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Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center
The purpose of this research was to identify risk factors that were independently related to the maintenance of a swallowing dysfunction in patients affected by critical COVID-19. We conducted a prospective observational cohort study of critical patients with COVID-19, who were admitted to a COVID-1...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202872/ https://www.ncbi.nlm.nih.gov/pubmed/35709233 http://dx.doi.org/10.1371/journal.pone.0270107 |
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author | Sassi, Fernanda Chiarion Ritto, Ana Paula de Lima, Maíra Santilli Valente Junior, Cirley Novais Cardoso, Paulo Francisco Guerreiro Zilberstein, Bruno Saldiva, Paulo Hilário Nascimento de Andrade, Claudia Regina Furquim |
author_facet | Sassi, Fernanda Chiarion Ritto, Ana Paula de Lima, Maíra Santilli Valente Junior, Cirley Novais Cardoso, Paulo Francisco Guerreiro Zilberstein, Bruno Saldiva, Paulo Hilário Nascimento de Andrade, Claudia Regina Furquim |
author_sort | Sassi, Fernanda Chiarion |
collection | PubMed |
description | The purpose of this research was to identify risk factors that were independently related to the maintenance of a swallowing dysfunction in patients affected by critical COVID-19. We conducted a prospective observational cohort study of critical patients with COVID-19, who were admitted to a COVID-19 dedicated intensive care unit (ICU) and required prolonged orotracheal intubation (≥48 hours). Demographic and clinical data were collected at ICU admission and/or at hospital discharge or in-hospital death. Swallowing data was based on The Functional Oral Intake Scale (FOIS) and was collected at two distinct moments: initial swallowing assessment and at patient outcome. Patients were divided into two groups according to their FOIS level assigned on the last swallowing assessment: in-hospital resolved dysphagia–patients with FOIS levels 6 and 7; non-resolved dysphagia at hospital outcome–patients with FOIS levels 1 to 5. Nine hundred and twenty patients were included in our study. Results of the multivariate logistic regression model for the prediction of non-resolved dysphagia at hospital outcome in critical COVID-19 patients. indicated that increasing age (p = 0.002), severity at admission (p = 0.015), body mass index (p = 0.008), use of neuromuscular blockers (p = 0.028), presence of neurologic diseases (p = 0.038), presence of Diabetes Mellitus (p = 0.043) and lower FOIS levels on the initial swallowing assessment (p<0.001) were associated with higher chances of presenting dysphagia at hospital outcome. Critical patients with COVID-19 may experience post-acute COVID-19 dysphagia, indicating the need to prepare for the care/rehabilitation of these patients. |
format | Online Article Text |
id | pubmed-9202872 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-92028722022-06-17 Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center Sassi, Fernanda Chiarion Ritto, Ana Paula de Lima, Maíra Santilli Valente Junior, Cirley Novais Cardoso, Paulo Francisco Guerreiro Zilberstein, Bruno Saldiva, Paulo Hilário Nascimento de Andrade, Claudia Regina Furquim PLoS One Research Article The purpose of this research was to identify risk factors that were independently related to the maintenance of a swallowing dysfunction in patients affected by critical COVID-19. We conducted a prospective observational cohort study of critical patients with COVID-19, who were admitted to a COVID-19 dedicated intensive care unit (ICU) and required prolonged orotracheal intubation (≥48 hours). Demographic and clinical data were collected at ICU admission and/or at hospital discharge or in-hospital death. Swallowing data was based on The Functional Oral Intake Scale (FOIS) and was collected at two distinct moments: initial swallowing assessment and at patient outcome. Patients were divided into two groups according to their FOIS level assigned on the last swallowing assessment: in-hospital resolved dysphagia–patients with FOIS levels 6 and 7; non-resolved dysphagia at hospital outcome–patients with FOIS levels 1 to 5. Nine hundred and twenty patients were included in our study. Results of the multivariate logistic regression model for the prediction of non-resolved dysphagia at hospital outcome in critical COVID-19 patients. indicated that increasing age (p = 0.002), severity at admission (p = 0.015), body mass index (p = 0.008), use of neuromuscular blockers (p = 0.028), presence of neurologic diseases (p = 0.038), presence of Diabetes Mellitus (p = 0.043) and lower FOIS levels on the initial swallowing assessment (p<0.001) were associated with higher chances of presenting dysphagia at hospital outcome. Critical patients with COVID-19 may experience post-acute COVID-19 dysphagia, indicating the need to prepare for the care/rehabilitation of these patients. Public Library of Science 2022-06-16 /pmc/articles/PMC9202872/ /pubmed/35709233 http://dx.doi.org/10.1371/journal.pone.0270107 Text en © 2022 Sassi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Sassi, Fernanda Chiarion Ritto, Ana Paula de Lima, Maíra Santilli Valente Junior, Cirley Novais Cardoso, Paulo Francisco Guerreiro Zilberstein, Bruno Saldiva, Paulo Hilário Nascimento de Andrade, Claudia Regina Furquim Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center |
title | Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center |
title_full | Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center |
title_fullStr | Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center |
title_full_unstemmed | Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center |
title_short | Characteristics of postintubation dysphagia in ICU patients in the context of the COVID-19 outbreak: A report of 920 cases from a Brazilian reference center |
title_sort | characteristics of postintubation dysphagia in icu patients in the context of the covid-19 outbreak: a report of 920 cases from a brazilian reference center |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202872/ https://www.ncbi.nlm.nih.gov/pubmed/35709233 http://dx.doi.org/10.1371/journal.pone.0270107 |
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