Post-extubation Dysphagia and COVID-2019

Key Findings & Data:Most patients who need intensive care due to COVID-19 develop acute respiratory distress syndrome and patients need long-term mechanical ventilation.

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Conclusion & Impact:The mean age was higher in the dysphagia group (p

🔬Design:Research Article

📍Scope:2019 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: Coronavirus disease-2019 (COVID-19) is a global pandemic that affects worldwide. Most patients who need intensive care due to COVID-19 develop acute respiratory distress syndrome and patients need long-term mechanical ventilation. This situation increases the risk of dysphagia, aspiration, and aspiration pneumonia in patients. Information about COVID-19-associated dysphagia is still limited. Thus, this study aimed to evaluate the frequency of postextubation dysphagia (PED) and its effect on clinical outcomes. Materials and Methods: Patients with COVID-19 in the adult intensive care unit (ICU) who were left on a mechanical ventilator for at least 24 h and are extubated were retrospectively screened. Gugging swallowing screen (GUSS) test was performed 24 h after extubation to evaluate swallowing function. Patients were examined in two groups as with and without dysphagia. Results: This study included 40 patients who were followed up on a mechanical ventilator and extubated due to COVID-19. According to the bedside GUSS test results, patients were divided into two groups as dysphagia group (n=24) and the non-dysphagia group (n=16). The mean age was higher in the dysphagia group (p

Özet

Amaç: Koronavirüs hastalığı-2019 (COVID-19) tüm dünyayı etkisi altına alan küresel bir salgındır. COVID-19’a bağlı yoğun bakıma ihtiyaç duyulan hastaların birçoğunda akut solunum sıkıntısı sendromu gelişmekte ve hastalar uzun süreli mekanik ventilasyona ihtiyaç duymaktadır. Bu durum hastalarda disfaji, aspirasyon ve aspirasyon pnömonisi riskini artırır. COVID-19 ilişkili disfaji ile ilgili henüz sınırlı sayıda bilgi mevcuttur. Bu çalışmanın amacı, post-ekstübasyon disfajinin (PED) sıklığını ve klinik sonlanım üzerine etkisini değerlendirmektir. Gereç ve Yöntem: Erişkin yoğun bakım ünitesinde (YBÜ) COVID-19 tanısıyla en az 24 saat mekanik ventilatörde kalıp ekstübe edilen hastalar retrospektif olarak tarandı. Yutma fonksiyonunu değerlendirmek için ekstübasyondan 24 saat sonra yatak başı Gugging swallowing screen (GUSS) testi yapılan hastalar çalışmaya dahil edildi. Hastalar disfaji olan grup ve disfaji olmayan grup olmak üzere iki grupta incelendi. Bulgular: COVID-19 nedeniyle mekanik ventilatörde takip edilip ekstübe edilen 40 hasta çalışmaya dahil edildi. Yatak başı GUSS testi sonuçlarına göre hastalar disfaji gelişen (n=24) ve disfaji gelişmeyen (n=16) olarak iki gruba ayrıldı. Disfaji grubunda yaş ortalaması yüksekti (p

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Cite This Article

Yılmaz, D., Sarı, S., Mengi, T. (2022). Post-extubation Dysphagia and COVID-2019. Türk Nöroloji Dergisi, Cilt: 27 - Sayı: Özel Sayı 1, 21–25. https://ajindex.com/articles/636553

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References (14)

Şansal E, Atalık G, Gölaç H, Yılmaz M. Management of Dysphagia During COVID-19 Pandemic: Gazi University Faculty of Medicine ENT Clinical Experience. Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi 2020;28:68- 75
Regan J, Walshe M, Lavan S, et al. Post-extubation dysphagia and dysphonia amongst adults with COVID-19 in the Republic of Ireland: A prospective multi-site observational cohort study. Clin Otolaryngol 2021;46:1290-1299
Dziewas R, Warnecke T, Zürcher P, Schefold JC. Dysphagia in COVID-19 -multilevel damage to the swallowing network? Eur J Neurol 2020;27:e46-e47
Brodsky MB, Pandian V, Needham DM. Post-extubation dysphagia: a problem needing multidisciplinary efforts. Intensive Care Med 2020;46:93-96
Luisa M, Laguna B. Dysphagia and Mechanical Ventilation in Sars-Cov-2 Pneumonia: It’s Real. 2021; Available from: https://doi.org/10.21203/ rs.3.rs-206615/v1 6. Tuncay F, Taşbaş Ö, Borman P, Geçene M, Coşkun Ö. Akut Dönemde İnme Hastalarının Yutma Fonksiyonlarının Yatak Başı Klinik Değerlendirilmesi. FTR Bil Der 2011;14:33-38
Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acutestroke patients: the Gugging Swallowing Screen. Stroke 2007;38:2948-2952
Dawson C, Capewell R, Ellis S, et al. Dysphagia presentation and management following COVID-19: an acute care tertiary centre experience. J Laryngol Otol 2020:1-6
Frajkova Z, Tedla M, Tedlova E, Suchankova M, Geneid A. Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review. Dysphagia 2020;35:549-557
Aoyagi Y, Inamoto Y, Shibata S, et al. Clinical Manifestation, Evaluation, and Rehabilitative Strategy of Dysphagia Associated With COVID-19. Am J Phys Med Rehabil 2021;100:424-431
Sassi FC, Medeiros GC, Zambon LS, Zilberstein B, Andrade CRF. Evaluation and classification of post-extubation dysphagia in critically ill patients. Rev Col Bras Cir. 2018;45:e1687
McIntyre M, Doeltgen S, Dalton N, Koppa M, Chimunda T. Post-extubation dysphagia incidence in critically ill patients: A systematic review and metaanalysis. Aust Crit Care 2021;34:67-75
Macht M, White SD, Moss M. Swallowing dysfunction after critical illness. Chest 2014;146:1681-1689
Macht M, King CJ, Wimbish T, et al. Post-extubation dysphagia is associated with longer hospitalization in survivors of critical illness with neurologic impairment. Crit Care 2013;17:R119
Skoretz SA, Flowers HL, Martino R. The incidence of dysphagia following endotracheal intubatio