Prospective Study on the Clinical and Economic Impact of On-Site Flexible Endoscopic Evaluation of Swallowing in Residential Aged Care

Oropharyngeal dysphagia affects approximately 50% of nursing home residents, yet access to instrumental assessment is often restricted by the logistical burdens of hospital transport. This diagnostic gap frequently results in suboptimal management and unnecessary dietary restrictions. This study aimed to evaluate the feasibility, clinical applicability, and cost-effectiveness of implementing an on-site flexible endoscopic evaluation of swallowing (FEES) service in residential aged care facilities.