Evidence map›Paper›PMID 34622966›Full record

Observational studyThe Laryngoscope2022

Dysphagia, Dysphonia, and Dysarthria Outcomes Among Adults Hospitalized With COVID-19 Across Ireland.

Julie Regan, Margaret Walshe, Sarah Lavan, Eanna Horan, Patricia Gillivan Murphy, Anne Healy, Caoimhe Langan, Karen Malherbe, Breda Flynn Murphy, Maria Cremin and 6 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The Laryngoscope, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Symptoms and Otorhinolaryngological Sequalae in Long Covid.International archives of otorhinolaryngology · 2025
    Article
  5. Observational
  6. Article
  7. Review
  8. Article
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

16 authors.

Julie ReganDepartment of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland.ORCID 0000-0001-5816-4516
Margaret WalsheDepartment of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland.
Sarah LavanSpeech and Language Therapy Department, St. James' Hospital, Dublin, Ireland.
Eanna HoranSpeech and Language Therapy Department, Tallaght University Hospital, Dublin, Ireland.
Patricia Gillivan MurphySpeech and Language Therapy Department, Mater Misericordiae University Hospital, Dublin, Ireland.
Anne HealySpeech and Language Therapy Department, Beaumont Hospital, Dublin, Ireland.
Caoimhe LanganSpeech and Language Therapy Department, St. Vincent's University Hospital, Dublin, Ireland.
Karen MalherbeSpeech and Language Therapy Department, Galway University Hospital, Galway, Ireland.
Breda Flynn MurphySpeech and Language Therapy Department, Midland Regional Hospital Tullamore & Portlaoise, Offaly, Ireland.
Maria CreminSpeech and Language Therapy Department, University Hospital Kerry, Kerry, Ireland.
Denise HiltonSpeech and Language Therapy Department, Cavan General Hospital, Cavan, Ireland.
Jenni CavaliereSpeech and Language Therapy Department, University Hospital Waterford, Waterford, Ireland.
Jacinta CurleySpeech and Language Therapy Department, Wexford General Hospital, Wexford, Ireland.
Andrea MoloneySpeech and Language Therapy Department, St. Luke's Hospital, Kilkenny, Ireland.
Grace FlanaganSpeech and Language Therapy Department, Sligo University Hospital, Sligo, Ireland.
Alice WhyteSpeech and Language Therapy Department, Naas General Hospital, Kildare, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the presence, degree, predictors, and trajectory of dysphagia, dysphonia, and dysarthria among adults hospitalized with COVID-19 across the Republic of Ireland (ROI) during the first wave of the pandemic. STUDY

designProspective observational cohort study.

methodsAdults with confirmed COVID-19 who were admitted into 14 participating acute hospitals across ROI and referred to speech and language therapy between March 1st and June 30th

resultsData from 315 adults were analyzed. At initial SLT assessment, 84% required modified oral diets, and 31% required tube feeding. There were high rates of dysphonia (42%) and dysarthria (23%). History of intubation (OR 19.959, 95% CI 6.272, 63.513; P = .000), COVID-19 neurological manifestations (OR 3.592, 95% CI 1.733, 7.445; P = .001), and age (OR 1.034; 95% CI 1.002, 1.066; P = .036) were predictive of oral intake status. History of intubation was predictive of voice quality (OR 4.250, 95% CI 1.838, 9.827; P = .001) and COVID-19 neurological manifestations were predictive of dysarthria (OR 2.275; 95% CI 1.162, 4.456; P = .017). At discharge, there were significant improvements in oral intake (Z = -7.971; P = .000), voice quality (Z = -5.971; P = .000), and dysarthria severity (Z = -2.619; P = .009), although need for modified oral intake (59%), dysphonia (23%), and dysarthria (14%) persisted.

conclusionDysphagia, dysphonia, and dysarthria were widespread among adults hospitalized with COVID-19 and they persisted for many at discharge. Prompt SLT evaluation is required to minimize complications. LEVEL OF EVIDENCE: 3 Laryngoscope, 132:1251-1259, 2022.

Indexed as

COVID-19Deglutition DisordersDysphoniaAdultDysarthriaHoarsenessHumansIrelandProspective StudiescommunicationCOVID-19dysarthriadysphagiadysphoniaSARS-CoV-2sequelaeswallowingvoice

Identifiers

PMID34622966
PMCPMC8662217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.