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Critical Care: Critical Care in the ICU |

Evaluation of Outcomes of Post-Extubation Dysphagia in Elderly Patients

Mark Regala, MD; Stevie Marvin; William Ehlenbach, MD
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University of Wisconsin School of Medicine and Public Health, Madison, WI


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):224A. doi:10.1016/j.chest.2016.08.237
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SESSION TITLE: Critical Care in the ICU

SESSION TYPE: Original Investigation Poster Discussion

PRESENTED ON: Monday, October 24, 2016 at 12:00 PM - 01:30 PM

PURPOSE: Dysphagia following extubation is common in the ICU. Diagnosing post-extubation dysphagia allows identification of patients who are at highest risk for aspiration and its associated adverse outcomes. Older adults are potentially at an increased risk of dysphagia and its complications due to multiple comorbidities, a higher baseline risk of dysphagia, and increased risk of pneumonia. In this study, we investigated the association between dysphagia after extubation and mortality, incidence of pneumonia, hospital length of stay, and place of discharge among patients age 65 and over who were intubated and underwent a swallow evaluation in a 24-bed academic medical and surgical ICU.

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