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• W3033224613 abstract "Background Dysphagia is common and independently predicts death in ICU patients. Risk factors for dysphagia are largely unknown, with sparse data available from mostly small cohorts without systematic dysphagia screening. Research Question What are the key risk factors for dysphagia in ICU patients after invasive mechanical ventilation? Study Design and Methods Post hoc analysis of data from a monocentric prospective observational study (Dysphagia in Mechanically Ventilated ICU Patients [DYnAMICS]) using comprehensive statistical models to identify potential risk factors for postextubation dysphagia. A total of 933 primary admissions of adult medical-surgical ICU patients (median age, 65 years; interquartile range, 54-73; 666 [71%] men) were investigated in a tertiary care academic center. Patients received systematic bedside screening for dysphagia within 3 h postextubation. Dysphagia screening positivity (n = 116) was followed within 24 h by a confirmatory examination. Results After adjustment for confounders, baseline neurologic disease (OR, 4.45; 95% CI, 2.74-7.24; P  Interpretation In ICU patients, baseline neurologic disease, emergency admission, and duration of invasive mechanical ventilation appeared as prominent independent risk factors for dysphagia. Because all ICU patients after mechanical ventilation should be considered at risk for dysphagia, systematic screening for dysphagia is recommended in respective critically ill patients. Trial Registry ClinicalTrials.gov ; No.: NCT02333201; URL: www.clinicaltrials.gov clinicaltrials.gov" @default.
• W3033224613 created "2020-06-12" @default.
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• W3033224613 date "2020-11-01" @default.
• W3033224613 modified "2023-09-27" @default.
• W3033224613 title "Risk Factors for Dysphagia in ICU Patients After Invasive Mechanical Ventilation" @default.
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• W3033224613 doi "https://doi.org/10.1016/j.chest.2020.05.576" @default.
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