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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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_61BB07C749E1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Feasibility study of the Nox-T3 device to detect swallowing and respiration pattern in neurologically impaired patients in the acute phase.
Journal
Scientific reports
Author(s)
Theytaz F., Vuistiner A., Schweizer V., Crépin A., Sandu K., Chaouch A., Piquilloud L., Lecciso G., Coombes K., Diserens K.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
05/05/2023
Peer-reviewed
Oui
Volume
13
Number
1
Pages
7325
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.
Keywords
Humans, Deglutition, Deglutition Disorders/diagnostic imaging, Feasibility Studies, Respiration, Apnea
Pubmed
Web of science
Open Access
Yes
Create date
15/05/2023 13:47
Last modification date
23/01/2024 8:26
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