Dysphagia characteristics at FEES examination in post-extubation patients with COVID-19.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY Acta Otorhinolaryngologica Italica Pub Date : 2024-06-01 DOI:10.14639/0392-100X-N2816

Francesco Mozzanica, Nicole Pizzorni, Sibora Rama, Marco Gitto, Dejan Radovanovic, Pierachille Santus, Antonio Schindler

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引用次数: 0

Abstract

Objective: The aims of this study was to analyse fibreoptic endoscopic evaluation of swallowing (FEES) findings in tube-fed patients with coronavirus disease 2019 (COVID-19).

Methods: Seventeen patients who had been intubated during intensive care unit (ICU) stay were enrolled. Pooling of secretions, dysphagia phenotype, penetration/aspiration and residue after swallow were assessed through FEES. The Functional Oral Intake Scale (FOIS) scores were also collected. Patients with significant swallowing impairment were evaluated again after 2 weeks.

Results: All patients were tube-fed at enrollment. According to the FEES results, 7 started total oral feeding with at least one consistency. The more common dysphagia phenotypes were propulsive deficit and delayed pharyngeal phase. Pooling of secretions, penetration/aspiration, and residue after swallow were frequently documented. A significant improvement in FOIS scores was found during the second FEES examination.

Conclusions: Swallowing impairment in patients with severe COVID-19 after discharge from the ICU is characterised by propulsive deficit and delayed pharyngeal phase. Most of these patients required feeding restrictions even if feeding abilities seem to improve over time.

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COVID-19 患者拔管后进行 FEES 检查时的吞咽困难特征。

研究目的本研究旨在分析2019年冠状病毒病（COVID-19）插管患者的纤维内窥镜吞咽评估（FEES）结果：方法：选取17名在重症监护室（ICU）住院期间插管的患者作为研究对象。通过 FEES 对分泌物汇集、吞咽困难表型、渗透/吸入和吞咽后残留物进行评估。同时还收集了功能性口腔摄入量表（FOIS）的评分。吞咽功能明显受损的患者在两周后再次接受评估：结果：所有患者在入院时都进行了管饲。根据 FEES 的结果，有 7 名患者开始用至少一种稠度进行全口喂养。较常见的吞咽困难表现为推进障碍和咽相延迟。吞咽后经常出现分泌物积聚、渗透/吸入和残留。在第二次FEES检查中，FOIS评分有了明显改善：结论：从重症监护室出院后，重度 COVID-19 患者的吞咽功能障碍表现为推进障碍和咽阶段延迟。这些患者中的大多数都需要限制进食，即使进食能力随着时间的推移似乎有所改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.