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Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review
This systematic review examined (i) prevalence, severity, and impact of persistent post-extubation laryngeal injury beyond hospital discharge and (ii) differences in persistent laryngeal injury between COVID-19 and non-COVID-19 populations. The review was completed following PRISMA-2020 guidelines....
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922098/ https://www.ncbi.nlm.nih.gov/pubmed/36774422 http://dx.doi.org/10.1007/s00455-023-10559-0 |
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author | Kelly, Eileen Hirschwald, Julia Clemens, Julie Regan, Julie |
author_facet | Kelly, Eileen Hirschwald, Julia Clemens, Julie Regan, Julie |
author_sort | Kelly, Eileen |
collection | PubMed |
description | This systematic review examined (i) prevalence, severity, and impact of persistent post-extubation laryngeal injury beyond hospital discharge and (ii) differences in persistent laryngeal injury between COVID-19 and non-COVID-19 populations. The review was completed following PRISMA-2020 guidelines. Four databases (PubMed, CINHAL complete, EMBASE, Web of Science) were searched (inception to March 2021). Screening, full text review and data extraction were completed by two reviewers. Primary outcomes were swallow, voice and cough and airway measures obtained after hospital discharge. Quality assessment was measured using Downs & Black Tool and Johanna Briggs Institute Checklist for Cohort Studies. Meta-analysis was not completed due to study heterogeneity. Six cohort studies were included. Total number of participants across the included studies was 436. ICU admission diagnoses included respiratory disease 46% (COVID-19 and non-COVID-19), sepsis 14%, non-sepsis-related organ dysfunction 9%, general medical 11%, general surgical 10%, trauma 2%, ENT 0.6% and other not specified by authors 7%. Outcomes were obtained between 2 and 60 months post hospital discharge. Assessment methods included endoscopic evaluation, clinician ratings and patient-reported outcomes. Persistent features of laryngeal injury identified were airway abnormalities (18.9–27%), dysphonia (13.2–60%) and dysphagia (23–33%). Persistent laryngeal injury was associated with ICU length of stay, respiratory diagnosis and tracheostomy. Study quality ranged from poor-good. This is the first systematic review to examine post-extubation laryngeal injury beyond hospital discharge. Significant gaps in the literature were identified. Given the impact on clinical and patient outcomes, large scale, well-designed research is needed to guide post-ICU service delivery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00455-023-10559-0. |
format | Online Article Text |
id | pubmed-9922098 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-99220982023-02-13 Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review Kelly, Eileen Hirschwald, Julia Clemens, Julie Regan, Julie Dysphagia Original Article This systematic review examined (i) prevalence, severity, and impact of persistent post-extubation laryngeal injury beyond hospital discharge and (ii) differences in persistent laryngeal injury between COVID-19 and non-COVID-19 populations. The review was completed following PRISMA-2020 guidelines. Four databases (PubMed, CINHAL complete, EMBASE, Web of Science) were searched (inception to March 2021). Screening, full text review and data extraction were completed by two reviewers. Primary outcomes were swallow, voice and cough and airway measures obtained after hospital discharge. Quality assessment was measured using Downs & Black Tool and Johanna Briggs Institute Checklist for Cohort Studies. Meta-analysis was not completed due to study heterogeneity. Six cohort studies were included. Total number of participants across the included studies was 436. ICU admission diagnoses included respiratory disease 46% (COVID-19 and non-COVID-19), sepsis 14%, non-sepsis-related organ dysfunction 9%, general medical 11%, general surgical 10%, trauma 2%, ENT 0.6% and other not specified by authors 7%. Outcomes were obtained between 2 and 60 months post hospital discharge. Assessment methods included endoscopic evaluation, clinician ratings and patient-reported outcomes. Persistent features of laryngeal injury identified were airway abnormalities (18.9–27%), dysphonia (13.2–60%) and dysphagia (23–33%). Persistent laryngeal injury was associated with ICU length of stay, respiratory diagnosis and tracheostomy. Study quality ranged from poor-good. This is the first systematic review to examine post-extubation laryngeal injury beyond hospital discharge. Significant gaps in the literature were identified. Given the impact on clinical and patient outcomes, large scale, well-designed research is needed to guide post-ICU service delivery. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00455-023-10559-0. Springer US 2023-02-11 2023 /pmc/articles/PMC9922098/ /pubmed/36774422 http://dx.doi.org/10.1007/s00455-023-10559-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Kelly, Eileen Hirschwald, Julia Clemens, Julie Regan, Julie Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review |
title | Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review |
title_full | Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review |
title_fullStr | Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review |
title_full_unstemmed | Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review |
title_short | Persistent Features of Laryngeal Injury Following Endotracheal Intubation: A Systematic Review |
title_sort | persistent features of laryngeal injury following endotracheal intubation: a systematic review |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922098/ https://www.ncbi.nlm.nih.gov/pubmed/36774422 http://dx.doi.org/10.1007/s00455-023-10559-0 |
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