title: Impact of a Multidisciplinary Round Visit for the Management of Dysphagia Utilizing a Wi-Fi-Based Wireless Flexible Endoscopic Evaluation of Swallowing.
abstract: OBJECTIVE
  The management of dysphagia requires a multidisciplinary approach, especially in large-scale hospitals. We introduce a novel protocol using a Wi-Fi-based flexible endoscopic evaluation of swallowing (FEES) system and aim to verify its effectiveness in evaluation and rehabilitation of inpatients with dysphagia.
  
  
  METHODS
  We conducted novel Wi-Fi-based FEES at the bedside using 3 iPads as monitors and recorders. Functional outcomes of swallowing in 2 different hospitals for acute care with conventional wired or wireless FEES were compared retrospectively.
  
  
  RESULTS
  Using the wireless system, we could visit more patients in a short period of time. Furthermore, a large multidisciplinary team was able to be present at the bedside, which made it easy to hold discussions and rapidly devise appropriate rehabilitation strategies. Aspiration pneumonia recurred in a few cases following our intervention with wireless FEES. Functional oral intake score was significantly increased following the intervention. Moreover, the number of deaths during hospitalization using wireless FEES evaluation was lower than those observed using the conventional system.
  
  
  CONCLUSIONS
  Wi-Fi-based wireless FEES system, the first of its kind, allowed our multidisciplinary team to easily and effectively assess inpatients with dysphagia by facilitating simple examinations and intensive transprofessional discussions for patient rehabilitation.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan koichisakakura@yahoo.co.jp.|Department of Otolaryngology-Head and Neck Surgery, National Hospital Organization Shizuoka Medical Center, Sunto-gun, Shizuoka, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Sakakura
authors.affiliation: Department of Rehabilitation Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tazawa
authors.affiliation: Division of Rehabilitation, Gunma University Hospital, Maebashi, Gunma, Japan.
authors.forename: Natsuko
authors.initials: N
authors.lastname: Otani
authors.affiliation: Division of Rehabilitation, Gunma University Hospital, Maebashi, Gunma, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Takagi
authors.affiliation: Division of Nursing, Gunma University Hospital, Maebashi, Gunma, Japan.
authors.forename: Mariko
authors.initials: M
authors.lastname: Morita
authors.affiliation: Department of Rehabilitation Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Minori
authors.initials: M
authors.lastname: Kurosaki
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Chiyoda
authors.affiliation: Division of Clinical Nutrition Management, Gunma University Hospital, Maebashi, Gunma, Japan.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Kanai
authors.affiliation: Division of Clinical Nutrition Management, Gunma University Hospital, Maebashi, Gunma, Japan.
authors.forename: Ayaka
authors.initials: A
authors.lastname: Endo
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Murata
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Shino
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Yokobori
authors.affiliation: Department of Rehabilitation Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Shirakura
authors.affiliation: Department of Rehabilitation Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Wada
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Chikamatsu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003680:Deglutition Disorders / Q000175:diagnosis*; D003936:Diagnosis, Computer-Assisted; D004724:Endoscopy; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D019095:Point-of-Care Systems; D012189:Retrospective Studies; D056164:Teaching Rounds; D059015:Wireless Technology; D055815:Young Adult
keywords: FEES; FOIS; acute care; air-scope; rehabilitation; swallowing