ArticleJournal of critical care2012
Diagnosis and treatment of post-extubation dysphagia: results from a national survey.
Article in Journal of critical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05108896 (Aspiration in Acute Respiratory Failure Survivors), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Aspiration in Acute Respiratory Failure Survivors
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.
- Interventions for Postextubation Dysphagia in Critically Ill Patients: A Systematic Review and Meta-analysis.Dysphagia · 2024Pooled it
- Feasibility of Endoscopic Evaluations of Laryngeal Function After Extubation for Research in Critically Ill Adults.American journal of speech-language pathology · 2025Trial
- Trial
- The accuracy of the bedside swallowing evaluation for detecting aspiration in survivors of acute respiratory failure.Journal of critical care · 2017Trial
- Prevalence and Management of Oral Intake Restrictions in Critically Ill Patients: Insights from a Multicenter Point Prevalence Study.Dysphagia · 2025Article
- Effects of Expiratory Muscle Strength Training on Swallowing in Survivors of Critical Illness: A Protocol for a Systematic Review and Meta-Analysis.Health science reports · 2025Article
- Independent Risk Factors for Prolonged Tube Feeding After Endotracheal Intubation and Ventilation.Journal of intensive care medicine · 2024Observational
- Postorotracheal intubation dysphagia in patients with COVID-19: A retrospective study.Sao Paulo medical journal = Revista paulista de medicina · 2024Article
- Evaluation and Treatment of Dysphagia in Public and Private Intensive Care Units (ICUs) in Greece.International archives of otorhinolaryngology · 2024Article
- Acute Antipsychotic Use and Presence of Dysphagia Among Older Veterans with Heart Failure.Journal of the American Medical Directors Association · 2023Article
- Strategies of Screening and Treating Post-Extubation Dysphagia: An Overview of the Situation in Greek-Cypriot ICUs.Healthcare (Basel, Switzerland) · 2023Article
- The Characteristics and Predicators of Post-extubation Dysphagia in ICU Patients with Endotracheal Intubation.Dysphagia · 2023Article
- Severe Community-Acquired Pneumonia Caused by Methicillin-SensitiveInfection and drug resistance · 2023Article
- Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey.Dysphagia · 2022Article
- The role of nutrition rehabilitation in the recovery of survivors of critical illness: underrecognized and underappreciated.Critical care (London, England) · 2022Review
- [Postextubation dysphagia in intensive care patients : Current findings and clinical recommendations].Die Anaesthesiologie · 2022Review
- Association between timing of speech and language therapy initiation and outcomes among post-extubation dysphagia patients: a multicenter retrospective cohort study.Critical care (London, England) · 2022Article
- Addressing the post-acute sequelae of SARS-CoV-2 infection: a multidisciplinary model of care.The Lancet. Respiratory medicine · 2021Review
- Abnormalities of Aspiration and Swallowing Function in Survivors of Acute Respiratory Failure.Dysphagia · 2021Article
- Correction to: Abnormalities of Aspiration and Swallowing Function in Survivors of Acute Respiratory Failure.Dysphagia · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThis study sought to determine the utilization of speech-language pathologist (SLPs) for the diagnosis and treatment of post-extubation dysphagia in survivors of mechanical ventilation.
methodsWe designed, validated, and mailed a survey to 1,966 inpatient SLPs who routinely evaluate patients for post-extubation dysphagia.
resultsMost SLP diagnostic evaluations (60%; 95% CI, 59%-62%) were performed using clinical techniques with uncertain accuracy. Instrumental diagnostic tests (such as fluoroscopy and endoscopy) are more likely to be available at university than community hospitals. After adjusting for hospital size and academic affiliation, instrumental test use varied significantly by geographical region. Treatments for post-extubation dysphagia usually involved dietary adjustment (76%; 95% CI, 73-79%) and postural changes/compensatory maneuvers (86%; 95% CI, 84-88%), rather than on interventions aimed to improve swallowing function (24%; 95% CI, 21-27%).
conclusionsSLPs frequently evaluate acute respiratory failure survivors. However, diagnostic evaluations rely mainly upon bedside techniques with uncertain accuracy. The use of instrumental tests varies by geographic location and university affiliation. Current diagnostic practices and feeding decisions for critically ill patients should be viewed with caution until further studies determine the accuracy of bedside detection methods.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.