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Prevalence and evaluation of oropharyngeal dysphagia in patients with severe acute respiratory syndrome coronavirus 2 infection in the intensive care unit

Part of: JLO Coronavirus Collection

Published online by Cambridge University Press:  10 January 2022

R Mallart Open the ORCID record for R Mallart [Opens in a new window] ,
C Rossignol ,
J B Poppe ,
G Prum ,
F Tamion ,
B Veber  and
E Verin
R Mallart
Affiliation:
Pôle 3R (Rééducation, Réadaptation Réinsertion), Rouen University Hospital, Rouen, France
C Rossignol
Affiliation:
Pôle 3R (Rééducation, Réadaptation Réinsertion), Rouen University Hospital, Rouen, France
J B Poppe
Affiliation:
Pôle 3R (Rééducation, Réadaptation Réinsertion), Rouen University Hospital, Rouen, France
G Prum
Affiliation:
Pôle 3R (Rééducation, Réadaptation Réinsertion), Rouen University Hospital, Rouen, France
F Tamion
Affiliation:
Medical Resuscitation Service, Normandy University (UNIROUEN), Rouen University Hospital, Rouen, France
B Veber
Affiliation:
Department of Anesthesiology and Intensive Care, Rouen University Hospital, Rouen, France
E Verin*
Affiliation:
Pôle 3R (Rééducation, Réadaptation Réinsertion), Rouen University Hospital, Rouen, France EA3830 – Research Group on Ventilatory Handicap (GRHV), Normandy University (UNIROUEN), Rouen, France
*
Author for correspondence: Prof Eric Verin, Pôle 3R, CHU de Rouen, 1 rue de Germont, 76031 Cedex, Rouen, France E-mail: eric.verin@univ-rouen.fr
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Abstract

Objective

The main objective was to assess the prevalence of dysphagia in the intensive care unit in patients with coronavirus disease 2019.

Methods. A cohort, observational, retrospective study was conducted of patients admitted to the intensive care unit for severe acute respiratory syndrome coronavirus 2 pneumonia at the University Hospital of Rouen in France.

Results

Over 4 months, 58 patients were intubated and ventilated, 43 of whom were evaluated. Screening revealed post-extubation dysphagia in 62.7 per cent of patients. In univariate analysis, a significant association was found between the presence of dysphagia and: the severity of the initial pathology, the duration of intubation, the duration of curare use, the degree of muscle weakness and the severity indicated on the initial scan. At the end of intensive care unit treatment, 22 per cent of the dysphagic patients had a normal diet, 56 per cent had an adapted diet and 22 per cent still received exclusive tube feeding.

Conclusion

Post-extubation dysphagia is frequent and needs to be investigated.

Keywords

DysphagiaIntensive Care UnitsSARS-CoV-2Post-Extubation DysphagiaPrevalence
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 7 , July 2022 , pp. 649 - 653
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Prof E Verin takes responsibility for the integrity of the content of the paper

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