BACKGROUND: There is a significant incidence of unrecognized postextubation dysphagia in trauma patients. The purpose of this study was to evaluate the incidence, ascertain the risk factors, and identify patients with postextubation dysphagia who will require clinical swallow evaluation. METHODS: A prospective observational study was performed on 270 trauma patients. Bedside clinical swallow evaluation was done within 24 hours of extubation. Logistic regression analysis was used to adjust for confounding variables. RESULTS: The incidence of oropharyngeal dysphagia (OD) in our study was 42%. Ventilator days was the strongest independent risk factor for OD (3.6 vs 8.0, P < .001). The odds ratio showed a 25% risk for OD for each additional ventilator day. Silent aspiration was found in 37% of patients with OD. CONCLUSIONS: Trauma patients requiring mechanical ventilation for ≥2 days are at increased risk for dysphagia and should undergo routine swallow evaluations after extubation. Published by Elsevier Inc.
BACKGROUND: There is a significant incidence of unrecognized postextubation dysphagia in traumapatients. The purpose of this study was to evaluate the incidence, ascertain the risk factors, and identify patients with postextubation dysphagia who will require clinical swallow evaluation. METHODS: A prospective observational study was performed on 270 traumapatients. Bedside clinical swallow evaluation was done within 24 hours of extubation. Logistic regression analysis was used to adjust for confounding variables. RESULTS: The incidence of oropharyngeal dysphagia (OD) in our study was 42%. Ventilator days was the strongest independent risk factor for OD (3.6 vs 8.0, P < .001). The odds ratio showed a 25% risk for OD for each additional ventilator day. Silent aspiration was found in 37% of patients with OD. CONCLUSIONS:Traumapatients requiring mechanical ventilation for ≥2 days are at increased risk for dysphagia and should undergo routine swallow evaluations after extubation. Published by Elsevier Inc.
Authors: James C Borders; Daniel Fink; Joseph E Levitt; Jeffrey McKeehan; Edel McNally; Alix Rubio; Rebecca Scheel; Jonathan M Siner; Stephanie Gomez Taborda; Rosemary Vojnik; Heather Warner; S David White; Susan E Langmore; Marc Moss; Gintas P Krisciunas Journal: Dysphagia Date: 2019-01-29 Impact factor: 3.438
Authors: Fernanda Chiarion Sassi; Ana Paula Ritto; Maíra Santilli de Lima; Cirley Novais Valente Junior; Paulo Francisco Guerreiro Cardoso; Bruno Zilberstein; Paulo Hilário Nascimento Saldiva; Claudia Regina Furquim de Andrade Journal: PLoS One Date: 2022-06-16 Impact factor: 3.752
Authors: Gisele Chagas de Medeiros; Fernanda Chiarion Sassi; Lucas Santos Zambom; Claudia Regina Furquim de Andrade Journal: J Bras Pneumol Date: 2016-04 Impact factor: 2.624
Authors: Christoph Fisser; Giulia Spoletini; Aung Kyaw Soe; Alana Livesey; Annia Schreiber; Ema Swingwood; Lieuwe D Bos; Michael Dreher; Marcus J Schultz; Leo Heunks; Raffaele Scala Journal: ERJ Open Res Date: 2019-03-04