M Cachi-Pouyenne, R Haddad, D Robert, J Michel, A Giovanni, A Mattei
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Delegating fiberoptic endoscopic evaluation of swallowing to speech therapists: Feedback from 20 months' experience.
Background: In France, speech therapists are not authorized to perform fiberoptic endoscopic or other instrumental evaluations of swallowing to detect silent penetration or aspiration and to guide rehabilitation. Even so, regulations allow local cooperation protocols to be set up.
Aims: To assess the feasibility of the first interprofessional cooperation protocol for fiberoptic endoscopic evaluation of swallowing by speech therapists in hospitalized patients.
Method: Between April 2023 and November 2024, 100 patients from various departments in our hospital underwent bedside evaluation of swallowing by a speech therapist, including functional fiberoptic endoscopy.
Results: There were no severe adverse effects and no additional discomfort associated with fiberoptic endoscopic evaluation of swallowing performed by a speech therapist as compared to head-and-neck surgery residents (95% CI, 0.114-2.922; P>0.05). After checking the assessment report, the delegating ENT physicians did not alter the speech therapist's recommendations.
Conclusion: This first interprofessional cooperation protocol between ENT specialists and speech therapists for fiberoptic endoscopic evaluation of swallowing in France contributed to management of hospital patients with swallowing disorder, without adverse effects.
期刊介绍：
European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site.
Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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