A Consensus Statement for the Management and Rehabilitation of Communication and Swallowing Function in the ICU: A Global Response to COVID-19
| Autor: | Natasha Pillay, Liza Bergström, Margaret Walshe, Karen Dikeman, José Ribamar do Nascimento Junior, Anna-Liisa Sutt, Michelle Cimoli, Sonia Baker, Marta Kazandjian, Melanie McIntyre, Sally Archer, Sarah E. Wallace, Amy Freeman-Sanderson, Stacey A. Skoretz, Martin B. Brodsky, Jo Puntil-Sheltman, Therese Cole, Hanneke Kalf, Camilla Dawson, Stevie Marvin, Yoko Inamoto, Sallyanne Duncan, Clare L. Burns, Brooke L. J. Duggan, Debra M. Suiter, Sunaina Lakha, Jackie McRae, Elizabeth C. Ward, Irene de Pedro Netto, Bronwyn Hemsley, Leanie Engelbrecht, Charissa J. Zaga, Tanis S. Cameron, Nicola A. Clayton, Gemma M. Clunie, Nicole Langton-Frost, Anna Miles |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
Speech-Language Pathology Delphi Technique medicine.medical_treatment 1106 Human Movement and Sports Sciences Psychological intervention AGP aerosol generating procedure 0302 clinical medicine nursing COVID-19 coronavirus disease 2019 Rehabilitation communication ICU intensive care unit Intensive Care Units Scale (social sciences) Communication Disorders Workforce Workforce planning telemedicine 0305 other medical science Psychology severe acute respiratory syndrome coronavirus 2 AAC augmentative and alternative communication VFSS videofluoroscopic swallow study medicine.medical_specialty Telemedicine Consensus Critical Care FEES flexible endoscopic evaluation of swallowing education Physical Therapy Sports Therapy and Rehabilitation Workforce management Speech Therapy SARS-CoV-2 severe acute respiratory syndrome coronavirus 2 Article 1117 Public Health and Health Services Likert scale 03 medical and health sciences medicine COVID-19 SLP Global Group Humans Physical Therapy Modalities SARS-CoV-2 COVID-19 1103 Clinical Sciences deglutition disorders Respiration Artificial SLP Speech-Language Pathologist Family medicine 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2020.10.113 |
| Popis: | Objective To identify core practices for workforce management of communication and swallowing functions in coronavirus disease 2019 (COVID-19) positive patients within the intensive care unit (ICU). Design A modified Delphi methodology was used, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included. Setting Electronic modified Delphi process. Participants Speech-language pathologists (SLPs) (N=35) from 6 continents representing 12 countries. Interventions Not applicable. Main Outcome Measures The main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: 0=strongly disagree, 10=strongly agree). Prioritization rank order of statements in a fourth round was also conducted. Results SLPs with a median of 15 years of ICU experience, working primarily in clinical (54%), academic (29%), or managerial positions (17%), completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance. Conclusions A set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focused on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic. |
| Databáze: | OpenAIRE |
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