Risk factors for dysphagia in ICU patients following invasive mechanical ventilation

Autor: Zuercher, Patrick, Schenk, Noëlle V, Moret, Céline, Berger, David, Abegglen, Roman, Schefold, Joerg C.
Jazyk: angličtina
Předmět:
Zdroj: Zuercher, Patrick; Schenk, Noëlle V; Moret, Céline; Berger, David; Abegglen, Roman; Schefold, Joerg C. (2020). Risk factors for dysphagia in ICU patients following invasive mechanical ventilation. Chest, 158(5), pp. 1983-1991. Elsevier 10.1016/j.chest.2020.05.576
ISSN: 0233-3201
DOI: 10.7892/boris.144667
Popis: BACKGROUND Dysphagia is common and independently predicts death in ICU patients. Risk factors for dysphagia are largely unknown with sparse data available from mostly small cohorts without systematic dysphagia screening. RESEARCH QUESTION What are the key risk factors for dysphagia in ICU patients post invasive mechanical ventilation? STUDY DESIGN AND METHODS Post-hoc analysis of data from a monocentric prospective observational study ("DYnAMICS") using comprehensive statistical models to identify potential risk factors for post-extubation dysphagia. 933 primary admissions of adult medical-surgical ICU patients (median age 65 years [IQR 54-73], n=666 (71%) male) were investigated in a tertiary care academic centre. Patients received systematic bedside screening for dysphagia within 3 hours post extubation. Dysphagia screening positivity (n=116) was followed within 24 hours by a confirmatory exam. RESULTS After adjustment for confounders, baseline neurological disease (OR 4.45, 95%-CI: 2.74-7.24, p
Databáze: OpenAIRE