Post-extubation Dysphagia and COVID-2019

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dc.authoridMengi, Tugce/0000-0002-0639-0957
dc.authoridsari, sema/0000-0002-1977-8547
dc.contributor.authorYilmaz, Dilek
dc.contributor.authorMengi, Tugce
dc.contributor.authorSari, Sema
dc.date.accessioned2024-11-07T13:24:30Z
dc.date.available2024-11-07T13:24:30Z
dc.date.issued2021
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjective: Coronavirus disease-2019 (COVID-19) is a global pandemic that affects worldwide. Most patients who need intensive care due to COVID-19 develop acute respiratory distress syndrome and patients need long-term mechanical ventilation. This situation increases the risk of dysphagia, aspiration, and aspiration pneumonia in patients. Information about COVID-19-associated dysphagia is still limited. Thus, this study aimed to evaluate the frequency of postextubation dysphagia (PED) and its effect on clinical outcomes. Materials and Methods: Patients with COVID-19 in the adult intensive care unit (ICU) who were left on a mechanical ventilator for at least 24 h and are extubated were retrospectively screened. Gugging swallowing screen (GUSS) test was performed 24 h after extubation to evaluate swallowing function. Patients were examined in two groups as with and without dysphagia. Results: This study included 40 patients who were followed up on a mechanical ventilator and extubated due to COVID-19. According to the bedside GUSS test results, patients were divided into two groups as dysphagia group (n=24) and the non-dysphagia group (n=16). The mean age was higher in the dysphagia group (p<0.001). Re-intubation rate and ICU, and in-hospital mortality were higher in the dysphagia group (p<0.001 for all), whereas the length of stay in the ICU and mechanical ventilation time were longer (p=0.005 and p=0.001). ICU mortality was higher in patients with severe dysphagia (p=0.026). Conclusion: Our study revealed that the risk of PED increased with the age of patients with COVID-19 and PED increased the incidence of re-intubation, which was an important prognostic parameter that indicates mortality. Recognizing dysphagia with the early evaluation of swallowing in extubated patients with COVID-19 diagnosis is important to minimize the risk of aspiration pneumonia with proper nutrition, reduce the increased health cost, and prevent poor clinical outcomes.
dc.identifier.doi10.4274/tnd.2021.13360
dc.identifier.endpage25
dc.identifier.issn1301-062X
dc.identifier.issn1309-2545
dc.identifier.startpage21
dc.identifier.urihttps://doi.org/10.4274/tnd.2021.13360
dc.identifier.urihttps://hdl.handle.net/11480/14157
dc.identifier.volume27
dc.identifier.wosWOS:000995838000005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofTurkish Journal of Neurology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectDysphagia
dc.subjectCOVID-19
dc.subjectpostextubation
dc.titlePost-extubation Dysphagia and COVID-2019
dc.typeArticle

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