Introduction The aim of this paper is to describe the early findings of swallowing analysis with videofluoroscopy of swallowing (VFS). Methods The 21 first patients (14 men and 7 women) who recovered from ARDS in context of COVID-19 were referred to VFS just before to maximum 14 days after their discharge from ICU. The swallowing impairments and the physiopathologic mechanism of them were prospectively analyzed by two swallowing experts: one radiologist, and one phoniatrician using penetration-aspiration scale (PAS) score. Results Nineteen out of 21 presented impairment in their swallowing function. Sixteen patients presented direct penetration or inhalation. All but one were silent. Some stases were also observed in 13 patients. Five patients presented secondary penetration/aspiration, among these inhalations, and all were silent. The most frequent findings are the delayed pharyngeal phase, the reduced propulsion of the tongue root, the posterior oral leaks, the default of laryngeal closure, and the impaired pharyngeal peristaltism. Discussion The very high prevalence of swallowing disorders with inhalation and the lack of protective reflexes are the main findings. This emphasizes the need of high caution with bedside screening in these patients with severely injured lungs.
Issue/Problem Road crashes are the primary cause of death within the 15-29-year-old age group. In Benin, there is no policy of road safety. The establishment of effective policies requires objective data that can guide decision-making. Research institutions are poorly integrated in this process. To fill the gap in scientific evidence and to participate in the decision-making, the Department of Epidemiology and Bio-Statistics of Regional Institute of Public Health, along with partners, set up a unit research dedicated to road safety, the UR ReMPARt. Description of the method UR ReMPARt, based on multidisciplinarity and intersectoriality, is the first initiative of its kind in the African sub-region. Its mission is to contribute to political decision-making on the subject of road safety via research development and on a template of sustainability of interventions. The intervention strategies are: training, research development, and knowledge transfer. Results Created in May 2017, this research unit is organized around academic and professional competences from different countries. Assessment after two years shows four continuous training sessions on different themes, the development of doctoral research projects, and activities of expertise. Three Ph.D. thesis and five masters students in epidemiology are also in training to reinforce the unit. The partnership contains dedicated consortiums for the mobilization of resources in favour of the research and training for road safety. Lessons Intersectoriality and multidisciplinarity are requisite to guide the relevance of the research and provide the adequate answers on the matter of road safety. The research and the targeted transfer of results remain key foundations to direct decision-making. The reproducibility of this initiative must take in consideration those principles and constitute an opportunity of sharing of experience and networking in favour of the joint cause that is road safety. Key messages Research in road safety cannot be one way vision. Building political decisions around conclusive data is henceforth an obligation to integrate in our practices.
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