Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit

Introduction: The world has been suffering from COVID-19 since 2020 and the disease continues up to now. COVID-19 patients are at high risk of dysphagia and dysphonia. Accordingly, this study aims to determine the prevalence of dysphonia and dysphagia and identify correlated factors to develop dysp...

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Main Authors: Akbar Banari, Alireza Aghaz, Arash Shahriyari, Saeed Noori, Mahsa Pourmohammadi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-07-01
Series:Journal of Modern Rehabilitation
Subjects:
Online Access:https://jmr.tums.ac.ir/index.php/jmr/article/view/814
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author Akbar Banari
Alireza Aghaz
Arash Shahriyari
Saeed Noori
Mahsa Pourmohammadi
author_facet Akbar Banari
Alireza Aghaz
Arash Shahriyari
Saeed Noori
Mahsa Pourmohammadi
author_sort Akbar Banari
collection DOAJ
description Introduction: The world has been suffering from COVID-19 since 2020 and the disease continues up to now. COVID-19 patients are at high risk of dysphagia and dysphonia. Accordingly, this study aims to determine the prevalence of dysphonia and dysphagia and identify correlated factors to develop dysphagia and dysphonia in COVID-19 patients admitted to intensive care units (ICU). Materials and Methods: A total of 70 patients with COVID-19 (Mean±SD age of 63.1±18.6; males=39) hospitalized in ICUs were evaluated by an expert on speech and language. The patients were evaluated for swallowing disorder via the Mann assessment of swallowing ability and the Persian version of the functional oral intake scale. The consensus auditory-perceptual evaluation of voice was also used to evaluate voice disorders. Results: Overall, 58.6% of patients presented dysphagia and 74.3% of patients had dysphonia. Meanwhile, 34.3% of the patients were on mechanical ventilation. A correlation was detected between dysphagia severity and the number of mechanical ventilation days, the length of stay, and age (P<0.05). Dyspnea impacts the prevalence of dysphonia and dysphagia in COVID-19 patients (P<0.05). Vomiting has been effective on only the prevalence of dysphagia (P<0.05). Furthermore, a significant correlation was found between dysphagia and dysphonia (P<0.01). Conclusion: A high prevalence rate of dysphagia and dysphonia exists in patients with COVID-19 admitted to ICUs. An early evaluation by a speech and language pathologist is essential to identify the suspected patients and provide early intervention to prevent further complications and improve their quality of life.
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spelling doaj.art-1200b9cce8d748ab80824839a6edee202023-11-12T07:20:54ZengTehran University of Medical SciencesJournal of Modern Rehabilitation2538-385X2538-38682023-07-0117410.18502/jmr.v17i4.13894Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care UnitAkbar Banari0Alireza Aghaz1Arash Shahriyari2Saeed Noori3Mahsa Pourmohammadi4Student Research Commitee, University of Social Walfare and Rehabilitation Sciences, Tehran, IranDepartment of Speech Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Psychology, School of Psychology and Educational Sciences, Central Tehran Branch, Islamic Azad University, Tehran, IranSchool of Medicine, Birjand University of Medical Sciences, Birjand, IranDepartment of Communication Sciences and Disorders, Bowling Green State University, OH, United State Introduction: The world has been suffering from COVID-19 since 2020 and the disease continues up to now. COVID-19 patients are at high risk of dysphagia and dysphonia. Accordingly, this study aims to determine the prevalence of dysphonia and dysphagia and identify correlated factors to develop dysphagia and dysphonia in COVID-19 patients admitted to intensive care units (ICU). Materials and Methods: A total of 70 patients with COVID-19 (Mean±SD age of 63.1±18.6; males=39) hospitalized in ICUs were evaluated by an expert on speech and language. The patients were evaluated for swallowing disorder via the Mann assessment of swallowing ability and the Persian version of the functional oral intake scale. The consensus auditory-perceptual evaluation of voice was also used to evaluate voice disorders. Results: Overall, 58.6% of patients presented dysphagia and 74.3% of patients had dysphonia. Meanwhile, 34.3% of the patients were on mechanical ventilation. A correlation was detected between dysphagia severity and the number of mechanical ventilation days, the length of stay, and age (P<0.05). Dyspnea impacts the prevalence of dysphonia and dysphagia in COVID-19 patients (P<0.05). Vomiting has been effective on only the prevalence of dysphagia (P<0.05). Furthermore, a significant correlation was found between dysphagia and dysphonia (P<0.01). Conclusion: A high prevalence rate of dysphagia and dysphonia exists in patients with COVID-19 admitted to ICUs. An early evaluation by a speech and language pathologist is essential to identify the suspected patients and provide early intervention to prevent further complications and improve their quality of life. https://jmr.tums.ac.ir/index.php/jmr/article/view/814PrevalenceCOVID-19DysphagiaDysphoniaIntensive care unit
spellingShingle Akbar Banari
Alireza Aghaz
Arash Shahriyari
Saeed Noori
Mahsa Pourmohammadi
Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit
Journal of Modern Rehabilitation
Prevalence
COVID-19
Dysphagia
Dysphonia
Intensive care unit
title Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit
title_full Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit
title_fullStr Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit
title_full_unstemmed Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit
title_short Investigating the Prevalence of Dysphagia and Dysphonia in Patients with COVID-19 in the Intensive Care Unit
title_sort investigating the prevalence of dysphagia and dysphonia in patients with covid 19 in the intensive care unit
topic Prevalence
COVID-19
Dysphagia
Dysphonia
Intensive care unit
url https://jmr.tums.ac.ir/index.php/jmr/article/view/814
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