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Open Access
CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(01): e30-e41
DOI: 10.1055/s-0043-1767676
Original Research

Evaluation and Treatment of Dysphagia in Public and Private Intensive Care Units (ICUs) in Greece

Authors

  • Soultana L. Papadopoulou 

    1   Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece

  • Evangelia Kitsanou 

    1   Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece

  • Ermioni Brahimi 

    1   Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece

  • Georgios Papathanakos 

    2   Intensive Care Unit, University Hospital of Ioannina, Ioannina, Greece

  • Ioannis Andrianopoulos 

    2   Intensive Care Unit, University Hospital of Ioannina, Ioannina, Greece

  • Stavroula J. Theodorou 

    3   Department of Radiology, University Hospital of Ioannina, Ioannina, Greece

  • Vasilios Koulouras 

    2   Intensive Care Unit, University Hospital of Ioannina, Ioannina, Greece

  • Nafsica Ziavra 

    1   Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece

Funding The authors declare that the present research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Abstract

Introduction Dysphagia is a significant but underrecognized clinical issue in the intensive care unit (ICU), and it is associated with various complications. Despite its clinical importance, there is limited research and no Greek ICU-specific guidelines for managing dysphagic patients. Additionally, only a few ICUs in Greece have dysphagia specialists, specifically speech-language pathologists (SLPs) providing their expertise.

Objective Τo identify the current practices for dysphagia management (screening, assessment, treatment) and gain insight into ICU directors' awareness/perceptions of the prevalence, complications, and risk of dysphagia.

Materials and Methods We identified 138 Greek ICUs. Data were collected from ICU (including pediatric and neonatal) directors, working in public and private hospitals, via a 24-item, anonymous online questionnaire, within a 4-month period.

Results Our survey was completed by 45 ICU directors. Most participants (84.4%) reported that dysphagia is a relevant clinical problem in their ICU, and 51.1% estimated a frequency rate < 20%. Non-instrumental approaches are mainly utilized to screen and diagnose dysphagia, whereas enteral nutrition and diet modifications are used to manage dysphagia. Additionally, 64.4% of ICU directors agreed that SLPs are essential for the management of dysphagic patients, and 66.7%, that awareness of dysphagia in their ICU could be increased.

Conclusion The current study documented the methods and approaches used to manage dysphagic patients in Greek ICUs. The ICU directors seem to recognize the clinical significance of dysphagia and its complications. According to our findings, the employment of SLPs could result in a more comprehensive and intensive approach and improve the quality of care for these patients.

Keywords

dysphagia - critical care - intensive care units - survey


Publication History

Received: 13 September 2022

Accepted: 05 December 2022

Article published online:
05 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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