Fiberoptic nasopharyngoscopic evaluation of swallowing for the detection of dysphagia in patients with stroke: a integrative review

CONTRIBUCIONES A LAS CIENCIAS SOCIALES Pub Date : 2024-07-25 DOI:10.55905/revconv.17n.7-388

Isabel Cristina Sabatini Perez-Ramos

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Abstract

Difficulty for swallowing, clinically defined as dysphagia, is a common manifestation in stroke patients and significantly increases the risk of clinical complications. The objective of this study was to perform a integrative review of the literature regarding the accuracy of Fiberoptic Endoscopic Evaluation of Swallowing (FEES) for detecting dysphagia in patients with stroke. Methods: We conducted a search for articles published from 2000 to 2021 in the PubMed, Scopus, Embase, and Bireme databases. The following keywords were used: "fiberoptic endoscopic evaluation of swallowing (FEES)" and "stroke". Results: It was identified 23 articles that utilized fiberoptic endoscopic evaluation of swallowing (FEES) to screen stroke patients for dysphagia. The overall sensitivity and specificity of fiberoptic endoscopic evaluation of swallowing (FEES) ranged from 55.9% to 100%. Conclusions: The standardization of specific protocols for the diagnosis of dysphagia in stroke patients is necessary, both in clinical tests and fiberoptic endoscopic evaluation of swallowing (FEES), as special care is essential for these patients given their unique clinical characteristics.

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通过纤维鼻咽镜评估吞咽情况以检测中风患者的吞咽困难：综述

吞咽困难（临床上定义为吞咽困难）是中风患者的常见表现，会显著增加临床并发症的风险。本研究旨在对有关纤支镜吞咽评估（FEES）检测中风患者吞咽困难准确性的文献进行综合回顾。方法：我们在 PubMed、Scopus、Embase 和 Bireme 数据库中检索了 2000 年至 2021 年发表的文章。关键词如下"纤维内窥镜吞咽评估（FEES）"和 "中风"。结果：共发现 23 篇利用纤维内窥镜吞咽评估（FEES）筛查中风患者吞咽困难的文章。纤维内窥镜吞咽评估（FEES）的总体灵敏度和特异性从 55.9% 到 100% 不等。结论：有必要对诊断脑卒中患者吞咽困难的具体方案进行标准化，包括临床检查和纤维内窥镜吞咽评估（FEES），因为考虑到这些患者独特的临床特征，对他们进行特殊护理是非常必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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