Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34631/sporl.1030 |
Resumo: | COVID-19 has led to an increase number of tracheotomized patients requiring prolonged mechanical ventilation, whose consequences on voice, swallowing and high airway are poorly known in these patients. The objective of this project was to study them. The 37 COVID-19 patients, hospitalized in an Intensive Care Unit, who had undergone tracheotomy and were subsequently decannulated, between March 2020 and November 2021, were considered. 14 of these patients were included and submitted to an interview, answering questionnaires. 8 of them underwent to endoscopic examination, too. The mean age was 49 years and the male:female ratio was 11:3. The mean time from intubation to tracheotomy was 24 days and 51 days to decannulation. 29% reported swallowing disorders, 14% voice disorders and 29% symptoms indicative of pharyngolaryngeal reflux. 62% of the endoscopies presented alterations. Preliminary results show a high incidence of laryngeal injury but long-term studies are needed, including in non-tracheotomized COVID-19 patients. |
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Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomesDoentes Covid-19 traqueotomizados num hospital terciário: resultados a longo prazo na Voz, Deglutição e Via AéreaCOVID-19TraqueotomiaVozDeglutiçãoVentilação mecânica invasivaComplicaçõesCOVID-19TracheostomyVoiceSwallowingMechanical ventilationComplicationsCOVID-19 has led to an increase number of tracheotomized patients requiring prolonged mechanical ventilation, whose consequences on voice, swallowing and high airway are poorly known in these patients. The objective of this project was to study them. The 37 COVID-19 patients, hospitalized in an Intensive Care Unit, who had undergone tracheotomy and were subsequently decannulated, between March 2020 and November 2021, were considered. 14 of these patients were included and submitted to an interview, answering questionnaires. 8 of them underwent to endoscopic examination, too. The mean age was 49 years and the male:female ratio was 11:3. The mean time from intubation to tracheotomy was 24 days and 51 days to decannulation. 29% reported swallowing disorders, 14% voice disorders and 29% symptoms indicative of pharyngolaryngeal reflux. 62% of the endoscopies presented alterations. Preliminary results show a high incidence of laryngeal injury but long-term studies are needed, including in non-tracheotomized COVID-19 patients.A COVID-19 resultou num aumento de doentes traqueotomizados sob ventilação mecânica prolongada, cujas consequências na voz, deglutição e via aérea alta são pouco conhecidas, pelo que foi objetivo deste trabalho estudá-las. Foram considerados 37 doentes com COVID-19, internados numa Unidade de Cuidados Intensivos, traqueotomizados e descanulados entre março de 2020 e novembro de 2021. Foram incluídos no estudo 14 doentes, todos eles submetidos a entrevista com aplicação de inquéritos e 8 sujeitos também a endoscopia flexível. A média de idades foi de 49 anos e o racio masculino:feminino de 11:3. O tempo médio de entubação até à traqueotomia foi de 24 dias e até à descanulação de 51. 29% relataram alterações da deglutição, 14% da voz e 29% sintomas indicativos de refluxo faringolaríngeo. 62% das endoscopias apresentavam alterações. Os resultados preliminares mostram elevada incidência de lesões laríngeas, mas são necessários estudos a longo prazo, incluindo em doentes com COVID-19 não traqueotomizados.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2022-12-18info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.1030https://doi.org/10.34631/sporl.1030Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 4 (2022): December; 307-311Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 4 (2022): Dezembro; 307-311Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 4 (2022): Dezembro; 307-3112184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://journalsporl.com/index.php/sporl/article/view/2107https://journalsporl.com/index.php/sporl/article/view/2107/109https://journalsporl.com/index.php/sporl/article/view/2107/110Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessOliveira, MarianaInfante Velada, TiagoDorozhko, IuliaAlpoim Moreira, InêsChantre, TiagoCorreia, SusanaEliseu, AníbalSousa, Herédio2024-01-04T12:51:25Zoai:journalsporl.com:article/2107Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:30:00.118085Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes Doentes Covid-19 traqueotomizados num hospital terciário: resultados a longo prazo na Voz, Deglutição e Via Aérea |
title |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes |
spellingShingle |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes Oliveira, Mariana COVID-19 Traqueotomia Voz Deglutição Ventilação mecânica invasiva Complicações COVID-19 Tracheostomy Voice Swallowing Mechanical ventilation Complications |
title_short |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes |
title_full |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes |
title_fullStr |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes |
title_full_unstemmed |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes |
title_sort |
Covid-19 Tracheostomized patients in a terciary hospital: long-term voice, swallowing and airway outcomes |
author |
Oliveira, Mariana |
author_facet |
Oliveira, Mariana Infante Velada, Tiago Dorozhko, Iulia Alpoim Moreira, Inês Chantre, Tiago Correia, Susana Eliseu, Aníbal Sousa, Herédio |
author_role |
author |
author2 |
Infante Velada, Tiago Dorozhko, Iulia Alpoim Moreira, Inês Chantre, Tiago Correia, Susana Eliseu, Aníbal Sousa, Herédio |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Mariana Infante Velada, Tiago Dorozhko, Iulia Alpoim Moreira, Inês Chantre, Tiago Correia, Susana Eliseu, Aníbal Sousa, Herédio |
dc.subject.por.fl_str_mv |
COVID-19 Traqueotomia Voz Deglutição Ventilação mecânica invasiva Complicações COVID-19 Tracheostomy Voice Swallowing Mechanical ventilation Complications |
topic |
COVID-19 Traqueotomia Voz Deglutição Ventilação mecânica invasiva Complicações COVID-19 Tracheostomy Voice Swallowing Mechanical ventilation Complications |
description |
COVID-19 has led to an increase number of tracheotomized patients requiring prolonged mechanical ventilation, whose consequences on voice, swallowing and high airway are poorly known in these patients. The objective of this project was to study them. The 37 COVID-19 patients, hospitalized in an Intensive Care Unit, who had undergone tracheotomy and were subsequently decannulated, between March 2020 and November 2021, were considered. 14 of these patients were included and submitted to an interview, answering questionnaires. 8 of them underwent to endoscopic examination, too. The mean age was 49 years and the male:female ratio was 11:3. The mean time from intubation to tracheotomy was 24 days and 51 days to decannulation. 29% reported swallowing disorders, 14% voice disorders and 29% symptoms indicative of pharyngolaryngeal reflux. 62% of the endoscopies presented alterations. Preliminary results show a high incidence of laryngeal injury but long-term studies are needed, including in non-tracheotomized COVID-19 patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-18 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.1030 https://doi.org/10.34631/sporl.1030 |
url |
https://doi.org/10.34631/sporl.1030 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2107 https://journalsporl.com/index.php/sporl/article/view/2107/109 https://journalsporl.com/index.php/sporl/article/view/2107/110 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
dc.source.none.fl_str_mv |
Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 4 (2022): December; 307-311 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 4 (2022): Dezembro; 307-311 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 4 (2022): Dezembro; 307-311 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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