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

被引：47

作者：

Brodsky, Martin B. ^{[1
,2
]}

Nollet, Joeke L. ^{[3
]}

Spronk, Peter E. ^{[4
]}

Gonzalez-Fernandez, Marlis ^{[1
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Phys Med & Rehabil, 600 N Wolfe St,Phipps 174, Baltimore, MD 21287 USA

[2] Johns Hopkins Univ, Sch Med, Outcomes Crit Illness & Surg Res Grp, Baltimore, MD USA

[3] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, Dept Intens Care Med, Nijmegen, Netherlands

[4] Gelre Hosp, Expertise Ctr Intens Care Rehabil Apeldoorn ExpIR, Dept Intens Care Med, Apeldoorn, Netherlands

来源：

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION | 2020年 / 99卷 / 12期

关键词：

Dysphagia; Deglutition; ICU; Critical Care; Intubation; Screening; Assessment; Treatment; Review; FIBEROPTIC ENDOSCOPIC EVALUATION; PROLONGED ENDOTRACHEAL INTUBATION; POSTEXTUBATION DYSPHAGIA; OROPHARYNGEAL DYSPHAGIA; RISK-FACTORS; SWALLOWING DYSFUNCTION; SOMATOSENSORY DISTURBANCE; LARYNGEAL COMPLICATIONS; OROTRACHEAL INTUBATION; CARDIAC OPERATIONS;

D O I：

10.1097/PHM.0000000000001440

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

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.

引用

页码：1164 / 1170

页数：7

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