Frequency and outcome of post‐extubation dysphagia using nurse‐performed swallowing screening protocol

Omura, Kazuya; Komine, Atsushi; Yanagigawa, Mari; Chiba, Naomi; Osada, Maiko

doi:10.1111/nicc.12359

Cited by 34 publications

(27 citation statements)

References 24 publications

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“…Despite observations that previously proposed risk factors for dysphagia post invasive mechanical ventilation included male gender 2,4,5,12,16,18,20,21 , increased BMI 4,16,18 , use of specific medications 2,13 , and/or specific comorbidities 2,5,8,9,13,22 , we observed that gender was not a risk factor for post-extubation dysphagia. Further, comorbidities (except baseline neurological disease), and/ or use of cumulative dose of specific drugs often used in the ICU setting in mechanically ventilated patients (e.g.…”

Section: Discussioncontrasting

confidence: 99%

“…Physiology and Chronic Health Evaluation (APACHE)-II scores 4,16,18,19 , Body Mass Index (BMI) 4,16,18 , gender 2,4,5,12,16,18,20,21 , specific comorbidities such as diabetes 2,5,8,9,13,22 , hypertension 2,5,13,23 , COPD 5,8,9,22 , pre-existing renal dysfunction 2,5,13 , myocardial infarction 2,5,8,9,13 , heart failure 8,9,13,24 , preoperative/ history of cerebrovascular accidents (CVA) 2,5,8,23,24 , NYHA >2 2,23 , smoking 2,13 , SOFA scores 4,8,…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Dysphagia in ICU Patients After Invasive Mechanical Ventilation

Zuercher

Schenk

Moret

et al. 2020

Chest

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Dysphagia in ICU Patients After Invasive Mechanical Ventilation

Zuercher

Schenk

Moret

et al. 2020

Chest

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“…Duration of intubation did not increase the risk of PED in patients with prolonged intubation in our metaanalysis. Of the 17 studies that reported on duration of Delirium, 30,32,39 Circulatory Shock, 25,43 Hyperlipidemia, 25,43 AKI, 8 ARDS, 8 Hepatic encephalopathy, 35 Dyslipidemia 35 none…”

Section: Duration Of Intubationmentioning

confidence: 99%

Risk Factors for Postextubation Dysphagia: A Systematic Review and Meta‐analysis

et al. 2020

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Objectives/Hypothesis: To identify, describe, and where possible meaningfully synthesize the reported risk factors for postextubation dysphagia (PED) in critically ill patients.Study Design: Systematic review and meta-analysis. Methods: A systematic search of peer-reviewed and grey literature was conducted in common scientific databases to identify previously evaluated risk factors of PED. Data extraction and risk of bias assessment used a double-blind approach. Random effects models were used for the meta-analyses. Meta-analyses were conducted where sufficient study numbers allowed after accounting for statistical and clinical heterogeneity.Results: Twenty-five studies were included, which investigated a total of 150 potential risk factors. Of these, 63 risk factors were previously identified by at least one study each as significantly increasing the risk of PED. After accounting for clinical and statistical heterogeneity, only two risk factors were suitable for meta-analysis, gender, and duration of intubation. In separate meta-analyses, neither gender (RR 1.00 [0.71, 1.43], I 2 = 0%) nor duration of intubation 3.49], I 2 = 0%) were significant predictors of PED.Conclusions: A large number of risk factors for PED have been reported in the literature. However, significant variability in swallowing assessment methods, patient populations, timing of assessment, and duration of intubation prevented meaningful meta-analyses for the majority of these risk factors. Where meta-analysis was possible, gender and duration of intubation were not identified as risk factors for PED. We discuss future directions in clinical and research contexts.

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“…In recent years, multiple novel or modified screening protocols for post-extubation dysphagia have been proposed (Christensen & Trapl, 2018;Johnson et al, 2018;Leder et al, 2019;Omura et al, 2019;Schefold et al, 2017;See et al, 2016). The majority of screening protocols require patients to swallow a large volume of water, somewhere between 50 and 100 mL.…”

mentioning

confidence: 99%

Evaluation and Treatment of Post-Extubation Dysphagia: The Importance of the Speech Pathologist in the Intensive Care Unit

Marvin

2022

Perspect ASHA SIGs

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Purpose: Post-extubation dysphagia is associated with negative health outcomes including pneumonia, prolonged hospital stay, in-hospital mortality, and inability to discharge home. The purpose of this review article is to summarize published research on screening, evaluating, and treating post-extubation dysphagia. Method: Review of published literature on post-extubation dysphagia to shape best practice guidelines for speech pathologists. Results: Current research on post-extubation dysphagia focuses heavily on screening and evaluation. There are limited data on targeted treatment methods for post-extubation dysphagia. Conclusions: Speech pathologists play a critical role in helping patients safely return to oral alimentation following prolonged endotracheal intubation. Speech pathologists should use the available research to shape best practice guidelines within their facility for who, when, and how to evaluate for dysphagia following extubation.

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Frequency and outcome of post‐extubation dysphagia using nurse‐performed swallowing screening protocol

Abstract: The current study emphasizes the poor prognosis of patients with dysphagia after extubation. Dysphagia developed in more than 1 in 10 patients post-extubation; therefore, monitoring for a swallowing disorder is crucial in daily nursing in the intensive care unit.

Cited by 34 publications

References 24 publications

Risk Factors for Dysphagia in ICU Patients After Invasive Mechanical Ventilation

Risk Factors for Dysphagia in ICU Patients After Invasive Mechanical Ventilation

Risk Factors for Postextubation Dysphagia: A Systematic Review and Meta‐analysis

Evaluation and Treatment of Post-Extubation Dysphagia: The Importance of the Speech Pathologist in the Intensive Care Unit

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