POST-EXTUBATION CHARACTERISTICS OF DYSPHAGIA IN PATIENTES WITH COVID-19 IN CRITICAL PATIENT UNIT IN CHILE

Abstract

INTRODUCTION: Post extubation dysphagia occurs in users who present mechanical ventilation by orotracheal intubation, including those with COVI-19. For a quick approach, it is necessary to know its features in critical patient unit users.

OBJECTIVE: To characterize PED in adults with COVID-19, in ICU of a private clinic in Santiago de Chile between 2020 and 2021.

MATERIAL AND METHOD: A retrospective cross-sectional descriptive study was conducted. 139 clinical records of subjects over 18 years of age were studied, who had COVID-19 and who required mechanical ventilation by orotracheal intubation. The characteristics of dysphagia are described postextubation considering its prevalence; swallowing functionality; consistency type blow and aspiration moment.

RESULTS: It was possible to observe a prevalence of PED of 61.87% (95% CI 53.43-70.30). There is an impact on swallowing functionality of 47.67% (95% CI 36.53-58.81). The most affected food consistency was liquid with 45.34% (95% CI 34.24-56.45) and the moment of aspiration with the highest proportion was after the oropharyngeal motor response with 53.36% (CI to 95% 42,36- 64,61).

CONCLUSION: The PED has a significant impact on ICU. Therefore, an effort must be made for its early detection and treatment in extubated users.