Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?
| Title | Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours? |
| Publication Type | Journal Article |
| Year of Publication | 2019 |
| Authors | Leder SB, Warner HL, Suiter DM, Young NO, Bhattacharya B, Siner JM, Davis KA, Maerz LL, Rosenbaum SH, Marshall PS, Pisani MA, Siegel MD, Brennan JJ, Schuster KM |
| Journal | Ann Otol Rhinol Laryngol |
| Volume | 128 |
| Issue | 7 |
| Pagination | 619-624 |
| Date Published | 2019 Jul |
| ISSN | 1943-572X |
| Keywords | Adult, Aged, Aged, 80 and over, Airway Extubation, Deglutition Disorders, Female, Humans, Intensive Care Units, Male, Middle Aged, Prospective Studies, Respiration, Artificial, Respiratory Insufficiency, Speech-Language Pathology, Time Factors, Young Adult |
| Abstract | BACKGROUND: Post-extubation dysphagia is associated with an increased incidence of nosocomial pneumonias, longer hospitalizations, and higher re-intubation rates. The purpose of this study was to determine if it is necessary to delay swallow evaluation for 24 hours post-extubation. METHODS: A prospective investigation of swallowing was conducted at 1, 4, and 24 hours post-extubation to determine if it is necessary to delay swallow evaluation following intubation. Participants were 202 adults from 5 different intensive care units (ICU). RESULTS: A total of 166 of 202 (82.2%) passed the Yale Swallow Protocol at 1 hour post-extubation, with an additional 11 (177/202; 87.6%) at 4 hours, and 8 more (185/202; 91.6%) at 24 hours. Only intubation duration ≥4 days was significantly associated with nonfunctional swallowing. CONCLUSIONS: We found it is not necessary to delay assessment of swallowing in individuals who are post-extubation. Specifically, the majority of patients in our study (82.2%) passed a swallow screening at 1 hour post-extubation. |
| DOI | 10.1177/0003489419836115 |
| Alternate Journal | Ann. Otol. Rhinol. Laryngol. |
| PubMed ID | 30841709 |
