Publication: The prevalence and findings of fibre-optic endoscopic evaluation of swallowing in hospitalised patients with dysphagia
Issued Date
2020-08-01
Resource Type
ISSN
13652842
0305182X
0305182X
Other identifier(s)
2-s2.0-85086475619
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Oral Rehabilitation. Vol.47, No.8 (2020), 983-988
Suggested Citation
Paitoon Benjapornlert, Hitoshi Kagaya, Seiko Shibata, Koichiro Matsuo, Yoko Inamoto, Pajeemas Kittipanya-ngam, Eiichi Saitoh The prevalence and findings of fibre-optic endoscopic evaluation of swallowing in hospitalised patients with dysphagia. Journal of Oral Rehabilitation. Vol.47, No.8 (2020), 983-988. doi:10.1111/joor.13026 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/57850
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Title
The prevalence and findings of fibre-optic endoscopic evaluation of swallowing in hospitalised patients with dysphagia
Abstract
© 2020 John Wiley & Sons Ltd Swallowing disorder or dysphagia is quite common in hospitalised patients. Using fibre-optic endoscopic evaluation of swallowing (FEES) is one of the clinical standards for evaluating swallowing disorder to prevent serious consequences such as aspiration pneumonia. This study aimed to determine the prevalence and the associated risk of dysphagia in hospitalised patients by using FEES finding. We retrospectively analysed the FEES records from the patients who were screened and suspected of swallowing problems by a certified nurse of dysphagia nursing (CNDN). The FEES findings were compared between dysphagia and without dysphagia to evaluate the associated risk of dysphagia. Six-hundred and nine FEES records were analysed. We found dysphagia 76% in patients who suspected swallowing problems by CNDN. FEES was assessed after the subjects had been admitted for 22 days on average. There was no difference in age between dysphagia and without dysphagia participants. However, the advanced age (age > 85 years old) increased the odd of dysphagia 1.18, P =.03. The primary disease of the subjects was mainly cerebrovascular disease (24%) and pneumonia (22%). Abnormal FEES findings including soft palate elevation, velopharyngeal contraction, whiteout, volitional cough, glottis closure during breath holding, cough reflex and presence of secretion in pharynx were found in hospitalised patients with dysphagia. The prevalence of dysphagia was high in hospitalised patients. Hence, screening the swallowing problem by nurse and FEES evaluation is essential to detect and prevent the complication in the patient who has dysphagia.