Dysphagia in Intensive Care Evaluation (DICE)

Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Standard

Dysphagia in Intensive Care Evaluation (DICE) : An International Cross-Sectional Survey. / Spronk, P. E.; Spronk, Laura E.J.; Egerod, Ingrid; McGaughey, J.; McRae, Jackie; Rose, Louise; Brodsky, Martin B.; Brodsky, M. B.; Rose, L.; Lut, J.; Clavé, P.; Nanchal, R.; Inamoto, Y.; van der Hoeven, J. I.; Spronk, P. E.; Freeman-Sanderson, A.; Hiesmayr, M.; Veraar, C.; Hickmann, C. E.; Gosselink, R.; Gershman, S.; Skoretz, S.; Martino, R.; Mpouzika, M.; Cerny, M.; Chrobok, V.; Zeinerova, L.; Kaldan, G.; McRae, J.; Bäcklund, M.; Ramos, T.; Nydahl, P.; Kalafati, M.; Andrews, T.; Sperlinga, R.; Katsukawa, H.; Kasai, F.; Spronk, L. E.J.; Miles, A.; McGaughey, J.; Duncan, S.; Fossum, M.; Ágústdóttir, V.; Senneset, T.; Larsson, M.; Hammond, G.; Owczuk, R.; Mestre, S.; Merriweather, J.; the DICE study investigators.

I: Dysphagia, Bind 37, 2022, s. 1451–1460.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Spronk, PE, Spronk, LEJ, Egerod, I, McGaughey, J, McRae, J, Rose, L, Brodsky, MB, Brodsky, MB, Rose, L, Lut, J, Clavé, P, Nanchal, R, Inamoto, Y, van der Hoeven, JI, Spronk, PE, Freeman-Sanderson, A, Hiesmayr, M, Veraar, C, Hickmann, CE, Gosselink, R, Gershman, S, Skoretz, S, Martino, R, Mpouzika, M, Cerny, M, Chrobok, V, Zeinerova, L, Kaldan, G, McRae, J, Bäcklund, M, Ramos, T, Nydahl, P, Kalafati, M, Andrews, T, Sperlinga, R, Katsukawa, H, Kasai, F, Spronk, LEJ, Miles, A, McGaughey, J, Duncan, S, Fossum, M, Ágústdóttir, V, Senneset, T, Larsson, M, Hammond, G, Owczuk, R, Mestre, S, Merriweather, J & the DICE study investigators 2022, 'Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey', Dysphagia, bind 37, s. 1451–1460. https://doi.org/10.1007/s00455-021-10389-y

APA

Spronk, P. E., Spronk, L. E. J., Egerod, I., McGaughey, J., McRae, J., Rose, L., Brodsky, M. B., Brodsky, M. B., Rose, L., Lut, J., Clavé, P., Nanchal, R., Inamoto, Y., van der Hoeven, J. I., Spronk, P. E., Freeman-Sanderson, A., Hiesmayr, M., Veraar, C., Hickmann, C. E., ... the DICE study investigators (2022). Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey. Dysphagia, 37, 1451–1460. https://doi.org/10.1007/s00455-021-10389-y

Vancouver

Spronk PE, Spronk LEJ, Egerod I, McGaughey J, McRae J, Rose L o.a. Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey. Dysphagia. 2022;37:1451–1460. https://doi.org/10.1007/s00455-021-10389-y

Author

Spronk, P. E. ; Spronk, Laura E.J. ; Egerod, Ingrid ; McGaughey, J. ; McRae, Jackie ; Rose, Louise ; Brodsky, Martin B. ; Brodsky, M. B. ; Rose, L. ; Lut, J. ; Clavé, P. ; Nanchal, R. ; Inamoto, Y. ; van der Hoeven, J. I. ; Spronk, P. E. ; Freeman-Sanderson, A. ; Hiesmayr, M. ; Veraar, C. ; Hickmann, C. E. ; Gosselink, R. ; Gershman, S. ; Skoretz, S. ; Martino, R. ; Mpouzika, M. ; Cerny, M. ; Chrobok, V. ; Zeinerova, L. ; Kaldan, G. ; McRae, J. ; Bäcklund, M. ; Ramos, T. ; Nydahl, P. ; Kalafati, M. ; Andrews, T. ; Sperlinga, R. ; Katsukawa, H. ; Kasai, F. ; Spronk, L. E.J. ; Miles, A. ; McGaughey, J. ; Duncan, S. ; Fossum, M. ; Ágústdóttir, V. ; Senneset, T. ; Larsson, M. ; Hammond, G. ; Owczuk, R. ; Mestre, S. ; Merriweather, J. ; the DICE study investigators. / Dysphagia in Intensive Care Evaluation (DICE) : An International Cross-Sectional Survey. I: Dysphagia. 2022 ; Bind 37. s. 1451–1460.

Bibtex

@article{460a598dbbbd46cdbde754c94cc09428,

title = "Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey",

abstract = "Dysphagia occurs commonly in the intensive care unit (ICU). Despite the clinical relevance, there is little worldwide research on prevention, assessment, evaluation, and/or treatment of dysphagia for ICU patients. We aimed to gain insight into this international knowledge gap. We conducted a multi-center, international online cross-sectional survey of adult ICUs. Local survey distribution champions were recruited through professional and personal networks. The survey was administered from November 2017 to June 2019 with three emails and a final telephone reminder. Responses were received from 746 ICUs (26 countries). In patients intubated > 48 h, 17% expected a > 50% chance that dysphagia would develop. This proportion increased to 43% in patients intubated > 7 days, and to 52% in tracheotomized patients. Speech-language pathologist (SLP) consultation was available in 66% of ICUs, only 4% reported a dedicated SLP. Although 66% considered a routine post-extubation dysphagia protocol important, most (67%) did not have a protocol. Few ICUs routinely assessed for dysphagia after 48 h of intubation (30%) or tracheostomy (41%). A large proportion (46%) used water swallow screening tests to determine aspiration, few (8%) used instrumental assessments (i.e., flexible endoscopic evaluation of swallowing). Swallowing exercises were used for dysphagia management by 30% of ICUs. There seems to be limited awareness among ICU practitioners that patients are at risk of dysphagia, particularly as ventilation persists, protocols, routine assessment, and instrumental assessments are generally not used. We recommend the development of a research agenda to increase the quality of evidence and ameliorate the implementation of evidence-based dysphagia protocols by dedicated SLPs.",

keywords = "Critical care, Dysphagia, Intensive care, Survey, Swallowing",

author = "Spronk, {P. E.} and Spronk, {Laura E.J.} and Ingrid Egerod and J. McGaughey and Jackie McRae and Louise Rose and Brodsky, {Martin B.} and Brodsky, {M. B.} and L. Rose and J. Lut and P. Clav{\'e} and R. Nanchal and Y. Inamoto and {van der Hoeven}, {J. I.} and Spronk, {P. E.} and A. Freeman-Sanderson and M. Hiesmayr and C. Veraar and Hickmann, {C. E.} and R. Gosselink and S. Gershman and S. Skoretz and R. Martino and M. Mpouzika and M. Cerny and V. Chrobok and L. Zeinerova and G. Kaldan and J. McRae and M. B{\"a}cklund and T. Ramos and P. Nydahl and M. Kalafati and T. Andrews and R. Sperlinga and H. Katsukawa and F. Kasai and Spronk, {L. E.J.} and A. Miles and J. McGaughey and S. Duncan and M. Fossum and V. {\'A}g{\'u}std{\'o}ttir and T. Senneset and M. Larsson and G. Hammond and R. Owczuk and S. Mestre and J. Merriweather and {the DICE study investigators}",

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2022",

doi = "10.1007/s00455-021-10389-y",

language = "English",

volume = "37",

pages = "1451–1460",

journal = "Dysphagia",

issn = "0179-051X",

publisher = "Springer",

}

RIS

TY - JOUR

T1 - Dysphagia in Intensive Care Evaluation (DICE)

T2 - An International Cross-Sectional Survey

AU - Spronk, P. E.

AU - Spronk, Laura E.J.

AU - Egerod, Ingrid

AU - McGaughey, J.

AU - McRae, Jackie

AU - Rose, Louise

AU - Brodsky, Martin B.

AU - Brodsky, M. B.

AU - Rose, L.

AU - Lut, J.

AU - Clavé, P.

AU - Nanchal, R.

AU - Inamoto, Y.

AU - van der Hoeven, J. I.

AU - Spronk, P. E.

AU - Freeman-Sanderson, A.

AU - Hiesmayr, M.

AU - Veraar, C.

AU - Hickmann, C. E.

AU - Gosselink, R.

AU - Gershman, S.

AU - Skoretz, S.

AU - Martino, R.

AU - Mpouzika, M.

AU - Cerny, M.

AU - Chrobok, V.

AU - Zeinerova, L.

AU - Kaldan, G.

AU - McRae, J.

AU - Bäcklund, M.

AU - Ramos, T.

AU - Nydahl, P.

AU - Kalafati, M.

AU - Andrews, T.

AU - Sperlinga, R.

AU - Katsukawa, H.

AU - Kasai, F.

AU - Spronk, L. E.J.

AU - Miles, A.

AU - McGaughey, J.

AU - Duncan, S.

AU - Fossum, M.

AU - Ágústdóttir, V.

AU - Senneset, T.

AU - Larsson, M.

AU - Hammond, G.

AU - Owczuk, R.

AU - Mestre, S.

AU - Merriweather, J.

AU - the DICE study investigators

PY - 2022

Y1 - 2022

N2 - Dysphagia occurs commonly in the intensive care unit (ICU). Despite the clinical relevance, there is little worldwide research on prevention, assessment, evaluation, and/or treatment of dysphagia for ICU patients. We aimed to gain insight into this international knowledge gap. We conducted a multi-center, international online cross-sectional survey of adult ICUs. Local survey distribution champions were recruited through professional and personal networks. The survey was administered from November 2017 to June 2019 with three emails and a final telephone reminder. Responses were received from 746 ICUs (26 countries). In patients intubated > 48 h, 17% expected a > 50% chance that dysphagia would develop. This proportion increased to 43% in patients intubated > 7 days, and to 52% in tracheotomized patients. Speech-language pathologist (SLP) consultation was available in 66% of ICUs, only 4% reported a dedicated SLP. Although 66% considered a routine post-extubation dysphagia protocol important, most (67%) did not have a protocol. Few ICUs routinely assessed for dysphagia after 48 h of intubation (30%) or tracheostomy (41%). A large proportion (46%) used water swallow screening tests to determine aspiration, few (8%) used instrumental assessments (i.e., flexible endoscopic evaluation of swallowing). Swallowing exercises were used for dysphagia management by 30% of ICUs. There seems to be limited awareness among ICU practitioners that patients are at risk of dysphagia, particularly as ventilation persists, protocols, routine assessment, and instrumental assessments are generally not used. We recommend the development of a research agenda to increase the quality of evidence and ameliorate the implementation of evidence-based dysphagia protocols by dedicated SLPs.

AB - Dysphagia occurs commonly in the intensive care unit (ICU). Despite the clinical relevance, there is little worldwide research on prevention, assessment, evaluation, and/or treatment of dysphagia for ICU patients. We aimed to gain insight into this international knowledge gap. We conducted a multi-center, international online cross-sectional survey of adult ICUs. Local survey distribution champions were recruited through professional and personal networks. The survey was administered from November 2017 to June 2019 with three emails and a final telephone reminder. Responses were received from 746 ICUs (26 countries). In patients intubated > 48 h, 17% expected a > 50% chance that dysphagia would develop. This proportion increased to 43% in patients intubated > 7 days, and to 52% in tracheotomized patients. Speech-language pathologist (SLP) consultation was available in 66% of ICUs, only 4% reported a dedicated SLP. Although 66% considered a routine post-extubation dysphagia protocol important, most (67%) did not have a protocol. Few ICUs routinely assessed for dysphagia after 48 h of intubation (30%) or tracheostomy (41%). A large proportion (46%) used water swallow screening tests to determine aspiration, few (8%) used instrumental assessments (i.e., flexible endoscopic evaluation of swallowing). Swallowing exercises were used for dysphagia management by 30% of ICUs. There seems to be limited awareness among ICU practitioners that patients are at risk of dysphagia, particularly as ventilation persists, protocols, routine assessment, and instrumental assessments are generally not used. We recommend the development of a research agenda to increase the quality of evidence and ameliorate the implementation of evidence-based dysphagia protocols by dedicated SLPs.

KW - Critical care

KW - Dysphagia

KW - Intensive care

KW - Survey

KW - Swallowing

U2 - 10.1007/s00455-021-10389-y

DO - 10.1007/s00455-021-10389-y

M3 - Journal article

C2 - 35092486

AN - SCOPUS:85124108180

VL - 37

SP - 1451

EP - 1460

JO - Dysphagia

JF - Dysphagia

SN - 0179-051X

ER -

ID: 313868792