik durch ein elektronisches Dokumentationssystem
HNO, 58 (2010), S. 686-691
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Abstract: Hintergrund. Ziel ist die Vorstellung eines deutschsprachigen elektronischen Dokumentationssystems für die fiberoptisch-endoskopische Dysphagieevaluation nach FEES® (Fiberoptic Endoscopic Evaluation of Swallowing) zur Effektivierung der praktischen Schluckdiagnostik und Therapieempfehlungen sowie ein erster Nachweis seiner Praxistauglichkeit.Material und Methoden. Eine zeiteffiziente, präzise und vollständige Dokumentation erfolgt über ein interaktives Befundungssystem mit vorgefertigten Textbausteinen, Integration repräsentativen Bildmaterials und automatisierter Berichterstellung. Dieses Dokumentationssystem (FEED, Flexible Endoscopic Evaluation of Dysphagia, Fa. XION medical GmbH, Berlin) wurde an 301 digitalen FEES-Aufzeichnungen erprobt.Ergebnisse. Die im FEES-Protokoll geforderten Parameter wurden zu 97% in durchschnittlich 9 min erfasst. Insgesamt führt der Einsatz von FEED zu einer Zeitersparnis von über 50% gegenüber einer freien Protokollierung. Der Einsatz der Skalen von Murray und von Rosenbek erlaubt eine Graduierung der Schluckstörungen.Schlussfolgerung. FEED verkürzt die Dokumentationsdauer, verbessert die Berichtqualität und stellt ein praktikables Instrument zur Effektivierung der Routineschluckdiagnostik und -therapie dar.
ENGLISH ABSTRACT:
Background. The aim is to present a German-language electronic documentation system for the fiberoptic endoscopic evaluation of swallowing (FEES®) in order to make routine swallowing diagnostics and therapeutic recommendations more effective and as initial confirmation of its suitability for daily use.Methods. Time-efficient, precise, and complete documentation is provided by an interactive findings system via preset text fields and integration of representative frames with automatic report generation. This documentation system (FEED) (Flexible Endoscopic Evaluation of Dysphagia, XION medical GmbH, Berlin) was applied to 301 digitized FEES recordings.Results. Of the parameters required by the FEES® protocol, 97% were recorded in 9 min on average. Altogether, the application of FEED resulted in a time-saving of more than 50% as compared to free protocols. The use of the Murray and Rosenbek scales enabled a graded evaluation of swallowing disorders.Conclusions. FEED shortens documentation time, improves report quality and has proven to be a practical instrument in making routine swallowing diagnostics and therapy more effective.

Hey C, Pluschinski P, Stanschus S, Euler HA, Sader RA, Langmore S, Neumann, K
A documentation system to save time and ensure proper application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
Folia Phoniatrica et Logopaedica, 2011, 63, 201-208
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Abstract: A properly performed fiberoptic endoscopic evaluation of swallowing (FEES) is comprehensive and time-consuming. Editing times of FEES protocols and attempts for efficiency maximization are unknown. Here, the protocol editing times of completed FEES examinations were determined. The present study reports the time savings and quality gains of a newly developed documentation system tailored to the FEES standard of Langmore. Four independent examiners analyzed twelve videos of FEES procedures, six without and six with the documentation system. Effectiveness of the documentation system was evaluated according to the times for total evaluation, interpretation, documentation, report writing, and for report completeness. The documentation system reduced editing times and increased report completeness with large effect sizes. Averaged total evaluation time decreased from 42 to 27 min, report completeness increased from 55 to 80%. The use of the documentation system facilitates and improves the assessment of the swallowing process.

 
   
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