Observational studyBrazilian journal of otorhinolaryngology
Predictive factors for oropharyngeal dysphagia after prolonged orotracheal intubation.
Observational study in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Prevalence and risk factors for postextubation dysphagia in ICU patients with orotracheal intubation: a systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Incidence of post-extubation dysphagia among critical care patients undergoing orotracheal intubation: a systematic review and meta-analysis.European journal of medical research · 2024Pooled it
- The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery.Journal of cardiothoracic surgery · 2020Trial
- Article
- A pragmatic approach to identifying postextubation dysphagia in critically ill surgical patients using the water swallow test.Scientific reports · 2026Article
- Article
- Development and validation of a screening model for dysphagia in the elderly based on acoustic features.Frontiers in medicine · 2025Article
- Knowledge, Attitude, and Practice (KAP) of ICU Nurses towards Tracheal Intubation Patients' Postextubation Dysphagia: A Cross-Sectional Study.Journal of nursing management · 2024Article
- Factors associated with oropharyngeal dysphagia in individuals with cardiovascular disease and COVID-19.CoDAS · 2024Article
- Persistent Dysphonia in Hospitalized COVID-19 Patients.Journal of voice : official journal of the Voice Foundation · 2023Article
- Dysphagia After Prolonged Intubation in SARS-CoV-19 Patients: A Single Institution Retrospective Review.Cureus · 2023Article
- The Characteristics and Predicators of Post-extubation Dysphagia in ICU Patients with Endotracheal Intubation.Dysphagia · 2023Article
- Development and validation of a predictive model for patients with post-extubation dysphagia.World journal of emergency medicine · 2023Article
- Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey.Dysphagia · 2022Article
- Dysphagia in patients with coronavirus disease undergoing orotracheal intubation.Laryngoscope investigative otolaryngology · 2022Article
- Postoperative Dietary Intake Achievement: A Secondary Analysis of a Randomized Controlled Trial.Nutrients · 2022Article
- Dysphagic disorder in a cohort of COVID-19 patients: Evaluation and evolution.Annals of medicine and surgery (2012) · 2021Article
- Tracheostomy, ventilatory wean, and decannulation in COVID-19 patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Observational
- Gastroesophageal Reflux Disease and Foregut Dysmotility in Children with Intestinal Failure.Nutrients · 2020Review
- Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLesions in the oral cavity, pharynx and larynx due to endotracheal intubation can cause reduction in the local motility and sensitivity, impairing the swallowing process, resulting in oropharyngeal dysphagia.
objectiveTo verify the predictive factors for the development of oropharyngeal dysphagia and the risk of aspiration in patients with prolonged orotracheal intubation admitted to an intensive care unit.
methodsThis is an observational, analytical, cross-sectional and retrospective data collection study of 181 electronic medical records of patients submitted to prolonged orotracheal intubation. Data on age; gender; underlying disease; associated comorbidities; time and reason for orotracheal intubation; Glasgow scale on the day of the Speech Therapist assessment; comprehension; vocal quality; presence and severity of dysphagia; risk of bronchoaspiration; and the suggested oral route were collected. The data were analyzed through logistic regression. The level of significance was set at 5%, with a 95% Confidence Interval.
resultsThe prevalence of dysphagia in this study was 35.9% and the risk of aspiration was 24.9%. As the age increased, the altered vocal quality and the degree of voice impairment increased the risk of the presence of dysphagia by 5-; 45.4- and 6.7-fold, respectively, and of aspiration by 6-; 36.4- and 4.8-fold. The increase in the time of orotracheal intubation increased the risk of aspiration by 5.5-fold.
conclusionPatients submitted to prolonged intubation who have risk factors associated with dysphagia and aspiration should be submitted to an early speech-language/audiology assessment and receive appropriate and timely treatment. The recognition of these predictive factors by the entire multidisciplinary team can minimize the possibility of clinical complications inherent to the risk of dysphagia and aspiration in extubated patients.
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