Post-extubation dysphagia in intensive care - a prospective
observational study

J 2025

Post-extubation dysphagia in intensive care - a prospective observational study

SAIBERTOVÁ, Simona; Vendula BOLECHOVÁ a Andrea POKORNÁ

Základní údaje

Originální název

Post-extubation dysphagia in intensive care - a prospective observational study

Autoři

SAIBERTOVÁ, Simona ; Vendula BOLECHOVÁ a Andrea POKORNÁ

Vydání

Kontakt : Journal of Nursing and Social Sciences related to Health and Illness, České Budějovice, Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, 2025, 1212-4117

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30307 Nursing

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 0.500 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00141015

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Intubation; Mechanical ventilation; Post-extubation dysphagia

Štítky

14110611, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 14. 4. 2025 11:00, Mgr. Tereza Miškechová

Anotace

V originále

Purpose: Dysphagia may occur in all critically ill patients, and large-scale clinical data show that post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. The study aimed to determine how dysphagia is diagnosed after extubation, and what factors influence the incidence of dysphagia after invasive airway support in selected ICUs. Methods: A prospective observational study was conducted for five months (07/2023 to 11/ 2023), in the acute ICU and long-term ICU of the Teaching hospital in the Czech Republic. Results: Of the 101 extubated patients in the study, only 27.7% (n = 28) were examined by a physician, and PED was confirmed in 26.7% (n = 27), representing 99% of all extubated patients. Age, gender, and ICU type were not significantly related to PED occurrence. However, the type of airway management (p < 0.001), duration of mechanical ventilation (p = 0.017), and main diagnosis (p < 0.001) were significantly associated with PED occurrence. Conclusion: The study confirmed the underdiagnosis of PED in ICU patients post-extubation. Higher PED incidence was linked to tracheostomy + endotracheal cannula use, mechanical ventilation longer than 9 days, and neurological diagnoses. Training health professionals to identify PED symptoms is essential to establish uniform procedures for diagnosing and preventing PED-related complications.

Citovat

SAIBERTOVÁ, Simona; Vendula BOLECHOVÁ a Andrea POKORNÁ. Post-extubation dysphagia in intensive care - a prospective observational study. Kontakt : Journal of Nursing and Social Sciences related to Health and Illness. České Budějovice: Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, 2025, roč. 27, č. 1, s. 23-27. ISSN 1212-4117. Dostupné z: https://doi.org/10.32725/kont.2025.006.

@article{2491043,
   author = {Saibertová, Simona and Bolechová, Vendula and POKORNÁ, Andrea},
   article_location = {České Budějovice},
   article_number = {1},
   doi = {https://doi.org/10.32725/kont.2025.006},
   keywords = {Intubation; Mechanical ventilation; Post-extubation dysphagia},
   language = {eng},
   issn = {1212-4117},
   journal = {Kontakt : Journal of Nursing and Social Sciences related to Health and Illness},
   title = {Post-extubation dysphagia in intensive care - a prospective observational study},
   url = {https://kont.zsf.jcu.cz/artkey/knt-202501-0005_post-extubation-dysphagia-in-intensive-care-a-prospective-observational-study.php},
   volume = {27},
   year = {2025}
}

TY  - JOUR
ID  - 2491043
AU  - Saibertová, Simona - Bolechová, Vendula - POKORNÁ, Andrea
PY  - 2025
TI  - Post-extubation dysphagia in intensive care - a prospective observational study
JF  - Kontakt : Journal of Nursing and Social Sciences related to Health and Illness
VL  - 27
IS  - 1
SP  - 23-27
EP  - 23-27
PB  - Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta
SN  - 12124117
KW  - Intubation
KW  - Mechanical ventilation
KW  - Post-extubation dysphagia
UR  - https://kont.zsf.jcu.cz/artkey/knt-202501-0005_post-extubation-dysphagia-in-intensive-care-a-prospective-observational-study.php
N2  - Purpose: Dysphagia may occur in all critically ill patients, and large-scale clinical data show that post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. The study aimed to determine how dysphagia is diagnosed after extubation, and what factors influence the incidence of dysphagia after invasive airway support in selected ICUs. Methods: A prospective observational study was conducted for five months (07/2023 to 11/ 2023), in the acute ICU and long-term ICU of the Teaching hospital in the Czech Republic. Results: Of the 101 extubated patients in the study, only 27.7% (n = 28) were examined by a physician, and PED was confirmed in 26.7% (n = 27), representing 99% of all extubated patients. Age, gender, and ICU type were not significantly related to PED occurrence. However, the type of airway management (p < 0.001), duration of mechanical ventilation (p = 0.017), and main diagnosis (p < 0.001) were significantly associated with PED occurrence. Conclusion: The study confirmed the underdiagnosis of PED in ICU patients post-extubation. Higher PED incidence was linked to tracheostomy + endotracheal cannula use, mechanical ventilation longer than 9 days, and neurological diagnoses. Training health professionals to identify PED symptoms is essential to establish uniform procedures for diagnosing and preventing PED-related complications.
ER  -

SAIBERTOVÁ, Simona; Vendula BOLECHOVÁ a Andrea POKORNÁ. Post-extubation dysphagia in intensive care - a prospective observational study. \textit{Kontakt : Journal of Nursing and Social Sciences related to Health and Illness}. České Budějovice: Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, 2025, roč.~27, č.~1, s.~23-27. ISSN~1212-4117. Dostupné z: https://doi.org/10.32725/kont.2025.006.

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