Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?

Steven B. Leder; Heather L. Warner; Debra M. Suiter; Nwanmegha O. Young; Bishwajit Bhattacharya; Jonathan M. Siner; Kimberly A. Davis; Linda L. Maerz; Stanley H. Rosenbaum; Peter S. Marshall; Margaret A. Pisani; Mark D. Siegel; Joseph J. Brennan; Kevin M. Schuster

doi:10.1177/0003489419836115

Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?

Steven B. Leder, Heather L. Warner, Debra M. Suiter, Nwanmegha O. Young, Bishwajit Bhattacharya, Jonathan M. Siner, Kimberly A. Davis, Linda L. Maerz, Stanley H. Rosenbaum, Peter S. Marshall, Margaret A. Pisani, Mark D. Siegel, Joseph J. Brennan, Kevin M. Schuster

Communication Sciences and Disorders

Research output: Contribution to journal › Article › peer-review

17 Scopus citations

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
Pages (from-to)	619-624
Number of pages	6
Journal	Annals of Otology, Rhinology and Laryngology
Volume	128
Issue number	7
DOIs	https://doi.org/10.1177/0003489419836115
State	Published - Jul 1 2019

Keywords

deglutition
deglutition disorders
extubation
intensive care unit
oral alimentation
swallowing assessment

ASJC Scopus subject areas

Otorhinolaryngology

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10.1177/0003489419836115

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Leder, S. B., Warner, H. L., Suiter, D. M., Young, N. O., Bhattacharya, B., Siner, J. M., Davis, K. A., Maerz, L. L., Rosenbaum, S. H., Marshall, P. S., Pisani, M. A., Siegel, M. D., Brennan, J. J., & Schuster, K. M. (2019). Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours? Annals of Otology, Rhinology and Laryngology, 128(7), 619-624. https://doi.org/10.1177/0003489419836115

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title = "Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?",

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.",

keywords = "deglutition, deglutition disorders, extubation, intensive care unit, oral alimentation, swallowing assessment",

author = "Leder, {Steven B.} and Warner, {Heather L.} and Suiter, {Debra M.} and Young, {Nwanmegha O.} and Bishwajit Bhattacharya and Siner, {Jonathan M.} and Davis, {Kimberly A.} and Maerz, {Linda L.} and Rosenbaum, {Stanley H.} and Marshall, {Peter S.} and Pisani, {Margaret A.} and Siegel, {Mark D.} and Brennan, {Joseph J.} and Schuster, {Kevin M.}",

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Leder, SB, Warner, HL, Suiter, DM, Young, NO, Bhattacharya, B, Siner, JM, Davis, KA, Maerz, LL, Rosenbaum, SH, Marshall, PS, Pisani, MA, Siegel, MD, Brennan, JJ & Schuster, KM 2019, 'Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?', Annals of Otology, Rhinology and Laryngology, vol. 128, no. 7, pp. 619-624. https://doi.org/10.1177/0003489419836115

TY - JOUR

T1 - Evaluation of Swallow Function Post-Extubation

T2 - Is It Necessary to Wait 24 Hours?

AU - Leder, Steven B.

AU - Warner, Heather L.

AU - Suiter, Debra M.

AU - Young, Nwanmegha O.

AU - Bhattacharya, Bishwajit

AU - Siner, Jonathan M.

AU - Davis, Kimberly A.

AU - Maerz, Linda L.

AU - Rosenbaum, Stanley H.

AU - Marshall, Peter S.

AU - Pisani, Margaret A.

AU - Siegel, Mark D.

AU - Brennan, Joseph J.

AU - Schuster, Kevin M.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - 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.

AB - 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.

KW - deglutition

KW - deglutition disorders

KW - extubation

KW - intensive care unit

KW - oral alimentation

KW - swallowing assessment

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Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?

Abstract

Keywords

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