Comparison between the functional aspects of swallowing and clinical markers in ICU patients with Traumatic Brain Injury (TBI)

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art_FERRUCCI_Comparison_between_the_functional_aspects_of_swallowing_and_2019.PDF (966.79 KB)
Citações na Scopus
3
Tipo de produção
article
Data de publicação
2019
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SOC BRASILEIRA FONOAUDIOLOGIA
Autores
Citação
CODAS, v.31, n.2, article ID e20170278, 11p, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose: To characterize and compare the functional aspects of swallowing and clinical markers in intensive care patients with traumatic brain injury (TBI) in Intensive Care Unit (ICU). Methods: Participants of this study were 113 adults diagnosed with TBI. Data collection stage involved: clinical assessment of the risk for bronchoaspiration performed by a speech-language therapist: assessment of the functional level of swallowing (American Speech-Language-Hearing Association National Outcome Measurement System ASHA NOMS); assessment of the patient' health status (Sequential Organ Failure Assessment - SOFA). Results: After the inclusion criteria were applied, patients were grouped according to their swallowing functional level: levels 1 and 2 ASHA1 (n=25); levels 3.4 and 5 ASHA2 (n=37); levels 6 and 7 ASHA3 (n=51). The statistical analyses indicated the following significant results: the ASHA3 group presented lower severity levels of TBI at the clinical assessment of bronchoaspiration, remained less time intubated (approximately urn third less than the more severe group). remained fewer days in hospital and needed less therapy sessions to return to safe oral feeding. The clinical predictor signs for bronchoaspiration that best characterized the groups were the presence of altered auscultation and the presence of coughing after swallowing. Patients in the ASHA3 group presented these signs less frequently. Conclusion: The score obtained on the SOFA and the time of orotracheal intubation were identified as the prognostic indicators of functional swallowing. The presence of altered cervical auscultation and coughing were clinical predictors of dysphagia.
Palavras-chave
Swallowing, Swallowing Disorders, Traumatic Brain Injury, Pneumonia/Aspiration, Intensive Care Units, Speech-language and Hearing Science
URI
https://observatorio.fm.usp.br/handle/OPI/34393
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/34
Artigos e Materiais de Revistas Científicas - ODS/03