Post-Extubation Dysphagia and Dysphonia amongst Adults with
Get authentic, real-time news that helps you fight COVID-19 better.
Install PlexusMD App for doctors. It's free.
Post-extubation dysphagia and dysphonia were prevalent amongst adults with COVID-19, finds a study carried out in hospitals across the Republic of Ireland (ROI).

This study aims to (i) investigate post-extubation dysphagia and dysphonia amongst adults intubated with SARS-COV-2 (COVID-19) and referred to speech and language therapy (SLT); (ii) identify variables predictive of post-extubation oral intake status and dysphonia and (iii) establish SLT rehabilitation needs and services provided to this cohort.

100 adults with confirmed COVID-19 who were intubated across eleven acute hospital sites in ROI and who were referred to SLT services between March and June 2020 were enrolled.

- Based on the initial SLT assessment, 90% required altered oral intake, and 59% required tube feeding with 36% not allowed oral intake.

- Age, proning, and pre-existing respiratory disease were predictors of oral intake status post-extubation.

- Two-thirds presented with dysphonia post-extubation. Intubation injury and pre-existing respiratory disease were predictors of post-extubation voice quality.

- Thirty-seven percent required dysphagia intervention post-extubation whereas 20% needed intervention for voice. Dysphagia and dysphonia persisted in 27% and 37% cases respectively at hospital discharge.

Post-extubation dysphagia and dysphonia were prevalent amongst adults with COVID-19 across the ROI. Predictors included iatrogenic factors and underlying respiratory disease. Prompt evaluation and intervention are needed to minimize complications and inform rehabilitation planning.

Clinical Otolaryngology
Source: https://doi.org/10.1111/coa.13832
Like
Comment
Share