Diagnosis And Treatment Of Post-Extubation Dysphagia: Results From A National Survey

Macht, Madison; Wimbish, Tim; Clark, Brendan; Benson, Alexander B.; Burnham, Ellen L.; Moss, Marc

doi:10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a1640

Cited by 1 publication

(9 citation statements)

References 33 publications

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“…Several surveys have reported that only a few hospitals use a standardized dysphagia screening protocol for all patients, 32 37 have a standardized protocol that defines which patients should be assessed for dysphagia, 33 or screen all ICU patients. 35 We found similar results.…”

Section: Discussionmentioning

confidence: 99%

“…Increased awareness may also apply to patients with a tracheostomy, 41 44 51 or patients postextubation. 37 54 These groups were also screened with the highest frequency in Swiss ICUs. 35 This also seems to be the case in our country, since two patient groups were mostly screened: patients with clinical signs of dysphagia and patients postextubation.…”

Section: Discussionmentioning

confidence: 99%

“…These screening protocols were most often administered by nursing staff (66%), followed by SLPs (27%). 37 In Greece, non-instrumental approaches (such as the WST, BSE) were mostly used. These results extend previous findings.…”

Section: Discussionmentioning

confidence: 99%

“…A study-specific questionnaire, comprised of 24 closed-ended questions, was designed based on the current literature 34 35 37 38 and the professional and clinical experience of the authors. Emphasis was given to the development of clear and precise questions, tailored to our target population's level of knowledge on the topic, by using terms respondents could easily understand, and by avoiding words with vague or ambiguous meanings.…”

Section: Methodsmentioning

confidence: 99%

“…The ICU multidisciplinary team (MDT) has evolved from a traditional medical and nursing model to encompass a growing allied health workforce including SLPs. 31 Despite the variation across ICUs in decisional responsibility and dysphagia referral pathways, 32 33 34 35 36 37 38 this multidisciplinary model of care has been suggested to improve patient outcomes. 2 39 40 41 42 The value of SLPs as integral members of the ICU MDT is becoming increasingly recognized worldwide, 43 44 45 46 and has been demonstrated in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation and Treatment of Dysphagia in Public and Private Intensive Care Units (ICUs) in Greece

Papadopoulou,

Kitsanou,

Brahimi

et al. 2024

Int Arch Otorhinolaryngol

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Introduction Dysphagia is a significant but underrecognized clinical issue in the intensive care unit (ICU), and it is associated with various complications. Despite its clinical importance, there is limited research and no Greek ICU-specific guidelines for managing dysphagic patients. Additionally, only a few ICUs in Greece have dysphagia specialists, specifically speech-language pathologists (SLPs) providing their expertise. Objective Τo identify the current practices for dysphagia management (screening, assessment, treatment) and gain insight into ICU directors' awareness/perceptions of the prevalence, complications, and risk of dysphagia. Materials and Methods We identified 138 Greek ICUs. Data were collected from ICU (including pediatric and neonatal) directors, working in public and private hospitals, via a 24-item, anonymous online questionnaire, within a 4-month period. Results Our survey was completed by 45 ICU directors. Most participants (84.4%) reported that dysphagia is a relevant clinical problem in their ICU, and 51.1% estimated a frequency rate < 20%. Non-instrumental approaches are mainly utilized to screen and diagnose dysphagia, whereas enteral nutrition and diet modifications are used to manage dysphagia. Additionally, 64.4% of ICU directors agreed that SLPs are essential for the management of dysphagic patients, and 66.7%, that awareness of dysphagia in their ICU could be increased. Conclusion The current study documented the methods and approaches used to manage dysphagic patients in Greek ICUs. The ICU directors seem to recognize the clinical significance of dysphagia and its complications. According to our findings, the employment of SLPs could result in a more comprehensive and intensive approach and improve the quality of care for these patients.

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