Association between postextubation dysphagia and physical function in survivors of critical illness: A retrospective study

Tanaka, Kohei; Watanabe, Keiji; Kashiwagi, Hirohiko

doi:10.1016/j.clnesp.2021.12.031

Cited by 6 publications

(3 citation statements)

References 32 publications

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“…This study's findings concurred with those of (Oliveira et al, 2018) Based on the results of the current study, men made up the majority of the patients that were studied. This result was consistent with (Tanaka et al, 2022) study who found that more than half of the patients were male. Also, this results agreed with (Oliveira et al, 2018) who noticed that most of the studied patients were male and also, it was compatible with (Park et al, 2017) who found that most of the studied patients were male.…”

Section: Discussionsupporting

confidence: 93%

Risk predictors of post-extubation dysphagia

elrhman

Elmetlb

Elnaeem

2023

Assiut Scientific Nursing Journal

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Background: Post-extubation dysphagia is frequent symptom among hospitalized Patients in the critical care unit. It had been discovered that 41% of critically ill patients who require endotracheal intubation experience postextubation dysphagia. Aim: The aim of the current study was to identify risk predictors post-extubation dysphagia. Study design: A descriptive research design was utilized in the current study. Setting: The current study was conducted in the intensive care units (general intensive care unit, traumatic unit and critical care unit) At Assiut university hospital. Subject: A convenience sampling of 100 adult patients. Tools: Tool (1): " Contributing factors for post-extubation assessment, Tool (2): Gugging Swallow Screen bedside swallowing screening. Results: It was found that the greatest percentage of studied patients suffering from moderate dysphagia (60.4 %), with significant statistically difference between some of other risk factors .The other risk factors include duration of intubation, gastric tube size, gastric tube period, and length of stay in the intensive care unit and occurrence of post-extubation dysphasia with P value equal (p value<0.01). Conclusions: There were many variables that could cause postextubation dysphasia. These variables include therapeutic-related variables, duration of end tracheal tube and size of the gastric tube. Additionally, in critically ill patients who have just been extubated, the nurse essential should perform an early detection and management of dysphagia. Recommendation: In order to predict and treat postextubation dysphasia, nurses should periodically check on the critically ill patients who have been intubated for early signs of dysphagia.

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Section: Discussionsupporting

confidence: 93%

Risk predictors of post-extubation dysphagia

elrhman

Elmetlb

Elnaeem

2023

Assiut Scientific Nursing Journal

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“…Additionally, they may present with fatigue, decreased bone mass, fragility fractures, reduced capability to perform daily activities, loss of appetite, endocrine metabolic disorders (including new-onset diabetes mellitus and temporary anterior pituitary hormone changes), and persistent chronic pain [ 3 ]. Among them, ICU-AW and ICU-ASD not only have a high prevalence [ 22 , 29 ], but also are associated with adverse clinical outcomes that include prolonged mechanical ventilation and hospital stays, an elevated risk of re-tracheal intubation and tracheotomy, decreased disease prognosis, and increased risk of patient death [ 30 , 31 ].…”

Section: Clinical Characteristicsmentioning

confidence: 99%

Post intensive care syndrome: A review of clinical symptoms, evaluation, intervention

He,

Song,

Cao

et al. 2024

Heliyon

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“…We also found that patients who had low self-care ability (ADL score <60) were more likely to have dysphagia, and the incidence of PED in patients with ADL score >60 was 6.82 times lower (P<0.05) than that in patients with ADL score <60, which is consistent with previous research. [18] This may be related to the patients' weak state, low level of consciousness, and lack of coordination.…”

Section: Development Of the Ped Predictive Modelmentioning

confidence: 99%

Development and validation of a predictive model for patients with post-extubation dysphagia

Tang¹,

Feng²,

Huang³

et al. 2023

World Journal of Emergency Medicine

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BACKGROUND: Swallowing disorder is a common clinical symptom that can lead to a series of complications, including aspiration, aspiration pneumonia, and malnutrition. This study aimed to investigate risk factors of post-extubation dysphagia (PED) in intensive care unit (ICU) patients with endotracheal intubation, and to develop a risk-predictive model for PED, which could serve as an assessment tool for the prevention and control of PED.METHODS: Patients retrospectively selected from June to December 2021 in a tertiary hospital served as the derivation cohort. Patients recruited from the same hospital from March to June 2022 served as the external validation cohort for the predictive model. We used a combination of variable screening and least absolute shrinkage and selection operator (LASSO) regression to select the most useful candidate predictors and checked the multicollinearity of independent variables using the variance infl ation factor method. Multivariate logistic regression analysis was performed to calculate the odds ratio (OR; 95% confidence interval [95% CI]) and P-value for each variable to predict diagnosis. The screened risk factors were introduced into R software to build a nomogram model. The performance of the model, including discrimination ability, calibration, and clinical benefi t, was evaluated by plotting the receiver operating characteristic (ROC), calibration, and decision curves.RESULTS: A total of 305 patients were included in this study. Among them, 235 patients (53 PED vs. 182 non-PED) were enrolled in the derivation cohort, while 70 patients (17 PED vs. 53 non-PED) were enrolled in the validation cohort. The independent predictors included age, pause of sedatives, level of consciousness, activities of daily living (ADL) score, nasogastric tube, sore throat, and voice disorder. These predictors were used to establish the predictive nomogram model. The model demonstrated good discriminative ability, and the area under the ROC curve (AUC) was 0.945 (95% CI 0.904-0.970). Applying the predictive model to the validation cohort demonstrated good discrimination with an AUC of 0.907 (95% CI 0.831-0.983) and good calibration. The decision-curve analysis of this nomogram showed a net benefi t of the model. CONCLUSION:A predictive model that incorporates age, pause of sedatives, level of consciousness, ADL score, nasogastric tube, sore throat, and voice disorder may have the potential to predict PED in ICU patients.

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Association between postextubation dysphagia and physical function in survivors of critical illness: A retrospective study

Cited by 6 publications

References 32 publications

Risk predictors of post-extubation dysphagia

Risk predictors of post-extubation dysphagia

Post intensive care syndrome: A review of clinical symptoms, evaluation, intervention

Development and validation of a predictive model for patients with post-extubation dysphagia

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