关键词: FEES Penetration and aspiration Physiological measure Reference values Swallow residue Timing measures

来  源:   DOI:10.1007/s00405-024-08782-y

Abstract:
OBJECTIVE: The current investigation aimed to establish preliminary normative data for endoscopic swallow studies (FEES). The investigators collected data for three timing measures (time to whiteout, duration of whiteout, and total swallow time), three swallowing outcomes (safety, efficiency, and number of swallows per bolus), and one physiologic event (glottal response), for both healthy young and older adults using two liquid volumes, one pureed bolus and a solid bolus.
METHODS: Blinded raters retrospectively analyzed 65 randomly selected, deidentified videos of endoscopic swallowing examinations from a pool of 163 young and older adults with typical swallowing abilities. Timing measures and analysis of airway invasion, amount of residue, number of swallows, and glottal response were obtained.
RESULTS: Preliminary means and quartiles were established for healthy adults in two age groups (young and old), for time to whiteout (WO), number of swallows per bolus, glottal response, Yale Residue Rating Scale Scores, Penetration-Aspiration Scale scores, duration of WO, and total swallow duration. Differences were found between the older and younger groups.
CONCLUSIONS: The current study represents a preliminary attempt to provide quantitative and normative values for FEES. These data represent reference values to which other bolus presentations and populations can be compared. The data represents proof of concept and merits additional investigation.
UNASSIGNED: 1756246-2: Approved 2022/06/06.
BACKGROUND: Study does not meet criteria. DATA REPOSITORY: https://doi.org/10.6084/m9.figshare.25800025 .
摘要:
目的:本研究旨在建立内镜下吞咽研究(FEES)的初步规范数据。调查人员收集了三个计时指标的数据(白化时间,白斑的持续时间,和总吞咽时间),三个吞咽结果(安全性,效率,和每团燕子的数量),和一个生理事件(声门反应),对于使用两种液体体积的健康年轻人和老年人,一个泥状丸剂和一个固体丸剂。
方法:盲目评估者回顾性分析了随机选择的65名,来自163名具有典型吞咽能力的年轻人和老年人的内窥镜吞咽检查视频。气道侵犯的时间测量和分析,残留量,燕子的数量,并获得声门反应。
结果:为两个年龄组(年轻人和老年人)的健康成年人建立了初步的平均值和四分位数,为了消磨时间(WO),每团的燕子数量,声门反应,耶鲁残留评定量表得分,渗透-吸气量表评分,WO的持续时间,和总吞咽持续时间。发现老年人和年轻人之间存在差异。
结论:当前的研究代表了为FEES提供定量和规范值的初步尝试。这些数据表示可与其他丸剂呈现和群体进行比较的参考值。这些数据代表了概念的证明,值得进一步调查。
1756246-2:批准2022/06/06。
背景:研究不符合标准。数据存储:https://doi.org/10.6084/m9。图25800025。
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