Clinical dysphagia risk predictors after prolonged orotracheal intubation
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/77062 |
Resumo: | OBJECTIVES: To elucidate independent risk factors for dysphagia after prolonged orotracheal intubation. METHODS: The participants were 148 consecutive patients who underwent clinical bedside swallowing assessments from September 2009 to September 2011. All patients had received prolonged orotracheal intubations and were admitted to one of several intensive care units of a large Brazilian school hospital. The correlations between the conducted water swallow test results and dysphagia risk levels were analyzed for statistical significance. RESULTS: Of the 148 patients included in the study, 91 were male and 57 were female (mean age, 53.64 years). The univariate analysis results indicated that specific variables, including extraoral loss, multiple swallows, cervical auscultation, vocal quality, cough, choking, and other signs, were possible significant high-risk indicators of dysphagia onset. The multivariate analysis results indicated that cervical auscultation and coughing were independent predictive variables for high dysphagia risk. CONCLUSIONS: Patients displaying extraoral loss, multiple swallows, cervical auscultation, vocal quality, cough, choking and other signs should benefit from early swallowing evaluations. Additionally, early post-extubation dysfunction recognition is paramount in reducing the morbidity rate in this high-risk population. |
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Clinics |
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Clinical dysphagia risk predictors after prolonged orotracheal intubationOBJECTIVES: To elucidate independent risk factors for dysphagia after prolonged orotracheal intubation. METHODS: The participants were 148 consecutive patients who underwent clinical bedside swallowing assessments from September 2009 to September 2011. All patients had received prolonged orotracheal intubations and were admitted to one of several intensive care units of a large Brazilian school hospital. The correlations between the conducted water swallow test results and dysphagia risk levels were analyzed for statistical significance. RESULTS: Of the 148 patients included in the study, 91 were male and 57 were female (mean age, 53.64 years). The univariate analysis results indicated that specific variables, including extraoral loss, multiple swallows, cervical auscultation, vocal quality, cough, choking, and other signs, were possible significant high-risk indicators of dysphagia onset. The multivariate analysis results indicated that cervical auscultation and coughing were independent predictive variables for high dysphagia risk. CONCLUSIONS: Patients displaying extraoral loss, multiple swallows, cervical auscultation, vocal quality, cough, choking and other signs should benefit from early swallowing evaluations. Additionally, early post-extubation dysfunction recognition is paramount in reducing the morbidity rate in this high-risk population.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/7706210.1590/clin.v69i1.77062Clinics; Vol. 69 No. 1 (2014); 8-14Clinics; v. 69 n. 1 (2014); 8-14Clinics; Vol. 69 Núm. 1 (2014); 8-141980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/77062/80927Medeiros, Gisele Chagas deSassi, Fernanda ChiarionMangilli, Laura DavisonZilberstein, BrunoAndrade, Claudia Regina Furquim deinfo:eu-repo/semantics/openAccess2014-03-24T12:25:14Zoai:revistas.usp.br:article/77062Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2014-03-24T12:25:14Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Clinical dysphagia risk predictors after prolonged orotracheal intubation |
title |
Clinical dysphagia risk predictors after prolonged orotracheal intubation |
spellingShingle |
Clinical dysphagia risk predictors after prolonged orotracheal intubation Medeiros, Gisele Chagas de |
title_short |
Clinical dysphagia risk predictors after prolonged orotracheal intubation |
title_full |
Clinical dysphagia risk predictors after prolonged orotracheal intubation |
title_fullStr |
Clinical dysphagia risk predictors after prolonged orotracheal intubation |
title_full_unstemmed |
Clinical dysphagia risk predictors after prolonged orotracheal intubation |
title_sort |
Clinical dysphagia risk predictors after prolonged orotracheal intubation |
author |
Medeiros, Gisele Chagas de |
author_facet |
Medeiros, Gisele Chagas de Sassi, Fernanda Chiarion Mangilli, Laura Davison Zilberstein, Bruno Andrade, Claudia Regina Furquim de |
author_role |
author |
author2 |
Sassi, Fernanda Chiarion Mangilli, Laura Davison Zilberstein, Bruno Andrade, Claudia Regina Furquim de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Medeiros, Gisele Chagas de Sassi, Fernanda Chiarion Mangilli, Laura Davison Zilberstein, Bruno Andrade, Claudia Regina Furquim de |
description |
OBJECTIVES: To elucidate independent risk factors for dysphagia after prolonged orotracheal intubation. METHODS: The participants were 148 consecutive patients who underwent clinical bedside swallowing assessments from September 2009 to September 2011. All patients had received prolonged orotracheal intubations and were admitted to one of several intensive care units of a large Brazilian school hospital. The correlations between the conducted water swallow test results and dysphagia risk levels were analyzed for statistical significance. RESULTS: Of the 148 patients included in the study, 91 were male and 57 were female (mean age, 53.64 years). The univariate analysis results indicated that specific variables, including extraoral loss, multiple swallows, cervical auscultation, vocal quality, cough, choking, and other signs, were possible significant high-risk indicators of dysphagia onset. The multivariate analysis results indicated that cervical auscultation and coughing were independent predictive variables for high dysphagia risk. CONCLUSIONS: Patients displaying extraoral loss, multiple swallows, cervical auscultation, vocal quality, cough, choking and other signs should benefit from early swallowing evaluations. Additionally, early post-extubation dysfunction recognition is paramount in reducing the morbidity rate in this high-risk population. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/77062 10.1590/clin.v69i1.77062 |
url |
https://www.revistas.usp.br/clinics/article/view/77062 |
identifier_str_mv |
10.1590/clin.v69i1.77062 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/77062/80927 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 69 No. 1 (2014); 8-14 Clinics; v. 69 n. 1 (2014); 8-14 Clinics; Vol. 69 Núm. 1 (2014); 8-14 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222760813723648 |