Neurogenic dysphagia is one of the most frequent and prognostically relevant neurological deficits in a variety of disorders, such as stroke, parkinsonism and advanced neuromuscular diseases. Flexible endoscopic evaluation of swallowing (FEES) is now probably the most frequently used tool for objective dysphagia assessment in Germany. It allows evaluation of the efficacy and safety of swallowing, determination of appropriate feeding strategies and assessment of the efficacy of different swallowing manoeuvres. The literature furthermore indicates that FEES is a safe and well-tolerated procedure. The FEES-Registry aims at evaluating findings and side effects of FEES in a heterogeneous collective of patients with neurogenic dysphagia.
Study Type
OBSERVATIONAL
Enrollment
2,401
University Hospital
Münster, Germany
FEES-related side effects - 1. systolic blood pressure increase
Systolic blood pressure will be measured directly prior, during and after the procedure. The initial value will be compared to the highest blood pressure value measured during/directly after the procedure.
Time frame: during the procedure
FEES-related side effects - 2. Oxygen saturation decline
Oxygen saturation will be measured directly prior, during and directly after the procedure. The initial value will be compared to the lowest value measured during/directly after the procedure.
Time frame: during the procedure
FEES-related side effects - 3. Heart rate decrease
Heart rate will be measured directly prior, during and directly after the procedure. The initial value will be compared to the lowest value measured during/directly after the procedure.
Time frame: during the procedure
FEES-related side effects - 4. Nose bleed
Number of patients with nose bleed during the procedure
Time frame: during the procedure
FEES-related side effects - 5. Laryngospasm
Number of patients with laryngospasm during the procedure
Time frame: during the procedure
FEES-related side effects - 6. Decreased level of consciousness
Number of patients with a decline in consciousness during the procedure (measured with the Richmond agitation and sedation scale)
Time frame: during the procedure
Patients subjective FEES-related discomfort
Number of patients with procedure related discomfort measured with a 4 point scale ranging from 1=no discomfort to 4=extremely painful sensation during the procedure
Time frame: during the procedure
Changes of dietary status after FEES
Dietary status will be assessed directly prior to the procedure and immediately thereafter. Dietary status will be assessed with the Functional Oral Intake Scale (FOIS scale).
Time frame: immediately prior and immediately after the procedure
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