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

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30307 - Nursing

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

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

ISSN

1212-4117

e-ISSN

1804-7122

Svazek periodika

27

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

5

Strana od-do

23-27

Kód UT WoS článku

001460453600005

EID výsledku v databázi Scopus

2-s2.0-105000178338