Titulo:
Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología
.
Sumario:
El objetivo es presentar la metodología de nuestro protocolo de evaluación nasofibroscópica de la deglución de manera cooperativa y difundir entre los otorrinolaringólogos y fonoaudiólogos que es un proceso ágil, sencillo y fácilmente factible de estudiar, diagnosticar y planear la terapia de las disfagias orofaríngeas de manera conjunta en el equipo multidisciplinar. Fue un estudio piloto descriptivo transversal donde se aplicó la nasofibroscopía de la deglución mediante el protocolo de evaluación funcional como método multidisciplinario cooperativo, tomando una muestra piloto de 29 adultos, con una edad promedio de 62.5 años. Se realizó en pacientes sin ninguna alteración en el estado de conciencia y que presenten hallazgos compatibles co... Ver más
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Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología Nasofibroscopy Of Swallowing:Proposal for a Cooperative Protocol In Speech Therapy and Otorrhinolaryngology. El objetivo es presentar la metodología de nuestro protocolo de evaluación nasofibroscópica de la deglución de manera cooperativa y difundir entre los otorrinolaringólogos y fonoaudiólogos que es un proceso ágil, sencillo y fácilmente factible de estudiar, diagnosticar y planear la terapia de las disfagias orofaríngeas de manera conjunta en el equipo multidisciplinar. Fue un estudio piloto descriptivo transversal donde se aplicó la nasofibroscopía de la deglución mediante el protocolo de evaluación funcional como método multidisciplinario cooperativo, tomando una muestra piloto de 29 adultos, con una edad promedio de 62.5 años. Se realizó en pacientes sin ninguna alteración en el estado de conciencia y que presenten hallazgos compatibles con disfagia en el contexto de patología neurológica, post intubación y algunos pacientes disfónicos. El protocolo se inicia con la anamnesis, examen físico y funcional de las estructuras orofaciales, y finaliza con el examen endoscópico clínico de las estructuras implicadas en la disfagia orofaríngea. Después de la aplicación de la prueba piloto, se observó los sucesos durante el proceso de deglución. Los hallazgos frecuentes fueron: presencia de residuos en los valléculas y recesos faríngeos tras ingestión de consistencia tipo pudín, además de escape posterior de líquidos en consistencia tipo néctar. Se concluye que la nasofibrosopia de la deglución es un examen objetivo muy versátil, fácil y seguro de realizar, que permite realizar un diagnóstico adecuado de la disfagia orofaríngea, que si se aplica de la manera cooperativa entre el fonoaudiólogo y el otorrinolaringólogo puede orientar el trabajo de rehabilitación y la conducta terapéutica. The objective is to present the methodology of our protocol of nasofibroscopic evaluation of swallowing in a cooperative manner and to disseminate among otorhinolaryngologists and phonoaudiologists that it is an agile, simple and easily feasible process to study, diagnose and plan the therapy of oropharyngeal dysphagia jointly in the multidisciplinary team. It was a cross-sectional descriptive pilot study where swallowing nasofibroscopy was applied by means of the functional evaluation protocol as a cooperative multidisciplinary method, taking a pilot sample of 29 adults, with an average age of 62.5 years. It was performed in patients without any alteration in the state of consciousness and presenting findings compatible with dysphagia in the context of neurological pathology, post intubation and some dysphonic patients. The protocol begins with anamnesis, physical and functional examination of the orofacial structures, and ends with clinical endoscopic examination of the structures involved in oropharyngeal dysphagia. After the application of the pilot test, the events during the swallowing process were observed. The frequent findings were: presence of residues in the vallecula and pharyngeal recesses after ingestion of pudding-like consistency, in addition to subsequent leakage of liquids in nectar-like consistency. It is concluded that nasofibroscopy of swallowing is a very versatile objective test, easy and safe to perform, that allows an adequate diagnosis of oropharyngeal dysphagia, which if applied in a cooperative manner between the speech therapist and the otolaryngologist can guide the rehabilitation work and the therapeutic behavior. Translated with www.DeepL.com/Translator (free version) Reyes, Belkis David Parra Angulo Luna, Hellen Nasofibroscopia de deglución; Disfagia, Protocolo de Evaluación Funcional de la Deglución, Fonoaudiología, Otorrinolaringología. Nasofibroscopia de deglución Disfagia Fonoaudiología Otorrinolaringología Protocolo de Evaluación Funcional de la Deglución Swallowing Nasofibroscopy Dysphagia Protocol for Functional Evaluation of Swallowing Speech therapy. Otolaryngology 21 1 Artículo de revista Journal article 2021-07-21T00:00:00Z 2021-07-21T00:00:00Z 2021-07-21 application/pdf Bogotá: Corporación Universitaria Iberoamericana Areté 1657-2513 2463-2252 https://arete.ibero.edu.co/article/view/art21104 10.33881/1657-2513.art.21104 https://doi.org/10.33881/1657-2513.art.21104 spa https://creativecommons.org/licenses/by-nc-sa/4.0 Areté - 2021 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. 43 54 Akahori R, Kagaya H, Ozeki M, Shibata S, Aoyagi Y, Onogi K, et al. Dysphagia associated with acute-phase brainstem cerebrovascular disorder. Jpn J Compr Rehabil Sci; 9: 43-51, 2018. https://www.jstage.jst.go.jp/article/jjcrs/9/0/9_43/_article/-char/ja Altman KW, Yu GP, Schaefer SD. Consequence of dysphagia in the hospitalized patient: Impact on prognosis and hospital resources. Arch Otolaryngol Head Neck Surg; 136:784-789, 2010. https://pubmed.ncbi.nlm.nih.gov/20713754/ Bader CA, Niemann G. Dysphagia in children with cerebral palsy--fiberoptic-endoscopic findings. Laryngorhinootologie; 89:90–94, 2010. https://pubmed.ncbi.nlm.nih.gov/19728257/ Bax L, McFarlane M, Green E, Miles A. Speech-language pathologist-led fiberoptic endoscopic evaluation of swallowing: functional outcomes for patients after stroke. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc; 23:195–200, 2014. https://pubmed.ncbi.nlm.nih.gov/24361193/ Benjapornlert, P., Kagaya, H., Shibata, S., Matsuo, K., Inamoto, Y., Kittipanya‐ngam, P., & Saitoh, E.. The prevalence and findings of Fiberoptic Endoscopic Journal of Oral Rehabilitation; 47 (8): 983-988, 2020. https://www.scopus.com/record/display.uri?eid=2-s2.0-85086475619&origin=inward&txGid=14b2639388224e60d7a7a888d3be02da Borders JC, Fink D, Levitt JE, McKeehan J, McNally E, Rubio A, et al. Relationship between laryngeal sensation, length of intubation, and aspiration in patients with acute respiratory failure. Dysphagia; 34:521-528, 2019. https://pubmed.ncbi.nlm.nih.gov/30694412/ Braun T, Juenemann M, Viard M, Meyer M, Fuest S, Reuter I, et al. What is the value of fibre-endoscopic evaluation of swallowing (FEES) in neurological patients? A crosssectional hospital-based registry study. BMJ Open; 8:e019016, 2018. https://bmjopen.bmj.com/content/8/3/e019016 Cabré M, Serra-Prat M, Force LL, Almirall J, Palomera E, Clave P. Oropharyngeal dysphagia is a risk factor for readmission for pneumonia in the very elderly: observational prospective study. J Gerontol A Biol Sci Med Sci; 69:330–337, 2013. https://academic.oup.com/biomedgerontology/article/69A/3/330/705998 DeLegge MH. Aspiration pneumonia: incidence, mortality, and at risk population. JPEN J Parenter Enteral Nutr;26:19-24, 2002. https://pubmed.ncbi.nlm.nih.gov/12405619/ Deutschmann MW, McDonough A, Dort JC, Dort E, Nakoneshny S, Matthews TW. Fiberoptic endoscopic evaluation of swallowing (FEES): predictor of swallowing-related complications in the head and neck cancer population. Head Neck; 35:974–979, 2013. https://pubmed.ncbi.nlm.nih.gov/22730220/ Dziewas R, Brinke M, Birkmann U, Bräuer G, Bursh K, Cerra F, et al. Safety and clinical impact of FEES – results of the FEES-registry. Neurol Res Pract; 1:16, 2019. https://neurolrespract.biomedcentral.com/articles/10.1186/s42466-019-0021-5 Dziewas R, Warnecke T, Ölenberg S, Teismann I, Zimmermann J, Krämer C, et al. Basic endoscopic assessment of swallowing in acute stroke – development and evaluation of a simple dysphagia score. Cerebrovasc Dis; 26:41-47, 2008. https://pubmed.ncbi.nlm.nih.gov/18511871/ El-Solh AA, Sikka P, Ramadan F, Davies J. Etiology of severe pneumonia in the very elderly. Am J Respir Crit Care Med; 163:645–651, 2001. https://pubmed.ncbi.nlm.nih.gov/11254518/ Farneti D. Pooling score: an endoscopic model for evaluating severity of dysphagia. ACTA otorh;28:135-140, 2008. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2644987/ Hayashi M, Yahiro A, Sakuragi Y, Iwamatsu K, Sakamoto H, Kaizuka Y, et al. Impaired swallowing in hospitalized patients: an observational study in a community hospital in Japan (2012-2014). Nurs Res;65:389-396, 2016. https://pubmed.ncbi.nlm.nih.gov/27579506/ K. Kunieda, T. Ohno, I. Fujishima, et al. Reliability and validity of a tool to measure the severity of dysphagia: the Food Intake Level Scale. J Pain Symp Manag, 46:201-206, 2013. https://pubmed.ncbi.nlm.nih.gov/23159683/ Kaplan V, Angus DC, Griffin MF, Clermont G, Scott Watson R, Linde-Zwirble WT. Hospitalized community-acquired pneumonia in the elderly: age-and sex-related patterns of care and outcome in the United States. Am J Respir Crit Care Med; 165:766–772, 2002. https://pubmed.ncbi.nlm.nih.gov/11897642/ Kertscher B, Speyer R, Palmieri M, Plant C. Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review. Dysphagia; 29:204-212, 2014. https://pubmed.ncbi.nlm.nih.gov/24026520/ Kuo CW, Allen CT, Huang CC, Lee CJ. Murray secretion scale and fiberoptic endoscopic evaluation of swallowing in predicting aspiration in dysphagic patients. Eur Arch Otorhinolaryngol; 274:2513–2519, 2017. https://pubmed.ncbi.nlm.nih.gov/28286927/ Langmore S. Endoscopic evaluation and treatment of swallowing disorders. New York: Thieme Medical Publishers, Inc. 2001. Langmore SE, Schatz K, Olson N. Endoscopic and videofluoroscopic evaluations of swallowing and aspiration. Ann Otol Rhinol Laryngol Aug; 100 (8): 678-81, 1991. https://pubmed.ncbi.nlm.nih.gov/1872520/ Lapa S, Luger S, Pfeilschifter W, Henke C, Wagner M, Foerch C. Predictors of dysphagia in acute pontine infarction. Stroke; 48:1397–1399, 2017. https://pubmed.ncbi.nlm.nih.gov/28400488/ Leder SB, Novella S, Patwa H. Use of fiberoptic endoscopic evaluation of swallowing Accepted Article (FEES) in patients with amyotrophic lateral sclerosis. Dysphagia; 19:177–181, 2004. https://pubmed.ncbi.nlm.nih.gov/15383947/ Marian T, Dunser M, Citerio G, Kokofer A, Dziewas R. Are intensive care physicians aware of dysphagia? The MADICU survey results. Intensive Care Med; 44:973–975, 2018. https://pubmed.ncbi.nlm.nih.gov/29737377/ Matsuo K, Nakagawa K. Reliability and validity of Japanese version of the Oral Health Assessment Tool (OHAT-J). Journal of the Japanese society for Disability and Oral Health; 37:1-7, 2016. https://www.jstage.jst.go.jp/article/jjsdh/37/1/37_1/_article/-char/en Melgaard D, Baandrup U, Bøgsted M, Bendtsen MD, Hansen T. The prevalence of oropharyngeal dysphagia in Danish patients hospitalised with community-acquired pneumonia. Dysphagia; 32:383‐392, 2017. https://pubmed.ncbi.nlm.nih.gov/28004179/ Miyashita N, Yamauchi Y. Bacterial pneumonia in elderly Japanese populations. Jpn Clin Med; 9:1-4, 2018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804998/ Shapira-Galitz Y, Shoffel-Havakuk H, Halperin D, Lahav Y. Association between laryngeal sensation, pre-swallow secretions and pharyngeal residue on fiberoptic endoscopic examination of swallowing. Dysphagia; 34:548-555, 2019. https://pubmed.ncbi.nlm.nih.gov/30911836/ Spronk PE, Spronk LEJ, Lut J, Gnacke E, Mijnes D, Munster B, et al. Prevalence and characterization of dysphagia in hospitalized patients. Neurogastroenterol Motil; 00:e13763, 2019. https://onlinelibrary.wiley.com/doi/abs/10.1111/nmo.13763 Takizawa C, Gemmell E, Kenworthy J, Speyer R. A systematic review of the prevalence of oropharyngeal dysphagia in stroke, Parkinson’s disease, Alzheimer’s disease, head injury, and pneumonia. Dysphagia; 31:434-441, 2016. https://pubmed.ncbi.nlm.nih.gov/26970760/ Tohara H, Saitoh E, Mays KA, Kuhlemeier K, Palmer JB. Three tests for predicting aspiration without videofluorography. Dysphagia; 18:126–134, 2003. https://pubmed.ncbi.nlm.nih.gov/12825906/ https://arete.ibero.edu.co/article/download/art21104/1692 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |
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CORPORACIÓN UNIVERSITARIA IBEROAMERICANA |
| thumbnail |
https://nuevo.metarevistas.org/CORPORACIONUNIVERSITARIAIBEROAMERICANA/logo.png |
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Colombia |
| collection |
Areté |
| title |
Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología |
| spellingShingle |
Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología Reyes, Belkis David Parra Angulo Luna, Hellen Nasofibroscopia de deglución; Disfagia, Protocolo de Evaluación Funcional de la Deglución, Fonoaudiología, Otorrinolaringología. Nasofibroscopia de deglución Disfagia Fonoaudiología Otorrinolaringología Protocolo de Evaluación Funcional de la Deglución Swallowing Nasofibroscopy Dysphagia Protocol for Functional Evaluation of Swallowing Speech therapy. Otolaryngology |
| title_short |
Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología |
| title_full |
Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología |
| title_fullStr |
Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología |
| title_full_unstemmed |
Nasofibroscopía De La Deglución:Propuesta de Protocolo Cooperativo en Fonoaudiología y Otorrrinolaringología |
| title_sort |
nasofibroscopía de la deglución:propuesta de protocolo cooperativo en fonoaudiología y otorrrinolaringología |
| title_eng |
Nasofibroscopy Of Swallowing:Proposal for a Cooperative Protocol In Speech Therapy and Otorrhinolaryngology. |
| description |
El objetivo es presentar la metodología de nuestro protocolo de evaluación nasofibroscópica de la deglución de manera cooperativa y difundir entre los otorrinolaringólogos y fonoaudiólogos que es un proceso ágil, sencillo y fácilmente factible de estudiar, diagnosticar y planear la terapia de las disfagias orofaríngeas de manera conjunta en el equipo multidisciplinar. Fue un estudio piloto descriptivo transversal donde se aplicó la nasofibroscopía de la deglución mediante el protocolo de evaluación funcional como método multidisciplinario cooperativo, tomando una muestra piloto de 29 adultos, con una edad promedio de 62.5 años. Se realizó en pacientes sin ninguna alteración en el estado de conciencia y que presenten hallazgos compatibles con disfagia en el contexto de patología neurológica, post intubación y algunos pacientes disfónicos. El protocolo se inicia con la anamnesis, examen físico y funcional de las estructuras orofaciales, y finaliza con el examen endoscópico clínico de las estructuras implicadas en la disfagia orofaríngea. Después de la aplicación de la prueba piloto, se observó los sucesos durante el proceso de deglución. Los hallazgos frecuentes fueron: presencia de residuos en los valléculas y recesos faríngeos tras ingestión de consistencia tipo pudín, además de escape posterior de líquidos en consistencia tipo néctar. Se concluye que la nasofibrosopia de la deglución es un examen objetivo muy versátil, fácil y seguro de realizar, que permite realizar un diagnóstico adecuado de la disfagia orofaríngea, que si se aplica de la manera cooperativa entre el fonoaudiólogo y el otorrinolaringólogo puede orientar el trabajo de rehabilitación y la conducta terapéutica.
|
| description_eng |
The objective is to present the methodology of our protocol of nasofibroscopic evaluation of swallowing in a cooperative manner and to disseminate among otorhinolaryngologists and phonoaudiologists that it is an agile, simple and easily feasible process to study, diagnose and plan the therapy of oropharyngeal dysphagia jointly in the multidisciplinary team. It was a cross-sectional descriptive pilot study where swallowing nasofibroscopy was applied by means of the functional evaluation protocol as a cooperative multidisciplinary method, taking a pilot sample of 29 adults, with an average age of 62.5 years. It was performed in patients without any alteration in the state of consciousness and presenting findings compatible with dysphagia in the context of neurological pathology, post intubation and some dysphonic patients. The protocol begins with anamnesis, physical and functional examination of the orofacial structures, and ends with clinical endoscopic examination of the structures involved in oropharyngeal dysphagia. After the application of the pilot test, the events during the swallowing process were observed. The frequent findings were: presence of residues in the vallecula and pharyngeal recesses after ingestion of pudding-like consistency, in addition to subsequent leakage of liquids in nectar-like consistency. It is concluded that nasofibroscopy of swallowing is a very versatile objective test, easy and safe to perform, that allows an adequate diagnosis of oropharyngeal dysphagia, which if applied in a cooperative manner between the speech therapist and the otolaryngologist can guide the rehabilitation work and the therapeutic behavior.
Translated with www.DeepL.com/Translator (free version)
|
| author |
Reyes, Belkis David Parra Angulo Luna, Hellen |
| author_facet |
Reyes, Belkis David Parra Angulo Luna, Hellen |
| topicspa_str_mv |
Nasofibroscopia de deglución; Disfagia, Protocolo de Evaluación Funcional de la Deglución, Fonoaudiología, Otorrinolaringología. Nasofibroscopia de deglución Disfagia Fonoaudiología Otorrinolaringología Protocolo de Evaluación Funcional de la Deglución |
| topic |
Nasofibroscopia de deglución; Disfagia, Protocolo de Evaluación Funcional de la Deglución, Fonoaudiología, Otorrinolaringología. Nasofibroscopia de deglución Disfagia Fonoaudiología Otorrinolaringología Protocolo de Evaluación Funcional de la Deglución Swallowing Nasofibroscopy Dysphagia Protocol for Functional Evaluation of Swallowing Speech therapy. Otolaryngology |
| topic_facet |
Nasofibroscopia de deglución; Disfagia, Protocolo de Evaluación Funcional de la Deglución, Fonoaudiología, Otorrinolaringología. Nasofibroscopia de deglución Disfagia Fonoaudiología Otorrinolaringología Protocolo de Evaluación Funcional de la Deglución Swallowing Nasofibroscopy Dysphagia Protocol for Functional Evaluation of Swallowing Speech therapy. Otolaryngology |
| citationvolume |
21 |
| citationissue |
1 |
| publisher |
Bogotá: Corporación Universitaria Iberoamericana |
| ispartofjournal |
Areté |
| source |
https://arete.ibero.edu.co/article/view/art21104 |
| language |
spa |
| format |
Article |
| rights |
https://creativecommons.org/licenses/by-nc-sa/4.0 Areté - 2021 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
| references |
Akahori R, Kagaya H, Ozeki M, Shibata S, Aoyagi Y, Onogi K, et al. Dysphagia associated with acute-phase brainstem cerebrovascular disorder. Jpn J Compr Rehabil Sci; 9: 43-51, 2018. https://www.jstage.jst.go.jp/article/jjcrs/9/0/9_43/_article/-char/ja Altman KW, Yu GP, Schaefer SD. Consequence of dysphagia in the hospitalized patient: Impact on prognosis and hospital resources. Arch Otolaryngol Head Neck Surg; 136:784-789, 2010. https://pubmed.ncbi.nlm.nih.gov/20713754/ Bader CA, Niemann G. Dysphagia in children with cerebral palsy--fiberoptic-endoscopic findings. Laryngorhinootologie; 89:90–94, 2010. https://pubmed.ncbi.nlm.nih.gov/19728257/ Bax L, McFarlane M, Green E, Miles A. Speech-language pathologist-led fiberoptic endoscopic evaluation of swallowing: functional outcomes for patients after stroke. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc; 23:195–200, 2014. https://pubmed.ncbi.nlm.nih.gov/24361193/ Benjapornlert, P., Kagaya, H., Shibata, S., Matsuo, K., Inamoto, Y., Kittipanya‐ngam, P., & Saitoh, E.. The prevalence and findings of Fiberoptic Endoscopic Journal of Oral Rehabilitation; 47 (8): 983-988, 2020. https://www.scopus.com/record/display.uri?eid=2-s2.0-85086475619&origin=inward&txGid=14b2639388224e60d7a7a888d3be02da Borders JC, Fink D, Levitt JE, McKeehan J, McNally E, Rubio A, et al. Relationship between laryngeal sensation, length of intubation, and aspiration in patients with acute respiratory failure. Dysphagia; 34:521-528, 2019. https://pubmed.ncbi.nlm.nih.gov/30694412/ Braun T, Juenemann M, Viard M, Meyer M, Fuest S, Reuter I, et al. What is the value of fibre-endoscopic evaluation of swallowing (FEES) in neurological patients? A crosssectional hospital-based registry study. BMJ Open; 8:e019016, 2018. https://bmjopen.bmj.com/content/8/3/e019016 Cabré M, Serra-Prat M, Force LL, Almirall J, Palomera E, Clave P. Oropharyngeal dysphagia is a risk factor for readmission for pneumonia in the very elderly: observational prospective study. J Gerontol A Biol Sci Med Sci; 69:330–337, 2013. https://academic.oup.com/biomedgerontology/article/69A/3/330/705998 DeLegge MH. Aspiration pneumonia: incidence, mortality, and at risk population. JPEN J Parenter Enteral Nutr;26:19-24, 2002. https://pubmed.ncbi.nlm.nih.gov/12405619/ Deutschmann MW, McDonough A, Dort JC, Dort E, Nakoneshny S, Matthews TW. Fiberoptic endoscopic evaluation of swallowing (FEES): predictor of swallowing-related complications in the head and neck cancer population. Head Neck; 35:974–979, 2013. https://pubmed.ncbi.nlm.nih.gov/22730220/ Dziewas R, Brinke M, Birkmann U, Bräuer G, Bursh K, Cerra F, et al. Safety and clinical impact of FEES – results of the FEES-registry. Neurol Res Pract; 1:16, 2019. https://neurolrespract.biomedcentral.com/articles/10.1186/s42466-019-0021-5 Dziewas R, Warnecke T, Ölenberg S, Teismann I, Zimmermann J, Krämer C, et al. Basic endoscopic assessment of swallowing in acute stroke – development and evaluation of a simple dysphagia score. Cerebrovasc Dis; 26:41-47, 2008. https://pubmed.ncbi.nlm.nih.gov/18511871/ El-Solh AA, Sikka P, Ramadan F, Davies J. Etiology of severe pneumonia in the very elderly. Am J Respir Crit Care Med; 163:645–651, 2001. https://pubmed.ncbi.nlm.nih.gov/11254518/ Farneti D. Pooling score: an endoscopic model for evaluating severity of dysphagia. ACTA otorh;28:135-140, 2008. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2644987/ Hayashi M, Yahiro A, Sakuragi Y, Iwamatsu K, Sakamoto H, Kaizuka Y, et al. Impaired swallowing in hospitalized patients: an observational study in a community hospital in Japan (2012-2014). Nurs Res;65:389-396, 2016. https://pubmed.ncbi.nlm.nih.gov/27579506/ K. Kunieda, T. Ohno, I. Fujishima, et al. Reliability and validity of a tool to measure the severity of dysphagia: the Food Intake Level Scale. J Pain Symp Manag, 46:201-206, 2013. https://pubmed.ncbi.nlm.nih.gov/23159683/ Kaplan V, Angus DC, Griffin MF, Clermont G, Scott Watson R, Linde-Zwirble WT. Hospitalized community-acquired pneumonia in the elderly: age-and sex-related patterns of care and outcome in the United States. Am J Respir Crit Care Med; 165:766–772, 2002. https://pubmed.ncbi.nlm.nih.gov/11897642/ Kertscher B, Speyer R, Palmieri M, Plant C. Bedside screening to detect oropharyngeal dysphagia in patients with neurological disorders: an updated systematic review. Dysphagia; 29:204-212, 2014. https://pubmed.ncbi.nlm.nih.gov/24026520/ Kuo CW, Allen CT, Huang CC, Lee CJ. Murray secretion scale and fiberoptic endoscopic evaluation of swallowing in predicting aspiration in dysphagic patients. Eur Arch Otorhinolaryngol; 274:2513–2519, 2017. https://pubmed.ncbi.nlm.nih.gov/28286927/ Langmore S. Endoscopic evaluation and treatment of swallowing disorders. New York: Thieme Medical Publishers, Inc. 2001. Langmore SE, Schatz K, Olson N. Endoscopic and videofluoroscopic evaluations of swallowing and aspiration. Ann Otol Rhinol Laryngol Aug; 100 (8): 678-81, 1991. https://pubmed.ncbi.nlm.nih.gov/1872520/ Lapa S, Luger S, Pfeilschifter W, Henke C, Wagner M, Foerch C. Predictors of dysphagia in acute pontine infarction. Stroke; 48:1397–1399, 2017. https://pubmed.ncbi.nlm.nih.gov/28400488/ Leder SB, Novella S, Patwa H. Use of fiberoptic endoscopic evaluation of swallowing Accepted Article (FEES) in patients with amyotrophic lateral sclerosis. Dysphagia; 19:177–181, 2004. https://pubmed.ncbi.nlm.nih.gov/15383947/ Marian T, Dunser M, Citerio G, Kokofer A, Dziewas R. Are intensive care physicians aware of dysphagia? The MADICU survey results. 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