Frequency and Outcomes of Post- Extubation Dysphagia among Critically Ill Patients

Abdelsalam Seloma, Yousria; Shaban Attia, Ahmed; Badway Khalaf, Abeer; Mahfouz Shaker, Noura

doi:10.21608/ejhc.2024.388887

Frequency and Outcomes of Post- Extubation Dysphagia among Critically Ill Patients

Document Type : Original Article

Authors

¹ Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing / Cairo University/ October 6 University

² Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Helwan University

³ Lecturer of Critical Care and Emergency Nursing, Medical Surgical Department Faculty of Nursing /Beni-Suef University.

10.21608/ejhc.2024.388887

Abstract

Background: Post-Extubation Dysphagia (PED) is a prevalent condition among critically ill patients in intensive care units (ICUs) and is linked to a higher risk of complications and mortality in these individuals. Aim: Investigate the frequency and outcomes of post-extubation dysphagia among critically ill patients. Research questions: What is the frequency of post- extubation dysphagia among a selected sample of critically ill patients? What are the outcomes of post-extubation dysphagia among a selected sample of critically ill patients? Design: A descriptive exploratory research design, Subjects: Purposive sample of 80 critically ill patients constituted the study sample. Setting: The study was carried out at Medical and Surgical Intensive Care Units (ICU) affiliated to one University Hospital at Beni-Suef Governorate. Tools: three tools were utilized; Tool I - Patients’ demographic and medical data sheet, Tool II: Yale Swallow protocol and Tool III: Patients’ outcome. Results: 47.5% of the studied patients’ age ranged from 45 to 65 years and 67.5% of them were males. 20% of them developed post-extubation dysphagia, 75 % of patients who have dysphagia developed malnutrition, and 62.5 of them developed pneumonia. Conclusion: The presence of dysphagia associated with poor outcomes, including a malnutrition, pneumonia and a longer ICU stay. Recommendation: Implement and evaluate early rehabilitation interventions, such as swallowing therapy and speech therapy, to assess their effectiveness in reducing dysphagia complications.

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