전문가 설문조사 및 현장조사를 통한 국내 비디오투시연하검사 실시 현황
Current Status of Videofluoroscopic Swallowing Study Practice in Korea through Surveying Experts and Conducting Field Study
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초록
Objective: This study has been conducted to identify the current status of videofluoroscopic swallowing study (VFSS)in Korean general hospitals. Methods: We developed a questionnaire related to VFSS protocols and test diet. It was sent to the expert physicians whodirectly implementing VFSS in 35 training hospitals, which were sent out and collected by e-mail from December 7, 2017to February 19, 2018. Among them, 12 out of 28 hospitals selected randomly and we conducted field survey including observingthe process of the VFSS. Results: The most common protocol was to provide a test sample with 7 stages (28.1%). In the order of provided testsamples, ‘the small amount of liquid’ was the most provided in the 1st stage (53.1%). Among the used samples of thin liquidlevel, the mixing ratio of the liquid samples and barium was not uniform among each institution. ‘Yogurt (semi-solidtype)’ was the most commonly used sample for ‘nectar thick’ and ‘honey thick’ diet. Various samples were used on‘pudding thick’ diet. Conclusion: These results indicate that, in the 32 Korean general hospitals, each hospital uses samples depending on experienceor according to its own standards rather than unified standard among the institutions. Thus, the protocols foreach hospital are not standardized, which make them difficult to the accurate sharing of information about the testresults. Therefore, it will be necessary to make a consensus for the protocol and establish nationwide standard of VFSSthrough future research.
Abstract
Objective: This study has been conducted to identify the current status of videofluoroscopic swallowing study (VFSS)in Korean general hospitals. Methods: We developed a questionnaire related to VFSS protocols and test diet. It was sent to the expert physicians whodirectly implementing VFSS in 35 training hospitals, which were sent out and collected by e-mail from December 7, 2017to February 19, 2018. Among them, 12 out of 28 hospitals selected randomly and we conducted field survey including observingthe process of the VFSS. Results: The most common protocol was to provide a test sample with 7 stages (28.1%). In the order of provided testsamples, ‘the small amount of liquid’ was the most provided in the 1st stage (53.1%). Among the used samples of thin liquidlevel, the mixing ratio of the liquid samples and barium was not uniform among each institution. ‘Yogurt (semi-solidtype)’ was the most commonly used sample for ‘nectar thick’ and ‘honey thick’ diet. Various samples were used on‘pudding thick’ diet. Conclusion: These results indicate that, in the 32 Korean general hospitals, each hospital uses samples depending on experienceor according to its own standards rather than unified standard among the institutions. Thus, the protocols foreach hospital are not standardized, which make them difficult to the accurate sharing of information about the testresults. Therefore, it will be necessary to make a consensus for the protocol and establish nationwide standard of VFSSthrough future research.
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