ArticleEuropean 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 Surgery2021
Swallowing function after severe COVID-19: early videofluoroscopic findings.
Article in 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of oropharyngeal dysphagia and risk of mortality among hospitalized COVID-19 patients: A meta-analysis.Journal of global health · 2022Pooled it
- Dysphagia Phenotypes in COVID-19 Pneumonia Versus Aspiration Pneumonia: A Retrospective Quantitative Videofluoroscopic Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- Article
- Therapeutic approach to dysphagia in post-COVID patients in a rehabilitation unit: a descriptive longitudinal study.European journal of physical and rehabilitation medicine · 2024Observational
- A multi-disciplinary rehabilitation approach for people surviving severe COVID-19-a case series and literature review.Journal of the Formosan Medical Association = Taiwan yi zhi · 2022Review
- Dysphagia and mechanical ventilation in SARS-COV-2 pneumonia: It's real.Clinical nutrition (Edinburgh, Scotland) · 2022Observational
- An International Commentary on Dysphagia and Dysphonia During the COVID-19 Pandemic.Dysphagia · 2022Review
- Current opinion of presentation of dysphagia and dysphonia in patients with coronavirus disease 2019.Current opinion in otolaryngology & head and neck surgery · 2022Review
- [Treatment of patients with COVID-19 on Hemodialysis: Efficacy of Remdesivir].Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia · 2022Article
- A German AWMF's S2e/realist synthesis and meta-narrative snapshot of craniomaxillofacial manifestations in COVID-19 patients: Rapid living update on 1 January 2021.Journal of stomatology, oral and maxillofacial surgery · 2022Review
- Letter to the Editor regarding "Dysphagia in non-intubated patients affected by COVID-19 infection".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 · 2022Article
- Surgical tracheotomy in COVID-19 patients: an Italian single centre experience.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 · 2021Article
- Dysphagia management during COVID-19 pandemic: A review of the literature and international guidelines.Turkish journal of physical medicine and rehabilitation · 2021Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe aim of this paper is to describe the early findings of swallowing analysis with videofluoroscopy of swallowing (VFS).
methodsThe 21 first patients (14 men and 7 women) who recovered from ARDS in context of COVID-19 were referred to VFS just before to maximum 14 days after their discharge from ICU. The swallowing impairments and the physiopathologic mechanism of them were prospectively analyzed by two swallowing experts: one radiologist, and one phoniatrician using penetration-aspiration scale (PAS) score.
resultsNineteen out of 21 presented impairment in their swallowing function. Sixteen patients presented direct penetration or inhalation. All but one were silent. Some stases were also observed in 13 patients. Five patients presented secondary penetration/aspiration, among these inhalations, and all were silent. The most frequent findings are the delayed pharyngeal phase, the reduced propulsion of the tongue root, the posterior oral leaks, the default of laryngeal closure, and the impaired pharyngeal peristaltism. DISCUSSION: The very high prevalence of swallowing disorders with inhalation and the lack of protective reflexes are the main findings. This emphasizes the need of high caution with bedside screening in these patients with severely injured lungs.
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