Nurse-performed screening for postextubation dysphagia: a retrospective cohort study in critically ill medical patients
Identifieur interne : 000658 ( Main/Exploration ); précédent : 000657; suivant : 000659Nurse-performed screening for postextubation dysphagia: a retrospective cohort study in critically ill medical patients
Auteurs : Kay Choong See [Singapour] ; Si Yu Peng [Singapour] ; Jason Phua [Singapour] ; Chew Lai Sum [Singapour] ; Johncy Concepcion [Singapour]Source :
- Critical Care [ 1364-8535 ] ; 2016.
Abstract
Swallowing difficulties are common, and dysphagia occurs frequently in intensive care unit (ICU) patients after extubation. Yet, no guidelines on postextubation swallowing assessment exist. We aimed to investigate the safety and effectiveness of nurse-performed screening (NPS) for postextubation dysphagia in the medical ICU.
We conducted a retrospective cohort study of mechanically ventilated patients who were extubated in a 20-bed medical ICU. Phase I (no NPS, October 2012 to January 2014) and phase II (NPS, February 2014 to July 2015) were compared. In phase II, extubated patients received NPS up to three times on consecutive days; patients who failed were referred to speech-language pathologists. Outcomes analyzed included oral feeding at ICU discharge, reintubation, ICU readmission, postextubation pneumonia, ICU and/or hospital mortality, and ICU and/or hospital length of stay (LOS). Subgroup analysis was done for patients extubated after >72 h of mechanical ventilation, as the latter may predispose patients to postextubation dysphagia. Multivariable adjustments for Acute Physiology and Chronic Health Evaluation (APACHE) II score and comorbidities were done because of baseline differences between the phases.
A total of 468 patients were studied (281 in phase I, 187 in phase II). Patients in phase II had higher APACHE II scores than those in phase I (27.2 ± 8.2 vs. 25.4 ± 8.2;
NPS for dysphagia is safe and may be superior to no screening with respect to several patient-centered outcomes.
The online version of this article (doi:10.1186/s13054-016-1507-y) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s13054-016-1507-y
PubMed: 27733188
PubMed Central: 5062851
Affiliations:
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type="wicri:Area/Main/Exploration">000658</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Nurse-performed screening for postextubation dysphagia: a retrospective cohort study in critically ill medical patients</title><author><name sortKey="See, Kay Choong" sort="See, Kay Choong" uniqKey="See K" first="Kay Choong" last="See">Kay Choong See</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Respiratory & Critical Care Medicine, University Medicine Cluster, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore, 119228 Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Division of Respiratory & Critical Care Medicine, University Medicine Cluster, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Yong Loo Lin School of Medicine, National University of Singapore, Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Peng, Si Yu" sort="Peng, Si Yu" uniqKey="Peng S" first="Si Yu" last="Peng">Si Yu Peng</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Yong Loo Lin School of Medicine, National University of Singapore, Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Phua, Jason" sort="Phua, Jason" uniqKey="Phua J" first="Jason" last="Phua">Jason Phua</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Respiratory & Critical Care Medicine, University Medicine Cluster, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore, 119228 Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Division of Respiratory & Critical Care Medicine, University Medicine Cluster, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Yong Loo Lin School of Medicine, National University of Singapore, Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Sum, Chew Lai" sort="Sum, Chew Lai" uniqKey="Sum C" first="Chew Lai" last="Sum">Chew Lai Sum</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Nursing, National University Hospital, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Nursing, National University Hospital, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author><author><name sortKey="Concepcion, Johncy" sort="Concepcion, Johncy" uniqKey="Concepcion J" first="Johncy" last="Concepcion">Johncy Concepcion</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Rehabilitation, National University Hospital, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Rehabilitation, National University Hospital, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author></analytic><series><title level="j">Critical Care</title><idno type="ISSN">1364-8535</idno><idno type="eISSN">1466-609X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Swallowing difficulties are common, and dysphagia occurs frequently in intensive care unit (ICU) patients after extubation. Yet, no guidelines on postextubation swallowing assessment exist. We aimed to investigate the safety and effectiveness of nurse-performed screening (NPS) for postextubation dysphagia in the medical ICU.</p></sec><sec><title>Methods</title><p>We conducted a retrospective cohort study of mechanically ventilated patients who were extubated in a 20-bed medical ICU. Phase I (no NPS, October 2012 to January 2014) and phase II (NPS, February 2014 to July 2015) were compared. In phase II, extubated patients received NPS up to three times on consecutive days; patients who failed were referred to speech-language pathologists. Outcomes analyzed included oral feeding at ICU discharge, reintubation, ICU readmission, postextubation pneumonia, ICU and/or hospital mortality, and ICU and/or hospital length of stay (LOS). Subgroup analysis was done for patients extubated after >72 h of mechanical ventilation, as the latter may predispose patients to postextubation dysphagia. Multivariable adjustments for Acute Physiology and Chronic Health Evaluation (APACHE) II score and comorbidities were done because of baseline differences between the phases.</p></sec><sec><title>Results</title><p>A total of 468 patients were studied (281 in phase I, 187 in phase II). Patients in phase II had higher APACHE II scores than those in phase I (27.2 ± 8.2 vs. 25.4 ± 8.2; <italic>P</italic> = 0.018). Despite this, patients in phase II showed a 111 % increase in (the odds of) oral feeding at ICU discharge and a 59 % decrease in postextubation pneumonia (multivariate <italic>P</italic> values 0.001 and 0.006, respectively). In the subgroup analysis, NPS was associated with a 127 % increase in oral feeding at ICU discharge, an 80 % decrease in postextubation pneumonia, and a 25 % decrease in hospital LOS (multivariate <italic>P</italic> values 0.021, 0.004, and 0.009, respectively). No other outcome differences were found.</p></sec><sec><title>Conclusions</title><p>NPS for dysphagia is safe and may be superior to no screening with respect to several patient-centered outcomes.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s13054-016-1507-y) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Skoretz, Sa" uniqKey="Skoretz S">SA Skoretz</name></author><author><name sortKey="Flowers, Hl" uniqKey="Flowers H">HL Flowers</name></author><author><name sortKey="Martino, R" uniqKey="Martino R">R Martino</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Colice, Gl" uniqKey="Colice G">GL Colice</name></author><author><name sortKey="Stukel, Ta" uniqKey="Stukel T">TA Stukel</name></author><author><name sortKey="Dain, B" uniqKey="Dain B">B Dain</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Mj" uniqKey="Kim M">MJ Kim</name></author><author><name sortKey="Park, Yh" uniqKey="Park Y">YH Park</name></author><author><name sortKey="Park, Ys" uniqKey="Park Y">YS Park</name></author><author><name sortKey="Song, Yh" uniqKey="Song Y">YH Song</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kwok, Am" uniqKey="Kwok A">AM Kwok</name></author><author><name sortKey="Davis, Jw" uniqKey="Davis J">JW Davis</name></author><author><name sortKey="Cagle, Km" uniqKey="Cagle K">KM Cagle</name></author><author><name sortKey="Sue, Lp" uniqKey="Sue L">LP Sue</name></author><author><name sortKey="Kaups, Kl" uniqKey="Kaups K">KL Kaups</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Macht, M" uniqKey="Macht M">M Macht</name></author><author><name sortKey="Wimbish, T" uniqKey="Wimbish T">T Wimbish</name></author><author><name sortKey="Bodine, C" uniqKey="Bodine C">C Bodine</name></author><author><name sortKey="Moss, M" uniqKey="Moss M">M Moss</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Barker, J" uniqKey="Barker J">J Barker</name></author><author><name sortKey="Martino, R" uniqKey="Martino R">R Martino</name></author><author><name sortKey="Reichardt, B" uniqKey="Reichardt B">B Reichardt</name></author><author><name sortKey="Hickey, Ej" uniqKey="Hickey E">EJ Hickey</name></author><author><name sortKey="Ralph Edwards, A" uniqKey="Ralph Edwards A">A Ralph-Edwards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lieu, Pk" uniqKey="Lieu P">PK Lieu</name></author><author><name sortKey="Chong, Ms" uniqKey="Chong M">MS Chong</name></author><author><name sortKey="Seshadri, R" uniqKey="Seshadri R">R Seshadri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Solh, A" uniqKey="El Solh A">A El Solh</name></author><author><name sortKey="Okada, M" uniqKey="Okada M">M Okada</name></author><author><name sortKey="Bhat, A" uniqKey="Bhat A">A Bhat</name></author><author><name sortKey="Pietrantoni, C" uniqKey="Pietrantoni C">C Pietrantoni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brodsky, Mb" uniqKey="Brodsky M">MB Brodsky</name></author><author><name sortKey="Gonzalez Fernandez, M" uniqKey="Gonzalez Fernandez M">M Gonzalez-Fernandez</name></author><author><name sortKey="Mendez Tellez, Pa" uniqKey="Mendez Tellez P">PA Mendez-Tellez</name></author><author><name sortKey="Shanholtz, C" uniqKey="Shanholtz C">C Shanholtz</name></author><author><name sortKey="Palmer, Jb" uniqKey="Palmer J">JB Palmer</name></author><author><name sortKey="Needham, Dm" uniqKey="Needham D">DM Needham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Batty, S" uniqKey="Batty S">S Batty</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Massey, R" uniqKey="Massey R">R Massey</name></author><author><name sortKey="Jedlicka, D" uniqKey="Jedlicka D">D Jedlicka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leder, Sb" uniqKey="Leder S">SB Leder</name></author><author><name sortKey="Suiter, Dm" uniqKey="Suiter D">DM Suiter</name></author><author><name sortKey="Warner, Hl" uniqKey="Warner H">HL Warner</name></author><author><name sortKey="Acton, Lm" uniqKey="Acton L">LM Acton</name></author><author><name sortKey="Siegel, Md" uniqKey="Siegel M">MD Siegel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suiter, Dm" uniqKey="Suiter D">DM Suiter</name></author><author><name sortKey="Leder, Sb" uniqKey="Leder S">SB Leder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martino, R" uniqKey="Martino R">R Martino</name></author><author><name sortKey="Silver, F" uniqKey="Silver F">F Silver</name></author><author><name sortKey="Teasell, R" uniqKey="Teasell R">R Teasell</name></author><author><name sortKey="Bayley, M" uniqKey="Bayley M">M Bayley</name></author><author><name sortKey="Nicholson, G" uniqKey="Nicholson G">G Nicholson</name></author><author><name sortKey="Streiner, Dl" uniqKey="Streiner D">DL Streiner</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Donovan, Nj" uniqKey="Donovan N">NJ Donovan</name></author><author><name sortKey="Daniels, Sk" uniqKey="Daniels S">SK Daniels</name></author><author><name sortKey="Edmiaston, J" uniqKey="Edmiaston J">J Edmiaston</name></author><author><name sortKey="Weinhardt, J" uniqKey="Weinhardt J">J Weinhardt</name></author><author><name sortKey="Summers, D" uniqKey="Summers D">D Summers</name></author><author><name sortKey="Mitchell, Ph" uniqKey="Mitchell P">PH Mitchell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bordon, A" uniqKey="Bordon A">A Bordon</name></author><author><name sortKey="Bokhari, R" uniqKey="Bokhari R">R Bokhari</name></author><author><name sortKey="Sperry, J" uniqKey="Sperry J">J Sperry</name></author><author><name sortKey="Testa, D" uniqKey="Testa D">D Testa</name></author><author><name sortKey="Feinstein, A" uniqKey="Feinstein A">A Feinstein</name></author><author><name sortKey="Ghaemmaghami, V" uniqKey="Ghaemmaghami V">V Ghaemmaghami</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Skoretz, Sa" uniqKey="Skoretz S">SA Skoretz</name></author><author><name sortKey="Yau, Tm" uniqKey="Yau T">TM Yau</name></author><author><name sortKey="Ivanov, J" uniqKey="Ivanov J">J Ivanov</name></author><author><name sortKey="Granton, Jt" uniqKey="Granton J">JT Granton</name></author><author><name sortKey="Martino, R" uniqKey="Martino R">R Martino</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barquist, E" uniqKey="Barquist E">E Barquist</name></author><author><name sortKey="Brown, M" uniqKey="Brown M">M Brown</name></author><author><name sortKey="Cohn, S" uniqKey="Cohn S">S Cohn</name></author><author><name sortKey="Lundy, D" uniqKey="Lundy D">D Lundy</name></author><author><name sortKey="Jackowski, J" uniqKey="Jackowski J">J Jackowski</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Scheel, R" uniqKey="Scheel R">R Scheel</name></author><author><name sortKey="Pisegna, Jm" uniqKey="Pisegna J">JM Pisegna</name></author><author><name sortKey="Mcnally, E" uniqKey="Mcnally E">E McNally</name></author><author><name sortKey="Noordzij, Jp" uniqKey="Noordzij J">JP Noordzij</name></author><author><name sortKey="Langmore, Se" uniqKey="Langmore S">SE Langmore</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daly, E" uniqKey="Daly E">E Daly</name></author><author><name sortKey="Miles, A" uniqKey="Miles A">A Miles</name></author><author><name sortKey="Scott, S" uniqKey="Scott S">S Scott</name></author><author><name sortKey="Gillham, M" uniqKey="Gillham M">M Gillham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chaboyer, W" uniqKey="Chaboyer W">W Chaboyer</name></author><author><name sortKey="Gillespie, B" uniqKey="Gillespie B">B Gillespie</name></author><author><name sortKey="Foster, M" uniqKey="Foster M">M Foster</name></author><author><name sortKey="Kendall, M" uniqKey="Kendall M">M Kendall</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Singapour</li></country><orgName><li>Université nationale de Singapour</li></orgName></list><tree><country name="Singapour"><noRegion><name sortKey="See, Kay Choong" sort="See, Kay Choong" uniqKey="See K" first="Kay Choong" last="See">Kay Choong See</name></noRegion><name sortKey="Concepcion, Johncy" sort="Concepcion, Johncy" uniqKey="Concepcion J" first="Johncy" last="Concepcion">Johncy Concepcion</name><name sortKey="Peng, Si Yu" sort="Peng, Si Yu" uniqKey="Peng S" first="Si Yu" last="Peng">Si Yu Peng</name><name sortKey="Phua, Jason" sort="Phua, Jason" uniqKey="Phua J" first="Jason" last="Phua">Jason Phua</name><name sortKey="Phua, Jason" sort="Phua, Jason" uniqKey="Phua J" first="Jason" last="Phua">Jason Phua</name><name sortKey="See, Kay Choong" sort="See, Kay Choong" uniqKey="See K" first="Kay Choong" last="See">Kay Choong See</name><name sortKey="Sum, Chew Lai" sort="Sum, Chew Lai" uniqKey="Sum C" first="Chew Lai" last="Sum">Chew Lai Sum</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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