Risk Factors for Postextubation Dysphagia: A Systematic Review and Meta-analysis.
Postextubation dysphagia
critically ill patient
intensive care
intubation
mechanical ventilation
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
revised:
23
11
2020
received:
31
08
2020
accepted:
25
11
2020
pubmed:
16
12
2020
medline:
19
2
2022
entrez:
15
12
2020
Statut:
ppublish
Résumé
To identify, describe, and where possible meaningfully synthesize the reported risk factors for postextubation dysphagia (PED) in critically ill patients. Systematic review and meta-analysis. A systematic search of peer-reviewed and grey literature was conducted in common scientific databases to identify previously evaluated risk factors of PED. Data extraction and risk of bias assessment used a double-blind approach. Random effects models were used for the meta-analyses. Meta-analyses were conducted where sufficient study numbers allowed after accounting for statistical and clinical heterogeneity. Twenty-five studies were included, which investigated a total of 150 potential risk factors. Of these, 63 risk factors were previously identified by at least one study each as significantly increasing the risk of PED. After accounting for clinical and statistical heterogeneity, only two risk factors were suitable for meta-analysis, gender, and duration of intubation. In separate meta-analyses, neither gender (RR 1.00 [0.71, 1.43], I A large number of risk factors for PED have been reported in the literature. However, significant variability in swallowing assessment methods, patient populations, timing of assessment, and duration of intubation prevented meaningful meta-analyses for the majority of these risk factors. Where meta-analysis was possible, gender and duration of intubation were not identified as risk factors for PED. We discuss future directions in clinical and research contexts. Laryngoscope, 132:364-374, 2022.
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
364-374Informations de copyright
© 2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA).
Références
Brown CA, Walls RM, Grayzel J. The decision to intubate. 2019. Retrieved from https://www.uptodate.com. Accessed on 9 December 2019.
Szmuk P, Ezri T, Evron S, Roth Y, Katz J. A brief history of tracheostomy and tracheal intubation, from the bronze age to the space age. Intensive Care Med 2008;34:222-228.
Brodsky MB, Levy MJ, Jedlanek E, et al. Laryngeal injury and upper airway symptoms after Oral endotracheal intubation with mechanical ventilation during critical care: a systematic review. Critical Care Med 2018;46:2010-2017.
Macht M, Wimbish T, Bodine C, Moss M. ICU-acquired swallowing disorders. Crit Care Med 2013;41:2396-2405.
Tikka T, Hilmi OJ. Upper airway tract complications of endotracheal intubation. Br J Hosp Med 2019;80:441-447.
Mc Intyre M, Doeltgen S, Dalton N, Koppa M, Chimunda T. Post Extubation dysphagia incidence in critically ill patients: a systematic review and meta-analysis. Aust Crit Care 2020. https://doi.org/10.1016/j.aucc.2020.05.008.
Macht M, Wimbish T, Clark BJ, et al. Postextubation dysphagia is persistent and associated with poor outcomes in survivors of critical illness. Crit Care 2011;15:R231.
Omura K, Komine A, Yanagigawa M, Chiba N, Osada M. Frequency and outcome of post-extubation dysphagia using nurse-performed swallowing screening protocol. Nurs Crit Care 2019;24:70-75.
Schefold JC, Berger D, Zürcher P, et al. Dysphagia in mechanically ventilated ICU patients (DYnAMICS): a prospective observational trial. Crit Care Med 2017;45:2061-2069.
Zuercher P, Moret CS, Dziewas R, Schefold JC. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Critical Care 2019;23:103-114. https://doi.org/10.1186/s13054-019-2400-2.
Ajemian MS, Nirmul GB, Anderson MT, Zirlen DM, Kwasnik EM. Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation: implications for management. Arch Surg 2001;136:434-437.
El Solh A, Okada M, Bhat A, Pietrantoni C. Swallowing disorders post orotracheal intubation in the elderly. Intensive Care Med 2003;29:1451-1455.
Christensen M, Trapl M. Development of a modified swallowing screening tool to manage post-extubation dysphagia. Nurs Crit Care 2018;23:102-107.
Johnson KL, Speirs L, Mitchell A, et al. Validation of a Postextubation dysphagia screening tool for patients after prolonged endotracheal intubation. Am J Crit Care 2018;27:89-96.
Leder SB, Warner HL, Suiter DM, et al. Evaluation of swallow function post-Extubation: is it necessary to wait 24 hours? Ann Otol, Rhinol Laryngology 2019;128:619-624.
See KC, Peng SY, Phua J, Sum CL, Concepcion J. Nurse-performed screening for postextubation dysphagia: a retrospective cohort study in critically ill medical patients. Crit Care 2016;20:326.
Marvin S, Thibeault S, Ehlenbach WJ. Post-extubation dysphagia: does timing of evaluation matter? Dysphagia 2019;34:210-219.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009;151:264-269.
Joanna Briggs Institute. Critical appraisal checklist for cohort studies. 2017. Retrieved from https://wiki.jbi.global/display/MANUAL/Appendix+7.1++Critical+appraisal+checklist+for+cohort+studies.
Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetcu R, Currie M, Lisy K, Qureshi R, Mattis P, Mu P. Systematic reviews of etiology and risk. In: Munn Z Aromataris E, ed. JBI Manual for Evidence Synthesis. JBI; 2020. Chap. 7. https://doi.org/10.46658/JBIMES-20-01.
OCEBM Levels of Evidence Working Group. The Oxford 2011, Levels of Evidence 2011. Retrieved from http://www.cebm.net/index.aspx?o=5653.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 2003;327:557-560.
Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol 2005;5:13.
Ambika R, Datta B, Manjula B, Warawantkar UV, Thomas AM. Fiberoptic endoscopic evaluation of swallow (FEES) in intensive care unit patients post Extubation. Ind J Otolaryngol Head Neck Surg 2019;71:266-270.
Barker J, Martino R, Reichardt B, Hickey EJ, Ralph-Edwards A. Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery. Can J Surg 2009;52:119.
Brodsky MB, Gellar JE, Dinglas VD, et al. Duration of oral endotracheal intubation is associated with dysphagia symptoms in acute lung injury patients. J Crit Care 2014;29:574-579.
Brodsky MB, Huang M, Shanholtz C, et al. Recovery from dysphagia symptoms after oral endotracheal intubation in acute respiratory distress syndrome survivors. A 5-year longitudinal study. Ann Am Thorac Soc 2017;14:376-383.
Gee E, Lancaster E, Meltzer J, Mendelsohn AH, Benharash P. A targeted swallow screen for the detection of postoperative dysphagia. Am Surg 2015;81:979-982.
Kwok AM, Davis JW, Cagle KM, Sue LP, Kaups KL. Post-extubation dysphagia in trauma patients: it's hard to swallow. Am J Surg 2013;206:924-928.
Leaton MB, Azuelo M, Fochesto D, et al. Use of a 3-ounce water test to identify patients at risk for dysphagia after Extubation. Am J Crit Care 2014;23:32.
Leder SB, Cohn SM, Moller BA. Fiberoptic endoscopic documentation of the high incidence of aspiration following extubation in critically ill trauma patients. Dysphagia 1998;13:208-212.
Lynch YT, Clark BJ, Macht M, et al. The accuracy of the bedside swallowing evaluation for detecting aspiration in survivors of acute respiratory failure. J Crit Care 2017;39:143-148.
Medeiros GC, Sassi FC, Mangilli LD, Zilberstein B, Andrade CRFd. Clinical dysphagia risk predictors after prolonged orotracheal intubation. Clinics 2014;69:8-14.
Moss M, White SD, Warner H, et al. Development of an accurate bedside swallowing evaluation decision tree algorithm for detecting aspiration in acute respiratory failure survivors. Chest 2020;158:1923-1933.
Mukdad L, Toppen W, Nguyen S, et al. A targeted swallow screen for the detection of postoperative dysphagia in liver transplant patients. Prog Transplant 2019;29:4-10.
Nizolek K. Risk Factors for Dysphagia in Critically-Ill Patients with Prolonged Orotracheal Intubation: Study A. ProQuest Dissertations and Theses: : Columbia University; 2014.
Nizolek K. Risk Factors for Dysphagia in Critically-Ill Patients with Prolonged Orotracheal Intubation: Study B. ProQuest Dissertations and Theses: Columbia University; 2014.
Oliveira ACMd, Friche AAdL, Salomão MS, Bougo GC, Vicente LCC. Predictive factors for oropharyngeal dysphagia after prolonged orotracheal intubation. Braz J Otorhinolaryngol 2018;84:722-728.
Padovani AR, Moraes DP, Sassi FC, Andrade CRFd. Clinical swallowing assessment in intensive care unit. Paper presented at: CoDAS2013.
Park HS, Koo JH, Song SH. Association of Post-extubation Dysphagia with Tongue Weakness and Somatosensory Disturbance in non-neurologic critically ill patients. Ann Rehabil Med 2017;41:961-968.
Regala M, Marvin S, Ehlenbach WJ. Association between Postextubation dysphagia and long-term mortality among critically ill older adults. J Am Geriatr Soc 2019;67:1895-1901.
Scheel R, Pisegna JM, McNally E, Noordzij JP, Langmore SE. Endoscopic assessment of swallowing after prolonged intubation in the ICU setting. Ann Otol Rhinol Laryngology 2016;125:43-52.
Skoretz SA, Yau TM, Ivanov J, Granton JT, Martino R. Dysphagia and associated risk factors following extubation in cardiovascular surgical patients. Dysphagia 2014;29:647-654.
Takeuchi A, Taniguchi T, Ishii Y, et al. Association between length of intubation and development of dysphagia in critically ill patients. Crit Care Med 2011;39:159.
American Speech-Language-Hearing Association. Adult Dysphagia. Screening. Retrieved from https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589942550§ion=Assessment. Accessed on 14 July 2020.
Colton House J, Noordzij JP, Murgia B, Langmore S. Laryngeal injury from prolonged intubation: a prospective analysis of contributing factors. Laryngoscope 2011;121:596-600.
Bordon A, Bokhari R, Sperry J, Testa D IV, Feinstein A, Ghaemmaghami V. Swallowing dysfunction after prolonged intubation: analysis of risk factors in trauma patients. Am J Surg 2011;202:679-683.
Macht M, King CJ, Wimbish T, et al. Post-extubation dysphagia is associated with longer hospitalization in survivors of critical illness with neurologic impairment. Crit Care 2013;17:R119.
Zuercher P, Schenk NV, Moret C, Berger D, Abegglen R, Schefold JC. Risk factors for dysphagia in ICU patients following invasive mechanical ventilation. Chest 2020;158:1938-1991.
Shepherd S, Batra A, Lerner DP. Review of critical illness myopathy and neuropathy. Neurohospitalist 2017;7:41-48.