Dysphagia Characteristics of Patients Post SARS-CoV-2 During Inpatient Rehabilitation

Webler, Kathleen; Carpenter, Julia; Hamilton, Valerie K; Rafferty, Miriam; Cherney, Leora R.

doi:10.1016/j.apmr.2021.10.007

Cited by 9 publications

(17 citation statements)

References 31 publications

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“…The percentage of pre‐existing dysphagia (reported in 5 articles 23‐25,29,32 ) and tracheostomy (reported in 9 articles 23‐31 ) varied from 0% to 4% and 15% to 80%, respectively. As to the dysphagia assessment method, 2 studies 29,31 majorly adopted instrumental tools assisted with noninstrumental tools for diagnosis; 2 studies 25,26 used noninstrumental tools for primary evaluations in combination with instrumental tools; and 5 studies 24,27,28,30,32 only took nontools as the only mean for dysphagia assessment. The mean duration from extubation to dysphagia assessment ranged from 1 to 4 days 24,26,27,30,32 …”

Section: Resultsmentioning

confidence: 99%

“…Therefore, this may in turn generate insignificant results in patients with COVID-19. 31,32 (Reference group: ≦65 years 27,29,30 ) 0.555 (−0.794, 1.903) 0.688 .420 Major dysphagia assessment method Noninstrumental tool [24][25][26][27][28]30,32 (Reference group: Instrumental tool 29,31 ) −0.255 (−2.130, 1.621) 0.957 .790 Mean intubation duration (days) 23,27,28,30,31 −0.101 (−0.659, 0.457) 0.285 .723 Mean duration from extubation to dysphagia assessment (days) 24,26,27,30,32 0.632 (−0.355, 1.619) 0.504 .210 Tracheostomy (%) [23][24][25][26][27][28][29][30][31] 1.288 (−2.529, 5.104) 1.947 .509…”

Section: The Impact Of Duration From Extubation To Dysphagia Assessmentmentioning

confidence: 99%

“…Among these identified articles, 418 of them were screened following the removal of duplicates, yielding 67 studies for eligibility evaluation. Eventually, a total of 10 studies [23][24][25][26][27][28][29][30][31][32] were included in the meta-analysis after the exclusion of ineligible articles (Figure 1).…”

Section: Literature Selectionmentioning

confidence: 99%

See 2 more Smart Citations

Is Postextubation Dysphagia Underestimated in the Era of COVID‐19? A Systematic Review and Meta‐analysis

Lin

Chiang

Chen

et al. 2023

Otolaryngol.--head neck surg.

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Objective To investigate the incidence rate of postextubation dysphagia (PED) in patients with COVID‐19, as well as relative factors potentially influencing the clinical course of dysphagia. Data Sources Six databases including PubMed, MEDLINE, Embase, ScienceDirect, the Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science were searched with no restriction on the language. Review Methods The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. Data were extracted and cross‐examined among 3 of the authors. The random‐effects model was adopted for the statistical synthesis. The percentage and 95% confidence interval (CI) were adopted as the effect measurements of the PED incidence rate. Subgroup analyses, sensitivity analyses, and metaregression were also performed to identify the heterogeneity among the studies. Results A total of 594 patients were enrolled and analyzed from the 10 eligible studies. The weighted incidence of PED in patients with COVID‐19 was 66.5% (95% CI: 49.7%‐79.9%). Age was the potential factor influencing the incidence rate after heterogeneity was adjusted by the metaregression analysis. Conclusion Compared to the current evidence reporting only 41% of the non‐COVID patients experienced PED, our study further disclosed that a higher 66.5% of COVID‐19 patients suffered from PED, which deserves global physicians' attention. With the association between COVID‐19 and dysphagia having been more clearly understood, future clinicians are suggested to identify intubated patients' risk factors earlier to strengthen PED care programs in the era of COVID‐19.

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Section: Resultsmentioning

confidence: 99%

Section: The Impact Of Duration From Extubation To Dysphagia Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Is Postextubation Dysphagia Underestimated in the Era of COVID‐19? A Systematic Review and Meta‐analysis

Lin

Chiang

Chen

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

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“…Recent studies have also highlighted dysphagia as a nding in patients hospitalized with COVID-19, yielding greater demands for skilled, evidence-based dysphagia management [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Implementation of a Free Water Protocol at a Long Term Acute Care Hospital: A Feasibility Study

Gaidos

Hrdlicka

Corbett

2022

Preprint

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This feasibility study aimed to trial a Free Water Protocol (FWP) for patients with thin liquid dysphagia in the Long-Term Acute Care Hospital (LTACH) setting. Patients with dysphagia are often prescribed thickened liquids to avoid or mitigate aspiration. While this clinical intervention can minimize the risk of aspiration pneumonia (PNA), it is generally not well received by patients. As such, the goal of this study was to determine if patients who knowingly aspirate thin liquids can safely tolerate thin liquid water, and if so, to what degree of benefit. The study assessed for adverse events, fluid intake, hydration status, quality of life, and overall swallow function outcomes. These measurements were taken over a 7 day trial period using inventories, lab work, clinical judgment, and observation for data collection. Ten patients were enrolled in this study with 9 participants having sufficient data for analysis (n=9). No adverse events related to the FWP were observed, and patients saw improved total fluid intake (p=0.0073), swallow-related quality of life (p=0.0273), and overall swallow function (p=0.0001). The results in this feasibility study allowed for the hospital wide implementation of the FWP and laid out the groundwork for future studies looking at longitudinal effects of a FWP.

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“…According to the American Speech and Hearing Association, the prevalence of dysphagia spans across several acute and chronic diagnoses including: stroke, Parkinson's disease, amyotrophic lateral sclerosis, critical illness myopathy, spinal cord injury, head and neck cancer, and other esophageal diseases 1,2 . Recent studies have also highlighted dysphagia as a finding in patients hospitalized with COVID-19, yielding greater demands for skilled, evidencebased dysphagia management [3][4][5] .Dysphagia treatment typically involves both rehabilitative and compensatory techniques used to improve liquid and solid food ingestion, to preserve hydration and nutrition, and minimize the risk of a choking event…”

mentioning

confidence: 99%

Implementation of a free water protocol at a long term acute care hospital

Gaidos

Hrdlicka

Corbett

2023

Sci Rep

View full text Add to dashboard Cite

This feasibility study aimed to trial a Free Water Protocol (FWP) for patients with thin liquid dysphagia in the Long-Term Acute Care Hospital (LTACH) setting. Patients with dysphagia are often prescribed thickened liquids to avoid or mitigate aspiration. While this clinical intervention can minimize the risk of aspiration pneumonia (PNA), it is generally not well received by patients. As such, the goal of this study was to determine if patients who knowingly aspirate thin liquids can safely tolerate thin liquid water, and if so, to what degree of benefit. The study assessed for adverse events, fluid intake, hydration status, quality of life, and overall swallow function outcomes. These measurements were taken over a 7 day trial period using inventories, lab work, clinical judgment, and observation. Ten participants were enrolled in this study with 9 having sufficient data for analysis (n = 9). No adverse events related to the FWP were observed, and patients saw improved total fluid intake (P = 0.0074), swallow-related quality of life (P = 0.0273), and overall swallow function (P = 0.0002). The results in this feasibility study allowed for the hospital wide implementation of the FWP and laid out the groundwork for future studies looking at longitudinal effects of a FWP.

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Dysphagia Characteristics of Patients Post SARS-CoV-2 During Inpatient Rehabilitation

Cited by 9 publications

References 31 publications

Is Postextubation Dysphagia Underestimated in the Era of COVID‐19? A Systematic Review and Meta‐analysis

Is Postextubation Dysphagia Underestimated in the Era of COVID‐19? A Systematic Review and Meta‐analysis

Implementation of a Free Water Protocol at a Long Term Acute Care Hospital: A Feasibility Study

Implementation of a free water protocol at a long term acute care hospital

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