[Improved efficiency in swallowing diagnostics using an electronic documentation system]

HNO. 2010 Jul;58(7):686-91. doi: 10.1007/s00106-010-2115-9.
[Article in German]

Abstract

Background: The aim is to present a German-language electronic documentation system for the fiberoptic endoscopic evaluation of swallowing (FEES) in order to make routine swallowing diagnostics and therapeutic recommendations more effective and as initial confirmation of its suitability for daily use.

Methods: Time-efficient, precise, and complete documentation is provided by an interactive findings system via preset text fields and integration of representative frames with automatic report generation. This documentation system (FEED) (Flexible Endoscopic Evaluation of Dysphagia, XION medical GmbH, Berlin) was applied to 301 digitized FEES recordings.

Results: Of the parameters required by the FEES protocol, 97% were recorded in 9 min on average. Altogether, the application of FEED resulted in a time-saving of more than 50% as compared to free protocols. The use of the Murray and Rosenbek scales enabled a graded evaluation of swallowing disorders.

Conclusions: FEED shortens documentation time, improves report quality and has proven to be a practical instrument in making routine swallowing diagnostics and therapy more effective.

MeSH terms

  • Deglutition Disorders / diagnosis*
  • Deglutition Disorders / epidemiology*
  • Documentation
  • Electronic Health Records / statistics & numerical data*
  • Endoscopy / statistics & numerical data*
  • Female
  • Germany / epidemiology
  • Humans
  • Male
  • Medical History Taking / statistics & numerical data*
  • Prevalence
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Workload / statistics & numerical data*