Current Opinion in Otolaryngology & Head & Neck Surgery,
Journal Year:
2022,
Volume and Issue:
unknown
Published: Aug. 4, 2022
Purpose
of
review
Dysphagia
and
dysphonia
are
common
presentations
both
acute
long
coronavirus
disease
2019
(COVID-19).
The
majority
peer-reviewed
publications
in
2020
early
2021
were
expert
guidance
consensus
statements
to
support
dysphagia
management
multidisciplinary
teams
while
protecting
clinicians
patients
from
the
severe
respiratory
syndrome
2
(SARS-CoV-2)
virus.
This
discusses
primary
data
published
2021–2022,
focusing
on
patient
presentations,
pathophysiology,
evidence
for
interventions.
Recent
findings
Clinicians
researchers
amassed
knowledge
cross-system
presentation
with
COVID-19,
requiring
ICU
stays
those
mild-to-moderate
presenting
outpatient
clinics.
Pre-COVID-19
health
status,
hospitalization
experience,
presence
neurological
symptoms,
impact
virus
upper
aerodigestive
system
need
consideration
management.
Long-term
manifested
COVID-19
require
otolaryngologist
speech-language
pathologist
input.
Summary
Changes
immunity
through
population
vaccination
variations
SARS-CoV-2
mutations
means
prevalence
challenging
interpret.
However,
there
is
no
doubt
long-term
our
complex
a
team
tailored
approach
each
required.
European Archives of Oto-Rhino-Laryngology,
Journal Year:
2021,
Volume and Issue:
279(1), P. 507 - 513
Published: Sept. 1, 2021
Patients
affected
by
COVID-19
are
assumed
to
be
at
high
risk
of
developing
swallowing
disorders.
However,
our
best
knowledge,
data
on
the
characteristics
and
incidence
dysphagia
associated
with
lacking,
especially
in
non-intubated
patients.
Therefore,
we
investigated
onset
disorders
patients
laboratory-confirmed
infection
who
have
not
been
treated
invasive
ventilation,
order
evaluate
how
virus
function
regardless
orotracheal
intubation.We
evaluated
41
admitted
COVID
department
Hospital
when
they
had
already
passed
acute
phase
disease
were
therefore
asymptomatic
but
still
positive
for
SARS-CoV-2
RNA
RT-PCR.
We
examined
patients'
clinical
history
performed
Volume-Viscosity
Swallow
Test
(VVST).
Each
patient
also
answered
Swallowing
Disturbance
Questionnaire
(SDQ).
After
6
months,
a
follow-up
disorders.Eight
(20%)
presented
symptoms
during
hospitalization
2
them
(25%)
SDQ
score
liquid
consistency
after
months.Non-intubated
can
experience
various
grades
impairment
that
probably
directly
related
pulmonary
respiratory
alterations
viral
direct
neuronal
lesive
activity.
Although
these
show
natural
tendency
spontaneous
resolution,
their
impact
general
physical
impaired
situation
should
underestimated,
since
it
adversely
affect
recovery
from
worsening
health
outcomes.
Archives of Rehabilitation Research and Clinical Translation,
Journal Year:
2022,
Volume and Issue:
4(1), P. 100177 - 100177
Published: Jan. 11, 2022
To
explore
swallowing
function
and
risk
factors
associated
with
delayed
recovery
of
in
patients
COVID-19
post-invasive
mechanical
ventilation
using
the
Functional
Oral
Intake
Scale
(FOIS).Longitudinal
cohort
study.Three
secondary-level
hospitals.Invasively
ventilated
(N=28)
who
were
hospitalized
severe
referred
to
hospitals'
speech
language
pathology
(SLP)
departments
after
between
March
5
July
5,
2020
for
an
evaluation
before
commencing
oral
diet.SLP
assessment,
advice,
therapy
dysphagia.Oral
intake
levels
at
baseline
hospital
discharge
according
FOIS.
Patients
stratified
FOIS
(1-5,
dysphagia;
6-7,
functional
intake).
Data
regarding
comorbidities,
frailty,
intubation
tracheostomy,
proning,
SLP
collected.Dysphagia
was
found
71%
(79%
men;
age,
61±12y;
body
mass
index,
30±8
kg/m2).
The
median
score
2
(interquartile
range
[IQR],
1)
vs
(IQR,
2.5)
discharge.
dysphagia
older
(64±8.5y
53±16y;
P=.019),
had
a
higher
incidence
hypertension
(70%
12%;
P=.006),
invasively
longer
(16±7d
10±2d;
P=.017)
or
tracheostomy
(9±9d
1±2d;
P=.03)
longer.
A
negative
association
dysfunction
bedside
days
(r=-0.471,
P=.01),
number
intensive
care
unit
(ICU)
(r=-0.48,
P=.01).Dysphagia
is
prevalent
invasive
ICU.
Swallowing
tolerance
diet
improved
(P<.001).
Deleted Journal,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 16
Published: Jan. 5, 2025
Little
is
known
about
the
biomechanics
of
dysphagia
in
COVID-19,
a
pivotal
aspect
for
guiding
rehabilitation.
We
aimed
to
define
physiological
profile
COVID-19
patients
using
Flexible-Endoscopic-Evaluation-of-Swallowing
(FEES).
All
treated
across
two
tertiary
teaching
hospitals
(March
2020–2022)
with
confirmed
on
FEES
were
recruited.
Key
parameters
recorded
from
initial
descriptive
and
validated
outcome
measures
(Penetration-Aspiration-Scale
[PAS],
Yale
Pharyngeal-Residue-Severity-Rating-Scale,
New-Zealand-Secretion-Scale
[NZSS]),
nature
severity
impairment.
footage
analysed
by
experienced
speech-language-pathologists
high
inter-rater
reliability
established.
Ten
cases
(8-male,
mean
age
=
61yrs),
no
pre-existing
dysphagia,
required
Intensive-Care-Unit
(ICU)
admission
(mean
ICU
length-of-stay
[LOS]
50
days,
Hospital
LOS
89
days).
Mean
intubation
duration
was
23-days,
mechanical
ventilation
36-days
six
tracheostomy.
On
FEES,
all
demonstrated
impairments
airway
closure,
tongue-base
posterior-pharyngeal-wall
contact,
pharyngeal
stripping
laryngopharyngeal
sensation
variable
secretion
management
(NZSS
2–7),
rates
laryngeal
penetration
aspiration
fluids
(PAS
2–8),
residue
more
apparent
at
piriform
fossae
(Yale
3–5)
compared
valleculae
2–4).
The
patient
complex
involving
motor
sensory
elements.
This
foundational
knowledge
may
facilitate
targeted
rehabilitation
this
population.
Critical Care Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 27, 2025
To
determine
the
prevalence
and
characteristics
of
oropharyngeal
dysphagia
in
critically
ill
adults
during
acute
postacute
care
settings.
This
systematic
review
was
registered
on
PROSPERO
used
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
guidelines.
Five
electronic
databases
were
searched
(PubMed,
Scopus,
Cochrane
Library,
CINAHL,
Embase)
from
time
inception
to
September
2024
using
search
terms:
dysphagia,
deglutition
disorders,
swallowing
sepsis,
postintensive
syndrome,
COVID-19,
critical
illness.
Independent
articles
conducted
by
two
raters
four
inclusion
criteria:
1)
older
than
18
years;
2)
diagnosis
illness,
or
ostintensive
syndrome
dysphagia;
3)
underwent
clinical
swallow
evaluation;
4)
setting.
Two
independently
assessed
levels
research
evidence
risk
bias
Oxford
center
Evidence-based
Medicine
Levels
Evidence
Modified
Downs
Black
Checklist
extracted
demographics,
study
design,
assessment
methods,
outcomes,
comorbidities.
After
removing
duplicates,
5058
identified
4844
screened
out
based
title/abstract.
Full-text
completed
214
articles,
51
met
inclusion.
Prevalence
ranged
15%
100%.
Dysphagia
persisted
up
74%
individuals
at
hospital
discharge
22%
patients
10
17
months
posthospital
discharge.
Due
design
limitations,
high
bias,
heterogeneity
methods/outcomes,
firm
conclusions
cannot
be
drawn.
However,
current
data
suggest
a
who
persists
greater
equal
12
Given
rates
silent
aspiration,
prospective,
longitudinal
is
needed
further
understand
impact
chronic
health
quality
life
adults.
