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Swallowing function...
Swallowing function in COVID-19 patients after invasive mechanical ventilation
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- Gonzalez Lindh, Margareta, 1965- (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Institutionen för neurovetenskap,Logopedi
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- Mattsson, Gustav (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg
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- Koyi, Hirsh (författare)
- Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Karolinska institutet
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- Blom Johansson, Monica, 1965- (författare)
- Uppsala universitet,Institutionen för neurovetenskap,Logopedi
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- Razmi, Robin (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Institutionen för medicinska vetenskaper
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- Palm, Andreas, 1971- (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Lung- allergi- och sömnforskning
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- Engelska.
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Ingår i: Archives of Rehabilitation Research and Clinical Translation. - : Elsevier. - 2590-1095. ; 4:1
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective: To explore swallowing function and risk factors associated with delayed recovery of swallowing in patients with COVID-19 post–invasive mechanical ventilation using the Functional Oral Intake Scale (FOIS).Design: Longitudinal cohort study.Setting: Three secondary-level hospitals.Participants: Invasively ventilated patients (N=28) who were hospitalized with severe COVID-19 and referred to the hospitals’ speech and language pathology (SLP) departments after mechanical ventilation between March 5 and July 5, 2020 for an evaluation of swallowing function before commencing oral diet.Interventions: SLP assessment, advice, and therapy for dysphagia.Main Outcome Measures: Oral intake levels at baseline and hospital discharge according to the FOIS. Patients were stratified according to FOIS (1-5, dysphagia; 6-7, functional oral intake). Data regarding comorbidities, frailty, intubation and tracheostomy, proning, and SLP evaluation were collected.Results: Dysphagia was found in 71% of the patients at baseline (79% men; age, 61±12y; body mass index, 30±8 kg/m2). The median FOIS score at baseline was 2 (interquartile range [IQR], 1) vs 5 (IQR, 2.5) at hospital discharge. Patients with dysphagia were older (64±8.5y vs 53±16y; P=.019), had a higher incidence of hypertension (70% vs 12%; P=.006), and were ventilated invasively longer (16±7d vs 10±2d; P=.017) or had a tracheostomy (9±9d vs 1±2d; P=.03) longer. A negative association was found between swallowing dysfunction at bedside and days hospitalized (r=–0.471, P=.01), and number of days in the intensive care unit (ICU) (r=–0.48, P=.01).Conclusion: Dysphagia is prevalent in COVID-19 patients after invasive mechanical ventilation and is associated with number of days in hospital and number of days in the ICU. Swallowing function and tolerance of oral diet improved at discharge (P<.001).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
Nyckelord
- COVID-19
- Critical care
- Deglutition disorders
- Frailty
- Rehabilitation
- Respiration: artificial
- Sväljsvårigheter
- dysfagi
- Covid-19
- IVA
- Anestesiologi och intensivvård
- Anaesthesiology and Intensive Care
- Medicinsk vetenskap
- Medical Science
- Hälso- och sjukvårdsforskning
- Health Care Research
- Oto-Rhino-Laryngology
- Oto-rhino-laryngologi
- Rehabilitation Medicine
- Rehabiliteringsmedicin
- Latin
- Latin
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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