Post-extubation dysphagia in intensive care - a prospective observational study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F25%3A00140997" target="_blank" >RIV/00216224:14110/25:00140997 - isvavai.cz</a>

Result on the web

<a href="https://kont.zsf.jcu.cz/artkey/knt-202501-0005_post-extubation-dysphagia-in-intensive-care-a-prospective-observational-study.php" target="_blank" >https://kont.zsf.jcu.cz/artkey/knt-202501-0005_post-extubation-dysphagia-in-intensive-care-a-prospective-observational-study.php</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.32725/kont.2025.006" target="_blank" >10.32725/kont.2025.006</a>

Result language

angličtina

Original language name

Post-extubation dysphagia in intensive care - a prospective observational study

Original language description

Purpose: Dysphagia may occur in all critically ill patients, and large-scale clinical data show that post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. The study aimed to determine how dysphagia is diagnosed after extubation, and what factors influence the incidence of dysphagia after invasive airway support in selected ICUs. Methods: A prospective observational study was conducted for five months (07/2023 to 11/ 2023), in the acute ICU and long-term ICU of the Teaching hospital in the Czech Republic. Results: Of the 101 extubated patients in the study, only 27.7% (n = 28) were examined by a physician, and PED was confirmed in 26.7% (n = 27), representing 99% of all extubated patients. Age, gender, and ICU type were not significantly related to PED occurrence. However, the type of airway management (p &lt; 0.001), duration of mechanical ventilation (p = 0.017), and main diagnosis (p &lt; 0.001) were significantly associated with PED occurrence. Conclusion: The study confirmed the underdiagnosis of PED in ICU patients post-extubation. Higher PED incidence was linked to tracheostomy + endotracheal cannula use, mechanical ventilation longer than 9 days, and neurological diagnoses. Training health professionals to identify PED symptoms is essential to establish uniform procedures for diagnosing and preventing PED-related complications.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30307 - Nursing

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Kontakt : Journal of Nursing and Social Sciences related to Health and Illness

ISSN

1212-4117

e-ISSN

1804-7122

Volume of the periodical

27

Issue of the periodical within the volume

1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

5

Pages from-to

23-27

UT code for WoS article

001460453600005

EID of the result in the Scopus database

2-s2.0-105000178338