RESULTS: Of 563 ICU patients who were screened, 111 of them (19.7%) had a swallow evaluation performed by an SLP after liberation from mechanical ventilation. The mean age of this group was 73.8 years (sd 7.0), mean APACHE IV was 86.9 (sd 25.8), and 41.4% were women. Mean duration of mechanical ventilation was 3.25 (sd 2.82) days, and median ICU length of stay was 4 days (interquartile range 2-6). Fiberoptic endoscopic evaluation of swallow was performed in 32/111 patients (28.8%), while videofluoroscopy in 34/111 patients (30.6%). The remainder (47/111) underwent a clinical bedside exam only. Pneumonia was subsequently diagnosed in 15/111 (13.5%) patients, while ICU readmission was observed in 22/111 (19.8%) patients. One year mortality was 38% in those without severe dysphagia, and 43% in those with severe dysphagia (p=0.638). Discharge to LTAC and SNF occurred in 44% in those without severe dysphagia as compared to 42% in those with severe dysphagia (p=0.858).