Clinical Evaluation of Dysphagia with Bedside Tests and FEES in Patients with Aspiration - A Comparative Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 8
Abstract
Background: Aspiration while swallowing is a common complaint among the elderly patients. The tests that predict aspiration can be few bedside tests or us of fiberoptic endoscopic evaluation of swallowing (FEES). The latter is an evidence-based test in confirming the aspiration. Aim of the Study: To assess and compare the values of the bedside tests and FEES in the confirmation of aspiration while swallowing. Materials and Methods: A total of 86 patients with complaints of aspiration while swallowing were included. The patients were assessed using bedside tests (water swallow test, pulse oximetry, and gag reflex). FEES was also performed I these patients to detect sensitivity and specificity in comparison with bedside tests. Observations and Results: There were 53 male and 33 female patients. The mean age was 53.86 ± 4.15 years. Dysphagia for solids was present in 60.46% of the patients. Bedside tests showed 71% sensitivity and 64% specificity when correlated with FEES. Moreover, a combination of voice change and choking/cough results in a sensitivity of 86.5% and specificity of 75.2%. Conclusion: The bedside tests are equally important and have high sensitivity in evaluating patients with dysphagia. Using combination of choking/cough and change of voice as parameters of aspiration when compared to FEES showed high sensitivity and specificity.
Authors and Affiliations
M Mahendra Kumar, A Sesha Prasad
Keywords
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