Long-term Persistence of Dysphagia after critical illness

Health & Medicine


Photo Credit: Freepick

The Following is a summary of “A Systematic Review of the Prevalence and Characteristics of Oropharyngeal Dysphagia In critical Ill Ill Patients During the Acute and Postacute Recovery Phase,” Published in the March 2025 Issue of Critical Care Medicine By Owner’s et al.


Researchers Drived the Retrospective Study to Determine the Prevalence and Characteristics of Oropharyngeal Dysphagia in Adults with Critical Illness During Acute and Postacute Care Settings.

They Registered on Prospero and Followed the Preferred Reporting items for Systematic Reviews and Meta-Aalyses Guidelines. Searches Were Drived Across 5 Databases (PubMed, Scopus, Cochrane Library, Cinahl, and Burning) from Inception to Septammber 2024, Using Terms Related to Dysphagia, Deglution Disorders, Swallowing Disorders, Sepsis, PostintendentSive Care Syndrome, COVID-19, and Critical Illness, 2 Raters Independently Screened Studies Based on 4 Criteria: Adults Over 18 Years, Diagnosis of Covid-19, Sepsis, Critical Illness, Or Postintensive Care Syndrome with Dysphagia, Completion of A Clinical Swallow Evaluation, and Presence Infoial Acute or Postacute Care Settings. The Research Evidence Levels, and Bias Was Assessed Using the Oxford Center for Evidence-Based Medicine Levels of Evidence and the Modified Downs and Black Checklist. Extraced Data Included Demographics, Study Design, Dysphagia Assessment Methods, Outcomes, and Comorbidities.

The Results Showed That After Removing Duplicates, 5,058 Articles Were Identified, and 4,844 WERE EXCLUDED Based on Title and Abstract Screening. The Full-Text Review was conducted for 214 articles, of Which 51 Met the Inclusion Criteria. The prevalence of dysphagia ranged from 15% to 100%. Dysphagia Persisted in up to 74% of individuals at hospital discharge and remained in up to 22% of individuals Between 10 to 17 months posthospital discharge.

Investigators Concluded That While Firm Conclusion Could Not Be Draw to Study Design Limitations, High Risk of Bias, and Heterogeneity, Current Data Suggested a High Prevalence of Dysisting Beyond 12 Months Post-Discarge in Adults with Critical Illness.

Source: journals.lww.com/ccmjournal/abstract/9900/a_systematic_review_of_the_prevalence_and.497.aspx



Source link

Leave a Reply

Your email address will not be published. Required fields are marked *