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Computer-assisted documentation of the fiberoptic endoscopic evaluation of swallowing

Christiane Hey, Robert A. Sader, Dmitri Belogradski, Petra Pluschinski, Soenke Stanschus, Harald A. Euler, Katrin Neumann

Med Sci Monit 2009; 15(3): MT41-46

ID: 869567

Background: Because documentation and report writing in fiberoptic endoscopic evaluation of swallowing (FEES) is time consuming and susceptible to omissions, a software solution to ameliorate these problems by maintaining document quality is desirable.
Material and Method: Based on the FEES procedure of Langmore, a documentation software (DS) which presents a digitized FEES recording and masks with precast text fields was designed to facilitate and unify data input. The oropharyngeal secretion scale of Murray and the penetration-aspiration scale of Rosenbek were integrated to increase comparability of dysphagia information. Four independent examiners analyzed 12 digitized FEES-recordings, 6 without and 6 with the DS, to determine its effect on the times needed for total evaluation, interpretation, documentation, report writing, and report completeness.
Results: The documentation software (DS) reduced the total evaluation time from 42 min to 18 min and increased the evaluation completeness from 55% to 95%, both with very large effect sizes. The time saving was mainly due to an automated report generation at the end of the analysis.
Conclusions: The DS can be offered as a valuable and effective tool in daily clinical routine and for research purposes.

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