Feasibility study of the Nox-T3 device to detect swallowing and respiration pattern in neurologically impaired patients in the acute phase
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| Název: | Feasibility study of the Nox-T3 device to detect swallowing and respiration pattern in neurologically impaired patients in the acute phase |
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| Autoři: | Theytaz, F., Vuistiner, A., Schweizer, V., Crépin, A., Sandu, K., Chaouch, A., Piquilloud, L., Lecciso, G., Coombes, K., Diserens, K. |
| Zdroj: | Sci Rep Scientific Reports, Vol 13, Iss 1, Pp 1-11 (2023) Scientific reports, vol. 13, no. 1, pp. 7325 |
| Informace o vydavateli: | Springer Science and Business Media LLC, 2023. |
| Rok vydání: | 2023 |
| Témata: | Humans, Deglutition, Deglutition Disorders/diagnostic imaging, Feasibility Studies, Respiration, Apnea, Science, Medicine, Deglutition Disorders, Article, 3. Good health |
| Popis: | Dysphagia is a frequent complication in neurologically impaired patients, which can lead to aspiration pneumonia and thus prolonged hospitalization or even death. It is essential therefore, to detect and assess dysphagia early for best patient care. Fiberoptic endoscopic and Videofluoroscopy evaluation of swallowing are the gold standard exams in swallowing studies but neither are perfectly suitable for patients with disorders of consciousness (DOC). In this study, we aimed to find the sensitivity and specificity of the Nox-T3 sleep monitor for detection of swallowing. A combination of submental and peri-laryngeal surface electromyography, nasal cannulas and respiratory inductance plethysmography belts connected to Nox-T 3 allows recording swallowing events and their coordination with breathing, providing time-coordinated patterns of muscular and respiratory activity. We compared Nox-T3 swallowing capture to manual swallowing detection on fourteen DOC patients. The Nox-T3 method identified swallow events with a sensitivity of 95% and a specificity of 99%. In addition, Nox-T3 has qualitative contributions, such as visualization of the swallowing apnea in the respiratory cycle which provide additional information on the swallowing act that is useful to clinicians in the management and rehabilitation of the patient. These results suggest that Nox-T3 could be used for swallowing detection in DOC patients and support its continued clinical use for swallowing disorder investigation. |
| Druh dokumentu: | Article Other literature type |
| Popis souboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 2045-2322 |
| DOI: | 10.1038/s41598-023-32628-y |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/37147335 https://doaj.org/article/4af5b39e868748768d369ed9da5229f0 http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_61BB07C749E17 https://serval.unil.ch/notice/serval:BIB_61BB07C749E1 https://serval.unil.ch/resource/serval:BIB_61BB07C749E1.P001/REF.pdf |
| Rights: | CC BY |
| Přístupové číslo: | edsair.doi.dedup.....76ff16b3d0681b1d2bfe919a0d749a4f |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Dysphagia is a frequent complication in neurologically impaired patients, which can lead to aspiration pneumonia and thus prolonged hospitalization or even death. It is essential therefore, to detect and assess dysphagia early for best patient care. Fiberoptic endoscopic and Videofluoroscopy evaluation of swallowing are the gold standard exams in swallowing studies but neither are perfectly suitable for patients with disorders of consciousness (DOC). In this study, we aimed to find the sensitivity and specificity of the Nox-T3 sleep monitor for detection of swallowing. A combination of submental and peri-laryngeal surface electromyography, nasal cannulas and respiratory inductance plethysmography belts connected to Nox-T 3 allows recording swallowing events and their coordination with breathing, providing time-coordinated patterns of muscular and respiratory activity. We compared Nox-T3 swallowing capture to manual swallowing detection on fourteen DOC patients. The Nox-T3 method identified swallow events with a sensitivity of 95% and a specificity of 99%. In addition, Nox-T3 has qualitative contributions, such as visualization of the swallowing apnea in the respiratory cycle which provide additional information on the swallowing act that is useful to clinicians in the management and rehabilitation of the patient. These results suggest that Nox-T3 could be used for swallowing detection in DOC patients and support its continued clinical use for swallowing disorder investigation. |
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| ISSN: | 20452322 |
| DOI: | 10.1038/s41598-023-32628-y |