Titulo:
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto
.
Sumario:
Objetivos. Este estudio piloto tuvo como objetivo identificar y probar una batería de herramientas de detección de problemas de voz y deglución que fueran eficientes en cuanto a tiempo y costo para pacientes chilenos postextubados. Métodos. Un panel de cuatro expertos seleccionó y evaluó herramientas de detección de voz y deglución. Se seleccionaron siete medidas: prominencia de pico cepstral suavizado (CPPS) y tiempo máximo de fonación (TMF) para la evaluación de la voz, prueba de volumen-viscosidad (V-VST) para la deglución, flujo máximo voluntario y reflejo de la tos para evaluar la tos, Eating Assessment Tool-10 (EAT-10) y la Escala de Sintomas Vocales (ESV) para los resultados informados por los pacientes. Estas herramientas se aplicar... Ver más
Guardado en:
2665-2056
5
2023-11-30
112
128
Revista de Investigación e Innovación en Ciencias de la Salud - 2023
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
info:eu-repo/semantics/openAccess
http://purl.org/coar/access_right/c_abf2
| id |
metarevistapublica_fumc_revistadeinvestigacioneinnovacionencienciasdelasalud_67_article_239 |
|---|---|
| record_format |
ojs |
| institution |
FUNDACION UNIVERSITARIA MARIA CANO |
| thumbnail |
https://nuevo.metarevistas.org/FUNDACIONUNIVERSITARIAMARIACANO/logo.png |
| country_str |
Colombia |
| collection |
Revista de Investigación e Innovación en Ciencias de la Salud |
| title |
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto |
| spellingShingle |
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto Figueroa-Martínez, Fernanda Castillo-Allendes, Adrián Grunewaldt, Karla Solís-Meza, Tamara Hunter, Eric J Searl, Jeff Intubación endotraqueal cuidados intensivos trastornos de la voz disfagia Endotracheal intubation intensive care unit cough voice disorders swallowing disorders |
| title_short |
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto |
| title_full |
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto |
| title_fullStr |
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto |
| title_full_unstemmed |
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto |
| title_sort |
explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto |
| description |
Objetivos. Este estudio piloto tuvo como objetivo identificar y probar una batería de herramientas de detección de problemas de voz y deglución que fueran eficientes en cuanto a tiempo y costo para pacientes chilenos postextubados.
Métodos. Un panel de cuatro expertos seleccionó y evaluó herramientas de detección de voz y deglución. Se seleccionaron siete medidas: prominencia de pico cepstral suavizado (CPPS) y tiempo máximo de fonación (TMF) para la evaluación de la voz, prueba de volumen-viscosidad (V-VST) para la deglución, flujo máximo voluntario y reflejo de la tos para evaluar la tos, Eating Assessment Tool-10 (EAT-10) y la Escala de Sintomas Vocales (ESV) para los resultados informados por los pacientes. Estas herramientas se aplicaron a cuatro pacientes postextubados (48-72 horas), junto con la evaluación de 17 controles pareados.
Resultados. Los pacientes postextubados mostraron un TMF y CPPS significativamente más bajos, aumento de los indicios de disfagia en la V-VST, reducción del flujo máximo de la tos y síntomas más pronunciados tanto en la ESV como en la EAT-10 en comparación con los controles.
Limitaciones. El estudio tuvo un tamaño de muestra reducida y se basó únicamente en herramientas de detección clínica.
Valor. Este estudio piloto sugiere un enfoque factible y rentable para la detección de problemas de voz y deglución en pacientes postextubados, valioso en entornos con recursos limitados.
Conclusión. Aunque ese abordaje no sustituye a las evaluaciones de referencia, ofrece información valiosa y pueden guiar futuras investigaciones que busquen facilitar la detección temprana de los trastornos de la voz-deglución en pacientes postextubados.
|
| description_eng |
Objectives. This pilot study aimed to identify and test a battery of time-efficient and cost-effective voice and swallowing screening tools for post-extubated patients in Chile.
Methods. A panel of four experts selected and rated voice and swallowing screening tools. Seven measures were selected: smoothed cepstral peak prominence (CPPS) and maximum phonation time (MPT) for voice assessment, Volume-Viscosity Swallow Test (V-VST) for swallowing, voluntary and reflex peak cough flow for cough assessment, Eating Assessment Tool-10 (EAT-10), and Vocal Symptom Scale (VoiSS) for patient-reported outcomes. These tools were applied to four post-extubation patients within 48-72 hours post-hospital discharge, alongside the assessment of 17 matched controls.
Results. Post-extubation patients showed significantly shorter MPT, lower CPPS values, increased V-VST dysphagia signs, reduced voluntary peak cough flow, and more pronounced symptoms on both the VoiSS and EAT-10 compared to controls.
Limitations. The study had a modest sample size and relied solely on clinical screening tools.Value. This pilot study suggests a feasible and cost-effective approach to voice and swallowing screening for post-extubation patients, valuable in resource-constrained settings.Conclusion. While these accessible tools are not gold-standard assessments, they offer valuable insights and can guide future research. This study underscores the potential of selected tools in facilitating early detection of voice and swallowing disorders in post-extubation patients.
|
| author |
Figueroa-Martínez, Fernanda Castillo-Allendes, Adrián Grunewaldt, Karla Solís-Meza, Tamara Hunter, Eric J Searl, Jeff |
| author_facet |
Figueroa-Martínez, Fernanda Castillo-Allendes, Adrián Grunewaldt, Karla Solís-Meza, Tamara Hunter, Eric J Searl, Jeff |
| topicspa_str_mv |
Intubación endotraqueal cuidados intensivos trastornos de la voz disfagia |
| topic |
Intubación endotraqueal cuidados intensivos trastornos de la voz disfagia Endotracheal intubation intensive care unit cough voice disorders swallowing disorders |
| topic_facet |
Intubación endotraqueal cuidados intensivos trastornos de la voz disfagia Endotracheal intubation intensive care unit cough voice disorders swallowing disorders |
| citationvolume |
5 |
| citationissue |
2 |
| publisher |
Fundación Universitaria María Cano |
| ispartofjournal |
Revista de Investigación e Innovación en Ciencias de la Salud |
| source |
https://riics.info/index.php/RCMC/article/view/239 |
| language |
eng |
| format |
Article |
| rights |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es Revista de Investigación e Innovación en Ciencias de la Salud - 2023 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
| references_eng |
Ambrosino N, Vitacca M. The patient needing prolonged mechanical ventilation: A narrative review. Multidiscip Respir Med. 2018;13(1):1–10. doi: https://doi.org/10.1186/s40248-018-0118-7 2. Brodsky MB, Levy MJ, Jedlanek E, Pandian V, Blackford B, Price C, et al. Laryngeal Injury and Upper Airway Symptoms after Oral Endotracheal Intubation with Mechanical Ventilation During Critical Care. Crit Care Med [Internet]. 2018 Dec;46(12):2010–7.doi: https://doi.org/10.1097/CCM.0000000000003368 3. Zuercher P, Schenk N V., Moret C, Berger D, Abegglen R, Schefold JC. Risk Factors for Dysphagia in ICU Patients After Invasive Mechanical Ventilation. Chest [Internet]. 2020;158(5):1983–91. doi: https://doi.org/10.1016/j.chest.2020.05.576 4. Miles A, McRae J, Clunie G, Gillivan-Murphy P, Inamoto Y, Kalf H, et al. An International Commentary on Dysphagia and Dysphonia During the COVID-19 Pandemic. Dysphagia [Internet]. 2022;37(6):1349–74. doi: https://doi.org/10.1007/s00455-021-10396-z 5. Shinn JR, Kimura KS, Campbell BR, Sun Lowery A, Wootten CT, Garrett CG, et al. Incidence and Outcomes of Acute Laryngeal Injury After Prolonged Mechanical Ventilation*. Crit Care Med [Internet]. 2019 Dec;47(12):1699–706. doi: https://doi.org/10.1097/CCM.0000000000004015 6. Schefold JC, Berger D, Zürcher P, Lensch M, Perren A, Jakob SM, et al. Dysphagia in Mechanically Ventilated ICU Patients (DYnAMICS). Crit Care Med [Internet]. 2017 Dec;45(12):2061–9. doi: https://doi.org/10.1097/CCM.0000000000002765 7. Dawson C, Clunie G, Evison F, Duncan S, Whitney J, Houchen-Wolloff L, et al. Prevalence of swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19: the PHOSP-COVID analysis. BMJ open Respir Res. 2023;10(1). doi: https://doi.org/10.1136/bmjresp-2023-001647 8. Campbell BR, Shinn JR, Kimura KS, Lowery AS, Casey JD, Ely EW, et al. Unilateral Vocal Fold Immobility after Prolonged Endotracheal Intubation. JAMA Otolaryngol - Head Neck Surg. 2020;146(2):160–7. doi: https://doi.org/10.1001/jamaoto.2019.3969 9. Colton House J, Noordzij JP, Murgia B, Langmore S. Laryngeal injury from prolonged intubation: A prospective analysis of contributing factors. Laryngoscope [Internet]. 2011 Mar;121(3):596–600. doi: https://doi.org/10.1002/lary.21403 10. Scheel R, Pisegna JM, McNally E, Noordzij JP, Langmore SE. Endoscopic Assessment of Swallowing After Prolonged Intubation in the ICU Setting. Ann Otol Rhinol Laryngol [Internet]. 2016 Jan 26;125(1):43–52. doi: https://doi.org/10.1177/0003489415596755 11. Hermans G, Van den Berghe G. Clinical review: Intensive care unit acquired weakness. Crit Care [Internet]. 2015;19(1):1–9. doi: http://dx.doi.org/10.1186/s13054-015-0993-7 12. Ballve LPD, Dargains N, Inchaustegui JGU, Bratos A, Percaz M de los M, Ardariz CB, et al. Weakness acquired in the intensive care unit. Incidence, risk factors and their association with inspiratory weakness. Observational cohort study. Rev Bras Ter Intensiva [Internet]. 2017;29(4):466–75. Available from: https://www.scielo.br/j/rbti/a/48Jbmf4fHt7Rd9VZPYHXwmC/?lang=en# 13. Patel R, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech- Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function Rita. Am J Speech-Language Pathol. 2018;27(3):887-905. doi: https://doi.org/10.1044/2018_AJSLP-17-0009 14. Van der Meer G, Ferreira Y, Loock JW. The S/Z ratio: A simple and reliable clinical method of evaluating laryngeal function in patients after intubation. J Crit Care [Internet]. 2010;25(3):489–92. doi: http://dx.doi.org/10.1016/j.jcrc.2009.11.009 15. Lim J-Y, Yoo Y-H, Park C-H, Joa K-L, Jung H-Y. Use of the maximal phonation test for the screening of dysphagia in stroke patients: a preliminary study. Eur J Phys Rehabil Med [Internet]. 2020 Feb;56(1):41–6. doi: https://doi.org/10.23736/S1973-9087.19.05818-0 16. Peterson EA, Roy N, Awan SN, Merrill RM, Banks R, Tanner K. Toward validation of the cepstral spectral index of dysphonia (CSID) as an objective treatment outcomes measure. J Voice [Internet]. 2013;27(4):401–10. doi: http://dx.doi.org/10.1016/j.jvoice.2013.04.002 17. Asiaee M, Vahedian-azimi A, Atashi SS, Keramatfar A, Nourbakhsh M. Voice Quality Evaluation in Patients With COVID-19: An Acoustic Analysis. J Voice [Internet]. 2020;36(6):879.e13-879.e19. doi: https://doi.org/10.1016/j.jvoice.2020.09.024 18. Lascarrou JB, Boisrame-Helms J, Bailly A, Le Thuaut A, Kamel T, Mercier E, et al. Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients. JAMA [Internet]. 2017 Feb 7;317(5):483. doi: https://doi.org/10.1001/jama.2016.20603 19. Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr [Internet]. 2008 Dec;27(6):806–15. doi: https://doi.org/10.1016/j.clnu.2008.06.011 20. Rofes L, Arreola V, Clavé P. The Volume-Viscosity Swallow Test for Clinical Screening of Dysphagia and Aspiration. In: Stepping Stones to Living Well with Dysphagia [Internet]. Barcelona: Institute Workshop; 2012. p. 33–42. doi: https://doi.org/10.1159/000339979 21. Vega Rodríguez YE, Torres Rodríguez AM, del Campo Rivas MN. Análisis del Rol del Fonoaudiólogo(a) en el Sector Salud en Chile. Cienc Trab [Internet]. 2017 Aug;19(59):76–80. doi: https://doi.org/10.4067/S0718-24492017000200076 22. Paraje G, Vásquez F. Health equity in an unequal country: the use of medical services in Chile. Int J Equity Health [Internet]. 2012;11(1):81. doi: https://doi.org/10.1186/1475-9276-11-81 23. Koch KJ, Cid Pedraza C, Schmid A. Out-of-pocket expenditure and financial protection in the Chilean health care system—A systematic review. Health Policy (New York) [Internet]. 2017;121(5):481–94. doi: http://dx.doi.org/10.1016/j.healthpol.2017.02.013 24. Murton O, Hillman R, Mehta D. Cepstral peak prominence values for clinical voice evaluation. Am J Speech-Language Pathol. 2020;29(3):1596–607. doi: https://doi.org/10.1044/2020_AJSLP-20-00001 25. Watts CR, Awan SN, Maryn Y. A Comparison of Cepstral Peak Prominence Measures from Two Acoustic Analysis Programs. J Voice [Internet]. 2017;31(3):387.e1-387.e10. doi: http://dx.doi.org/10.1016/j.jvoice.2016.09.012 26. Baker CP, Sundberg J, Purdy SC, Rakena TO, Leão SH d. S. CPPS and Voice-Source Parameters: Objective Analysis of the Singing Voice. J Voice. 2022;S0892-1997(21)00433-1. doi: https://doi.org/10.1016/j.jvoice.2021.12.010 27. Lopes LW, Sousa ES da S, da Silva ACF, da Silva IM, de Paiva MAA, Vieira VJD, et al. Cepstral measures in the assessment of severity of voice disorders. Codas. 2019;31(4):1–8. doi: https://doi.org/10.1590/2317-1782/20182018175 28. Speyer R, Bogaardt HCA, Passos VL, Roodenburg NPHD, Zumach A, Heijnen MAM, et al. Maximum Phonation Time: Variability and Reliability. J Voice [Internet]. 2010 May;24(3):281–4. doi: https://doi.org/10.1016/j.jvoice.2008.10.004 29. Hirano, M., Koike, Y., & von Leden H. Maximum Phonation Time and Air Usage During Phonation. Folia Phoniatr Logop. 1968;20(4):185–201. doi: https://doi.org/10.1159/000263198 30. Fujimaki Y, Tsunoda K, Kobayashi R, Tonghyo C, Tanaka F, Kuroda H, et al. Independent exercise for glottal incompetence to improve vocal problems and prevent aspiration pneumonia in the elderly: A randomized controlled trial. Clin Rehabil. 2017;31(8):1049–56. doi: https://doi.org/10.1177/0269215516673208 31. Hamdan AL, Sibai A, Rameh C, Kanazeh G. Short-Term Effects of Endotracheal Intubation on Voice. J Voice. 2007 Nov 1;21(6):762–8. doi: https://doi.org/10.1016/j.jvoice.2006.06.003 32. Curtis JA, Troche MS. Handheld Cough Testing: A Novel Tool for Cough Assessment and Dysphagia Screening. Dysphagia [Internet]. 2020;35(6):993–1000. doi: https://doi.org/10.1007/s00455-020-10097-z 33. Bianchi C, Baiardi P, Khirani S, Cantarella G. Cough peak flow as a predictor of pulmonary morbidity in patients with dysphagia. Am J Phys Med Rehabil. 2012;91(9):783–8. doi: https://doi.org/10.1097/PHM.0b013e3182556701 34. Ruston FC, Moreti F, Vivero M, Malebran C, Behlau M. Cross-cultural adaptation of the Chilean version of the Voice Symptom Scale - VoiSS. Codas. 2016;28(5):625–33. doi: https://doi.org/10.1590/2317-1782/20162015249 35. Fernández-Rosati J, Lera L, Fuentes-López E, Albala C. Validez y confiabilidad del cuestionario Eating Assessment Tool 10 (EAT-10) para detectar disfagia en adultos mayores chilenos. Rev Med Chil [Internet]. 2018 Sep;146(9):1008–15. doi: https://doi.org/10.4067/s0034-98872018000901008 36. Maryn Y, Weenink D. Objective dysphonia measures in the program praat: Smoothed cepstral peak prominence and acoustic voice quality index. J Voice [Internet]. 2015;29(1):35–43. doi: http://dx.doi.org/10.1016/j.jvoice.2014.06.015 37. Hillenbrand J, Houde RA. Acoustic correlates of breathy vocal quality: Dysphonic voices and continuous speech. J Speech, Lang Hear Res. 1996;39(2):311–21. doi: https://doi.org/10.1044/jshr.3902.311 38. Heman-Ackah YD, Michael DD, Goding GS. The relationship between cepstral peak prominence and selected parameters of dysphonia. J Voice. 2002;16(1):20–7. doi: https://doi.org/10.1016/S0892-1997(02)00067-X 39. Núñez-Batalla F, Cartón-Corona N, Vasile G, García-Cabo P, Fernández-Vañes L, Llorente-Pendás JL. Validation of the Measures of Cepstral Peak Prominence as a Measure of Dysphonia Severity in Spanish-Speaking Subjects. Acta Otorrinolaringol. 2019;70(4):222–8. doi: https://doi.org/10.1016/j.otoeng.2018.04.005 40. Arviso LC, Klein AM, Johns MM. The management of postintubation phonatory insufficiency. J Voice. 2012 Jul 1;26(4):530–3. doi: https://doi.org/10.1016/j.jvoice.2010.10.022 41. Kallesen M, Psirides A, Huckabee ML. Comparison of cough reflex testing with videoendoscopy in recently extubated intensive care unit patients. J Crit Care [Internet]. 2016;33(2016):90–4. doi: http://dx.doi.org/10.1016/j.jcrc.2016.02.004 42. Britton D, Roeske A, Ennis SK, Benditt JO, Quinn C, Graville D. Utility of Pulse Oximetry to Detect Aspiration: An Evidence-Based Systematic Review. Dysphagia [Internet]. 2018;33(3):282–92. doi: https://doi.org/10.1007/s00455-017-9868-1 43. Pitts T. Airway protective mechanisms. Lung. 2014;192(1):27–31. doi: https://doi.org/10.1007/s00408-013-9540-y 44. Yoshiyuki H, Fuller BF. Selected acoustic characteristics of voices before intubation and after extubation. J Speech Hear Res. 1990;33(3):505–10. doi: https://doi.org/10.1044/jshr.3303.505 45. Sariego J. Vocal Fold Hypomobility Secondary to Elective Endotracheal Intubation: A General Surgeon’s Perspective. J Voice [Internet]. 2010;24(1):110–2. doi: http://dx.doi.org/10.1016/j.jvoice.2008.05.001 46. Lipshutz AKM, Gropper MA. Acquired neuromuscular weakness and early mobilization in the intensive care unit. Anesthesiology. 2013;118(1):202–15. doi: https://doi.org/10.1097/ALN.0b013e31826be693 |
| type_driver |
info:eu-repo/semantics/article |
| type_coar |
http://purl.org/coar/resource_type/c_6501 |
| type_version |
info:eu-repo/semantics/publishedVersion |
| type_coarversion |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| type_content |
Text |
| publishDate |
2023-11-30 |
| date_accessioned |
2023-11-30T16:21:14Z |
| date_available |
2023-11-30T16:21:14Z |
| url |
https://riics.info/index.php/RCMC/article/view/239 |
| url_doi |
https://doi.org/10.46634/riics.239 |
| eissn |
2665-2056 |
| doi |
10.46634/riics.239 |
| citationstartpage |
112 |
| citationendpage |
128 |
| url3_str_mv |
https://riics.info/index.php/RCMC/article/download/239/855 |
| url4_str_mv |
https://riics.info/index.php/RCMC/article/download/239/856 |
| url2_str_mv |
https://riics.info/index.php/RCMC/article/download/239/857 |
| _version_ |
1811200651976245248 |
| spelling |
Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto Objetivos. Este estudio piloto tuvo como objetivo identificar y probar una batería de herramientas de detección de problemas de voz y deglución que fueran eficientes en cuanto a tiempo y costo para pacientes chilenos postextubados. Métodos. Un panel de cuatro expertos seleccionó y evaluó herramientas de detección de voz y deglución. Se seleccionaron siete medidas: prominencia de pico cepstral suavizado (CPPS) y tiempo máximo de fonación (TMF) para la evaluación de la voz, prueba de volumen-viscosidad (V-VST) para la deglución, flujo máximo voluntario y reflejo de la tos para evaluar la tos, Eating Assessment Tool-10 (EAT-10) y la Escala de Sintomas Vocales (ESV) para los resultados informados por los pacientes. Estas herramientas se aplicaron a cuatro pacientes postextubados (48-72 horas), junto con la evaluación de 17 controles pareados. Resultados. Los pacientes postextubados mostraron un TMF y CPPS significativamente más bajos, aumento de los indicios de disfagia en la V-VST, reducción del flujo máximo de la tos y síntomas más pronunciados tanto en la ESV como en la EAT-10 en comparación con los controles. Limitaciones. El estudio tuvo un tamaño de muestra reducida y se basó únicamente en herramientas de detección clínica. Valor. Este estudio piloto sugiere un enfoque factible y rentable para la detección de problemas de voz y deglución en pacientes postextubados, valioso en entornos con recursos limitados. Conclusión. Aunque ese abordaje no sustituye a las evaluaciones de referencia, ofrece información valiosa y pueden guiar futuras investigaciones que busquen facilitar la detección temprana de los trastornos de la voz-deglución en pacientes postextubados. Objectives. This pilot study aimed to identify and test a battery of time-efficient and cost-effective voice and swallowing screening tools for post-extubated patients in Chile. Methods. A panel of four experts selected and rated voice and swallowing screening tools. Seven measures were selected: smoothed cepstral peak prominence (CPPS) and maximum phonation time (MPT) for voice assessment, Volume-Viscosity Swallow Test (V-VST) for swallowing, voluntary and reflex peak cough flow for cough assessment, Eating Assessment Tool-10 (EAT-10), and Vocal Symptom Scale (VoiSS) for patient-reported outcomes. These tools were applied to four post-extubation patients within 48-72 hours post-hospital discharge, alongside the assessment of 17 matched controls. Results. Post-extubation patients showed significantly shorter MPT, lower CPPS values, increased V-VST dysphagia signs, reduced voluntary peak cough flow, and more pronounced symptoms on both the VoiSS and EAT-10 compared to controls. Limitations. The study had a modest sample size and relied solely on clinical screening tools.Value. This pilot study suggests a feasible and cost-effective approach to voice and swallowing screening for post-extubation patients, valuable in resource-constrained settings.Conclusion. While these accessible tools are not gold-standard assessments, they offer valuable insights and can guide future research. This study underscores the potential of selected tools in facilitating early detection of voice and swallowing disorders in post-extubation patients. Figueroa-Martínez, Fernanda Castillo-Allendes, Adrián Grunewaldt, Karla Solís-Meza, Tamara Hunter, Eric J Searl, Jeff Intubación endotraqueal cuidados intensivos tos trastornos de la voz disfagia Endotracheal intubation intensive care unit cough voice disorders swallowing disorders 5 2 Artículo de revista Journal article 2023-11-30T16:21:14Z 2023-11-30T16:21:14Z 2023-11-30 text/html text/xml application/pdf Fundación Universitaria María Cano Revista de Investigación e Innovación en Ciencias de la Salud 2665-2056 https://riics.info/index.php/RCMC/article/view/239 10.46634/riics.239 https://doi.org/10.46634/riics.239 eng https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es Revista de Investigación e Innovación en Ciencias de la Salud - 2023 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. 112 128 Ambrosino N, Vitacca M. The patient needing prolonged mechanical ventilation: A narrative review. Multidiscip Respir Med. 2018;13(1):1–10. doi: https://doi.org/10.1186/s40248-018-0118-7 2. Brodsky MB, Levy MJ, Jedlanek E, Pandian V, Blackford B, Price C, et al. Laryngeal Injury and Upper Airway Symptoms after Oral Endotracheal Intubation with Mechanical Ventilation During Critical Care. Crit Care Med [Internet]. 2018 Dec;46(12):2010–7.doi: https://doi.org/10.1097/CCM.0000000000003368 3. Zuercher P, Schenk N V., Moret C, Berger D, Abegglen R, Schefold JC. Risk Factors for Dysphagia in ICU Patients After Invasive Mechanical Ventilation. Chest [Internet]. 2020;158(5):1983–91. doi: https://doi.org/10.1016/j.chest.2020.05.576 4. Miles A, McRae J, Clunie G, Gillivan-Murphy P, Inamoto Y, Kalf H, et al. An International Commentary on Dysphagia and Dysphonia During the COVID-19 Pandemic. Dysphagia [Internet]. 2022;37(6):1349–74. doi: https://doi.org/10.1007/s00455-021-10396-z 5. Shinn JR, Kimura KS, Campbell BR, Sun Lowery A, Wootten CT, Garrett CG, et al. Incidence and Outcomes of Acute Laryngeal Injury After Prolonged Mechanical Ventilation*. Crit Care Med [Internet]. 2019 Dec;47(12):1699–706. doi: https://doi.org/10.1097/CCM.0000000000004015 6. Schefold JC, Berger D, Zürcher P, Lensch M, Perren A, Jakob SM, et al. Dysphagia in Mechanically Ventilated ICU Patients (DYnAMICS). Crit Care Med [Internet]. 2017 Dec;45(12):2061–9. doi: https://doi.org/10.1097/CCM.0000000000002765 7. Dawson C, Clunie G, Evison F, Duncan S, Whitney J, Houchen-Wolloff L, et al. Prevalence of swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19: the PHOSP-COVID analysis. BMJ open Respir Res. 2023;10(1). doi: https://doi.org/10.1136/bmjresp-2023-001647 8. Campbell BR, Shinn JR, Kimura KS, Lowery AS, Casey JD, Ely EW, et al. Unilateral Vocal Fold Immobility after Prolonged Endotracheal Intubation. JAMA Otolaryngol - Head Neck Surg. 2020;146(2):160–7. doi: https://doi.org/10.1001/jamaoto.2019.3969 9. Colton House J, Noordzij JP, Murgia B, Langmore S. Laryngeal injury from prolonged intubation: A prospective analysis of contributing factors. Laryngoscope [Internet]. 2011 Mar;121(3):596–600. doi: https://doi.org/10.1002/lary.21403 10. Scheel R, Pisegna JM, McNally E, Noordzij JP, Langmore SE. Endoscopic Assessment of Swallowing After Prolonged Intubation in the ICU Setting. Ann Otol Rhinol Laryngol [Internet]. 2016 Jan 26;125(1):43–52. doi: https://doi.org/10.1177/0003489415596755 11. Hermans G, Van den Berghe G. Clinical review: Intensive care unit acquired weakness. Crit Care [Internet]. 2015;19(1):1–9. doi: http://dx.doi.org/10.1186/s13054-015-0993-7 12. Ballve LPD, Dargains N, Inchaustegui JGU, Bratos A, Percaz M de los M, Ardariz CB, et al. Weakness acquired in the intensive care unit. Incidence, risk factors and their association with inspiratory weakness. Observational cohort study. Rev Bras Ter Intensiva [Internet]. 2017;29(4):466–75. Available from: https://www.scielo.br/j/rbti/a/48Jbmf4fHt7Rd9VZPYHXwmC/?lang=en# 13. Patel R, Awan SN, Barkmeier-Kraemer J, Courey M, Deliyski D, Eadie T, et al. Recommended Protocols for Instrumental Assessment of Voice: American Speech- Language-Hearing Association Expert Panel to Develop a Protocol for Instrumental Assessment of Vocal Function Rita. Am J Speech-Language Pathol. 2018;27(3):887-905. doi: https://doi.org/10.1044/2018_AJSLP-17-0009 14. Van der Meer G, Ferreira Y, Loock JW. The S/Z ratio: A simple and reliable clinical method of evaluating laryngeal function in patients after intubation. J Crit Care [Internet]. 2010;25(3):489–92. doi: http://dx.doi.org/10.1016/j.jcrc.2009.11.009 15. Lim J-Y, Yoo Y-H, Park C-H, Joa K-L, Jung H-Y. Use of the maximal phonation test for the screening of dysphagia in stroke patients: a preliminary study. Eur J Phys Rehabil Med [Internet]. 2020 Feb;56(1):41–6. doi: https://doi.org/10.23736/S1973-9087.19.05818-0 16. Peterson EA, Roy N, Awan SN, Merrill RM, Banks R, Tanner K. Toward validation of the cepstral spectral index of dysphonia (CSID) as an objective treatment outcomes measure. J Voice [Internet]. 2013;27(4):401–10. doi: http://dx.doi.org/10.1016/j.jvoice.2013.04.002 17. Asiaee M, Vahedian-azimi A, Atashi SS, Keramatfar A, Nourbakhsh M. Voice Quality Evaluation in Patients With COVID-19: An Acoustic Analysis. J Voice [Internet]. 2020;36(6):879.e13-879.e19. doi: https://doi.org/10.1016/j.jvoice.2020.09.024 18. Lascarrou JB, Boisrame-Helms J, Bailly A, Le Thuaut A, Kamel T, Mercier E, et al. Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients. JAMA [Internet]. 2017 Feb 7;317(5):483. doi: https://doi.org/10.1001/jama.2016.20603 19. Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr [Internet]. 2008 Dec;27(6):806–15. doi: https://doi.org/10.1016/j.clnu.2008.06.011 20. Rofes L, Arreola V, Clavé P. The Volume-Viscosity Swallow Test for Clinical Screening of Dysphagia and Aspiration. In: Stepping Stones to Living Well with Dysphagia [Internet]. Barcelona: Institute Workshop; 2012. p. 33–42. doi: https://doi.org/10.1159/000339979 21. Vega Rodríguez YE, Torres Rodríguez AM, del Campo Rivas MN. Análisis del Rol del Fonoaudiólogo(a) en el Sector Salud en Chile. Cienc Trab [Internet]. 2017 Aug;19(59):76–80. doi: https://doi.org/10.4067/S0718-24492017000200076 22. Paraje G, Vásquez F. Health equity in an unequal country: the use of medical services in Chile. Int J Equity Health [Internet]. 2012;11(1):81. doi: https://doi.org/10.1186/1475-9276-11-81 23. Koch KJ, Cid Pedraza C, Schmid A. Out-of-pocket expenditure and financial protection in the Chilean health care system—A systematic review. Health Policy (New York) [Internet]. 2017;121(5):481–94. doi: http://dx.doi.org/10.1016/j.healthpol.2017.02.013 24. Murton O, Hillman R, Mehta D. Cepstral peak prominence values for clinical voice evaluation. Am J Speech-Language Pathol. 2020;29(3):1596–607. doi: https://doi.org/10.1044/2020_AJSLP-20-00001 25. Watts CR, Awan SN, Maryn Y. A Comparison of Cepstral Peak Prominence Measures from Two Acoustic Analysis Programs. J Voice [Internet]. 2017;31(3):387.e1-387.e10. doi: http://dx.doi.org/10.1016/j.jvoice.2016.09.012 26. Baker CP, Sundberg J, Purdy SC, Rakena TO, Leão SH d. S. CPPS and Voice-Source Parameters: Objective Analysis of the Singing Voice. J Voice. 2022;S0892-1997(21)00433-1. doi: https://doi.org/10.1016/j.jvoice.2021.12.010 27. Lopes LW, Sousa ES da S, da Silva ACF, da Silva IM, de Paiva MAA, Vieira VJD, et al. Cepstral measures in the assessment of severity of voice disorders. Codas. 2019;31(4):1–8. doi: https://doi.org/10.1590/2317-1782/20182018175 28. Speyer R, Bogaardt HCA, Passos VL, Roodenburg NPHD, Zumach A, Heijnen MAM, et al. Maximum Phonation Time: Variability and Reliability. J Voice [Internet]. 2010 May;24(3):281–4. doi: https://doi.org/10.1016/j.jvoice.2008.10.004 29. Hirano, M., Koike, Y., & von Leden H. Maximum Phonation Time and Air Usage During Phonation. Folia Phoniatr Logop. 1968;20(4):185–201. doi: https://doi.org/10.1159/000263198 30. Fujimaki Y, Tsunoda K, Kobayashi R, Tonghyo C, Tanaka F, Kuroda H, et al. Independent exercise for glottal incompetence to improve vocal problems and prevent aspiration pneumonia in the elderly: A randomized controlled trial. Clin Rehabil. 2017;31(8):1049–56. doi: https://doi.org/10.1177/0269215516673208 31. Hamdan AL, Sibai A, Rameh C, Kanazeh G. Short-Term Effects of Endotracheal Intubation on Voice. J Voice. 2007 Nov 1;21(6):762–8. doi: https://doi.org/10.1016/j.jvoice.2006.06.003 32. Curtis JA, Troche MS. Handheld Cough Testing: A Novel Tool for Cough Assessment and Dysphagia Screening. Dysphagia [Internet]. 2020;35(6):993–1000. doi: https://doi.org/10.1007/s00455-020-10097-z 33. Bianchi C, Baiardi P, Khirani S, Cantarella G. Cough peak flow as a predictor of pulmonary morbidity in patients with dysphagia. Am J Phys Med Rehabil. 2012;91(9):783–8. doi: https://doi.org/10.1097/PHM.0b013e3182556701 34. Ruston FC, Moreti F, Vivero M, Malebran C, Behlau M. Cross-cultural adaptation of the Chilean version of the Voice Symptom Scale - VoiSS. Codas. 2016;28(5):625–33. doi: https://doi.org/10.1590/2317-1782/20162015249 35. Fernández-Rosati J, Lera L, Fuentes-López E, Albala C. Validez y confiabilidad del cuestionario Eating Assessment Tool 10 (EAT-10) para detectar disfagia en adultos mayores chilenos. Rev Med Chil [Internet]. 2018 Sep;146(9):1008–15. doi: https://doi.org/10.4067/s0034-98872018000901008 36. Maryn Y, Weenink D. Objective dysphonia measures in the program praat: Smoothed cepstral peak prominence and acoustic voice quality index. J Voice [Internet]. 2015;29(1):35–43. doi: http://dx.doi.org/10.1016/j.jvoice.2014.06.015 37. Hillenbrand J, Houde RA. Acoustic correlates of breathy vocal quality: Dysphonic voices and continuous speech. J Speech, Lang Hear Res. 1996;39(2):311–21. doi: https://doi.org/10.1044/jshr.3902.311 38. Heman-Ackah YD, Michael DD, Goding GS. The relationship between cepstral peak prominence and selected parameters of dysphonia. J Voice. 2002;16(1):20–7. doi: https://doi.org/10.1016/S0892-1997(02)00067-X 39. Núñez-Batalla F, Cartón-Corona N, Vasile G, García-Cabo P, Fernández-Vañes L, Llorente-Pendás JL. Validation of the Measures of Cepstral Peak Prominence as a Measure of Dysphonia Severity in Spanish-Speaking Subjects. Acta Otorrinolaringol. 2019;70(4):222–8. doi: https://doi.org/10.1016/j.otoeng.2018.04.005 40. Arviso LC, Klein AM, Johns MM. The management of postintubation phonatory insufficiency. J Voice. 2012 Jul 1;26(4):530–3. doi: https://doi.org/10.1016/j.jvoice.2010.10.022 41. Kallesen M, Psirides A, Huckabee ML. Comparison of cough reflex testing with videoendoscopy in recently extubated intensive care unit patients. J Crit Care [Internet]. 2016;33(2016):90–4. doi: http://dx.doi.org/10.1016/j.jcrc.2016.02.004 42. Britton D, Roeske A, Ennis SK, Benditt JO, Quinn C, Graville D. Utility of Pulse Oximetry to Detect Aspiration: An Evidence-Based Systematic Review. Dysphagia [Internet]. 2018;33(3):282–92. doi: https://doi.org/10.1007/s00455-017-9868-1 43. Pitts T. Airway protective mechanisms. Lung. 2014;192(1):27–31. doi: https://doi.org/10.1007/s00408-013-9540-y 44. Yoshiyuki H, Fuller BF. Selected acoustic characteristics of voices before intubation and after extubation. J Speech Hear Res. 1990;33(3):505–10. doi: https://doi.org/10.1044/jshr.3303.505 45. Sariego J. Vocal Fold Hypomobility Secondary to Elective Endotracheal Intubation: A General Surgeon’s Perspective. J Voice [Internet]. 2010;24(1):110–2. doi: http://dx.doi.org/10.1016/j.jvoice.2008.05.001 46. Lipshutz AKM, Gropper MA. Acquired neuromuscular weakness and early mobilization in the intensive care unit. Anesthesiology. 2013;118(1):202–15. doi: https://doi.org/10.1097/ALN.0b013e31826be693 https://riics.info/index.php/RCMC/article/download/239/855 https://riics.info/index.php/RCMC/article/download/239/856 https://riics.info/index.php/RCMC/article/download/239/857 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/redcol/resource_type/ART info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |