Arnold Robert J, Bausek Nina, Gaskill Christopher S, Johnson Lawrence F, Aldarondo Sigfredo, Aull Cody, Midani Malik, Midani Tarek, Midani Ramiz, Brown Ashton S, Wallace Alana
Southeastern Biocommunication Associates, LLC, Birmingham, AL 35216, USA.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
J Clin Med. 2024 Dec 13;13(24):7578. doi: 10.3390/jcm13247578.
Limited access to the comprehensive assessment of disorders of the upper aerodigestive tract is a barrier to care in rural health facilities. Assessment of the full aerodigestive tract requires a variety of specialists. The inability to access the necessary specialists can result in misdiagnosis, underdiagnosis, and increased associated mortality. Currently, no single differential diagnostic exam comprehensively assesses all functions of the upper aerodigestive tract to bridge this gap. The purpose of this study is to investigate the feasibility and safety of a novel procedure called ADS that can bridge this gap. Results from 18,464 ADS procedures were retrospectively analyzed for feasibility, safety and comfort. 96.8% of ADS procedures were successfully completed without complication, confirming the efficacy of the procedure. ADS is a single procedure for the assessment of physiological functions of the upper aerodigestive tract, including swallow, voice, respiration, and cough while also screening for impaired gastric retention and obstructive sleep apnea, which may pose additional urgent and emergent airway threats. ADS may improve health outcomes in underserved populations, e.g., those in a rural community, referred to by other health professionals due to complaints of aerodigestive symptoms and signs.
在上消化道和呼吸道疾病综合评估方面，农村卫生机构在获取相关评估时面临诸多限制，这成为了医疗护理的障碍。对上消化道和呼吸道进行全面评估需要各类专科医生。无法获得必要的专科医生服务可能导致误诊、漏诊，并增加相关死亡率。目前，尚无单一的鉴别诊断检查能够全面评估上消化道和呼吸道的所有功能，以弥补这一差距。本研究的目的是探讨一种名为ADS的新型检查方法的可行性和安全性，该方法能够弥补这一差距。我们对18464例ADS检查的结果进行了回顾性分析，以评估其可行性、安全性和舒适度。96.8%的ADS检查成功完成且无并发症，证实了该检查方法的有效性。ADS是一种用于评估上消化道和呼吸道生理功能的单一检查方法，包括吞咽、发声、呼吸和咳嗽功能，同时还能筛查胃潴留受损和阻塞性睡眠呼吸暂停，这些情况可能对气道构成额外的紧急威胁。ADS可能改善医疗服务不足人群的健康状况，例如农村社区中因上消化道和呼吸道症状及体征而被其他医疗专业人员转诊的患者。
