Evidence map›Paper›PMID 33166525›Full record

ArticleArchives of physical medicine and rehabilitation2021

A Consensus Statement for the Management and Rehabilitation of Communication and Swallowing Function in the ICU: A Global Response to COVID-19.

Amy Freeman-Sanderson, Elizabeth C Ward, Anna Miles, Irene de Pedro Netto, Sallyanne Duncan, Yoko Inamoto, Jackie McRae, Natasha Pillay, Stacey A Skoretz, Margaret Walshe and 2 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Tele-rehabilitation in voice disorders during the pandemic: a consensus paper from the French Society of Phoniatrics and Laryngology.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 · 2023
    Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Post-extubation dysphagia and dysphonia amongst adults with COVID-19 in the Republic of Ireland: A prospective multi-site observational cohort study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2021
    Observational
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 12 institutions in 9 countries.

Amy Freeman-SandersonGraduate School of Health, University of Technology, Sydney, NSW, Australia; Royal Prince Alfred Hospital, Sydney, NSW, Australia; Critical Care Division, The George Institute for Global Health, Sydney, NSW, Australia. Electronic address: amy.freeman-sanderson@uts.edu.au.
Elizabeth C WardCentre for Functioning and Health Research, Metro South Hospital and Health Service, Brisbane, QLD, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.
Anna MilesSpeech Science, The University of Auckland, Auckland, New Zealand.
Irene de Pedro NettoNúcleo de Cardiologia/Centro de Reabilitação Cardiopulmomar, Hospital Sírio Libanês, Sao Paulo, Brazil; Comitê de Fonoaudiologia, BRASPEN/SBNPE (Sociedade Brasileira de Nutrição Parenteral e Enteral), Brazil.
Sallyanne DuncanWellcome Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK; Speech and Language Therapy, Belfast Health and Social Care Trust, Belfast, UK.
Yoko InamotoFaculty of Rehabilitation, School of Health Sciences, Fujita Health University, Nagoya, Japan.
Jackie McRaeSchool of Allied Health, Midwifery and Social Care Faculty of Health, Social Care and Education, Kingston and St George's, University of London, London, UK; Speech and Language Therapy, University College London Hospitals NHS Foundation Trust, London, UK.
Natasha PillayLife The Crompton Hospital, Pinetown, KZN, South Africa; Life Westville Hospital, Durban, South Africa.
Stacey A SkoretzSchool of Audiology and Speech Sciences, University of British Columbia, Vancouver, British Columbia, Canada; Department of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada; Centre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Margaret WalsheDepartment of Clinical Speech and Language Studies, Trinity College, Dublin, Ireland.
Martin B BrodskyDepartment of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD; Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD; Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MD.
COVID-19 SLP Global Group
Fujita Health University · JPHospital Sírio-Libanês · BRJohns Hopkins University · USLife Groenkloof Hospital · ZAQueensland Health · AUQueen's University Belfast · GBThe University of Queensland · AUTrinity College Dublin · IEUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Auckland · NZUniversity of British Columbia · CAUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify core practices for workforce management of communication and swallowing functions in coronavirus disease 2019 (COVID-19) positive patients within the intensive care unit (ICU).

designA modified Delphi methodology was used, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included.

settingElectronic modified Delphi process.

participantsSpeech-language pathologists (SLPs) (N=35) from 6 continents representing 12 countries.

interventionsNot applicable.

main outcome measuresThe main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: 0=strongly disagree, 10=strongly agree). Prioritization rank order of statements in a fourth round was also conducted.

resultsSLPs with a median of 15 years of ICU experience, working primarily in clinical (54%), academic (29%), or managerial positions (17%), completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance.

conclusionsA set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focused on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic.

Indexed as

Communication DisordersConsensusCOVID-19Critical CareDeglutition DisordersDelphi TechniqueHumansIntensive Care UnitsPhysical Therapy ModalitiesRespiration, ArtificialSARS-CoV-2Speech-Language PathologySpeech TherapyCommunicationCOVID-19Critical careDeglutition disordersRehabilitationSARS-CoV-2Telemedicine

Identifiers

PMID33166525
PMCPMC7648184
OpenAlexW3096390234

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.