Prevalence, Pathophysiology, Diagnostic Modalities, and Treatment Options for Dysphagia in Critically Ill Patients

Martin B. Brodsky, Joeke L. Nollet, Peter E. Spronk, Marlís González-Fernández

Research output: Contribution to journalReview articlepeer-review

Abstract

Postextubation dysphagia may impose a substantial burden on intensive care unit patients and healthcare systems. Approximately 517,000 patients survive mechanical ventilation during critical care annually. Reports of postextubation dysphagia prevalence are highly variable ranging between 3% and 93%. Of great concern is aspiration leading to the development of aspiration pneumonia when patients resume oral feeding. Screening for aspiration with a water swallow test has been reported to be positive for 12% of patients in the intensive care unit after extubation. This review aims to increase awareness of postextubation dysphagia and provide an updated overview of the current knowledge regarding prevalence, pathophysiology, diagnostic modalities, and treatment options.

Original languageEnglish (US)
Pages (from-to)1164-1170
Number of pages7
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume99
Issue number12
DOIs
StatePublished - Dec 2020

Keywords

  • Assessment
  • Critical Care
  • Deglutition
  • Dysphagia
  • ICU
  • Intubation
  • Review
  • Screening
  • Treatment

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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