Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study
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:...
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| Format: | Article |
| Language: | Spanish |
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Fundación Universitaria María Cano
2023-11-01
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| Series: | Revista de Investigación e Innovación en Ciencias de la Salud |
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| Online Access: | https://riics.info/index.php/RCMC/article/view/239 |
| _version_ | 1827620879599665152 |
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| author | Fernanda Figueroa-Martínez Adrián Castillo-Allendes Karla Grunewaldt Tamara Solís-Meza Eric J Hunter Jeff Searl |
| author_facet | Fernanda Figueroa-Martínez Adrián Castillo-Allendes Karla Grunewaldt Tamara Solís-Meza Eric J Hunter Jeff Searl |
| author_sort | Fernanda Figueroa-Martínez |
| collection | DOAJ |
| description |
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.
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| first_indexed | 2024-03-09T10:54:09Z |
| format | Article |
| id | doaj.art-3d77c31e4a014dcdb42bc9eea5a1eef3 |
| institution | Directory Open Access Journal |
| issn | 2665-2056 |
| language | Spanish |
| last_indexed | 2024-03-09T10:54:09Z |
| publishDate | 2023-11-01 |
| publisher | Fundación Universitaria María Cano |
| record_format | Article |
| series | Revista de Investigación e Innovación en Ciencias de la Salud |
| spelling | doaj.art-3d77c31e4a014dcdb42bc9eea5a1eef32023-12-01T02:48:53ZspaFundación Universitaria María CanoRevista de Investigación e Innovación en Ciencias de la Salud2665-20562023-11-015210.46634/riics.239Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot StudyFernanda Figueroa-Martínez0Adrián Castillo-Allendes1Karla Grunewaldt2Tamara Solís-Meza3Eric J Hunter4Jeff Searl5Department of Speech-Language Pathology; School of Medicine; Universidad de Chile; Santiago; Chile. / Department of Health Sciences; School of Medicine; Pontificia Universidad Católica de Chile; Santiago; ChileDepartment of Communicative Sciences and Disorders; Michigan State University; East Lansing; Michigan; United States. / Department of Communication Sciences and Disorders; The University of Iowa; Iowa City; Iowa; United StatesDepartment of Health Sciences; School of Medicine; Pontificia Universidad Católica de Chile; Santiago; ChileDepartment of Health Sciences; School of Medicine; Pontificia Universidad Católica de Chile; Santiago; ChileDepartment of Communication Sciences and Disorders; The University of Iowa; Iowa City; Iowa; United StatesDepartment of Communicative Sciences and Disorders; Michigan State University; East Lansing; Michigan; United States 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. https://riics.info/index.php/RCMC/article/view/239Endotracheal intubationintensive care unitcoughvoice disordersswallowing disorders |
| spellingShingle | Fernanda Figueroa-Martínez Adrián Castillo-Allendes Karla Grunewaldt Tamara Solís-Meza Eric J Hunter Jeff Searl Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study Revista de Investigación e Innovación en Ciencias de la Salud Endotracheal intubation intensive care unit cough voice disorders swallowing disorders |
| title | Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study |
| title_full | Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study |
| title_fullStr | Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study |
| title_full_unstemmed | Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study |
| title_short | Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study |
| title_sort | exploring the feasibility of a comprehensive screening for voice and swallowing function in post extubation patients a pilot study |
| topic | Endotracheal intubation intensive care unit cough voice disorders swallowing disorders |
| url | https://riics.info/index.php/RCMC/article/view/239 |
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