| Titre : | Dysphagia Characteristics of Patients Post SARS-CoV-2 During Inpatient Rehabilitation (2022) |
| Auteurs : | Kathleen Webler ; Julia Carpenter ; Valerie Hamilton ; Miriam Rafferty ; Leora R. Cherney |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 2, 2022) |
| Article en page(s) : | p. 336-341 |
| Note générale : | https://doi.org/10.1016/j.apmr.2021.10.007 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci COVID-19 ; Pathologie de la parole et du langage (spécialité) ; Réadaptation ; SARS-CoV-2 ; Troubles de la déglutition ; Virus du SRAS |
| Résumé : |
Objective
To investigate dysphagia in patients recovering from SARS-CoV-2 admitted to acute inpatient rehabilitation by summarizing clinical swallow evaluation and videofluoroscopic swallow study findings. Design Retrospective cohort study. Setting Urban inpatient rehabilitation hospital. Participants The first inpatients admitted with SARS-CoV-2 (N=40) who participated in a videofluoroscopic swallow study. Interventions Not applicable. Main Outcome Measures Patient characteristics upon admission (duration of intubation, tracheostomy status, comorbidities, videofluoroscopic swallow study (VFSS) completion at previous level of care); admission International Dysphagia Diet level (IDDSI); Mann Assessment of Swallowing Ability (MASA), Functional Oral Intake Scale (FOIS), dysphagia severity rating; penetration aspiration scale (PAS) rated during VFSS; and IDDSI level recommended after completion of VFSS. Results Twenty percent of patients had been evaluated by videofluoroscopy in acute care. Nineteen of 37 (51%) individuals were upgraded to IDDSI level 7 regular diet with level 0 thin liquids and achieved a FOIS of 7 after the completion of the VFSS. Five individuals (13%) received a diet downgrade or remained on the same diet recommendations from their admission. Total numerical score (TNS) of less than 170 on the MASA predicted presence of aspiration in 27% of patients (6 of 22). Seventy-two percent of the sample (16 of 22) had a TNS less than 170 but did not demonstrate any instances of aspiration. The odds of patients having a PAS of 3 or greater increased by approximately 15% (odds ratio, 1.15; 95% confidence interval, 1.03-1.27; P=.013). Thus, with each additional day of intubation during acute care stay, there was a 15% greater likelihood of having airway invasion. Conclusions Instrumental swallow evaluations are imperative to diagnose and treat dysphagia in the post-coronavirus disease population. Because of the heterogeneity of this population, high incidence of prolonged intubation, and limitations of the clinical swallowing evaluation, instrumental assessments need to be performed on a more consistent basis as infection prevention protocols evolve. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321015173#! |
Bibliothèques HE Vinci
