Abstract
Background: Post-extubation dysphagia is associated with an increased incidence of nosocomial pneumonias, longer hospitalizations, and higher re-intubation rates. The purpose of this study was to determine if it is necessary to delay swallow evaluation for 24 hours post-extubation. Methods: A prospective investigation of swallowing was conducted at 1, 4, and 24 hours post-extubation to determine if it is necessary to delay swallow evaluation following intubation. Participants were 202 adults from 5 different intensive care units (ICU). Results: A total of 166 of 202 (82.2%) passed the Yale Swallow Protocol at 1 hour post-extubation, with an additional 11 (177/202; 87.6%) at 4 hours, and 8 more (185/202; 91.6%) at 24 hours. Only intubation duration ≥4 days was significantly associated with nonfunctional swallowing. Conclusions: We found it is not necessary to delay assessment of swallowing in individuals who are post-extubation. Specifically, the majority of patients in our study (82.2%) passed a swallow screening at 1 hour post-extubation.
Original language | English |
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Pages (from-to) | 619-624 |
Number of pages | 6 |
Journal | Annals of Otology, Rhinology and Laryngology |
Volume | 128 |
Issue number | 7 |
DOIs | |
State | Published - Jul 1 2019 |
Keywords
- deglutition
- deglutition disorders
- extubation
- intensive care unit
- oral alimentation
- swallowing assessment
ASJC Scopus subject areas
- Otorhinolaryngology