Graduate School of Health, University of Technology, Sydney, NSW, Australia; Royal Prince Alfred Hospital, Sydney, NSW, Australia; Critical Care Division, The George Institute for Global Health, Sydney, NSW, Australia.
Centre for Functioning and Health Research, Metro South Hospital and Health Service, Brisbane, QLD, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.
Arch Phys Med Rehabil. 2021 May;102(5):835-842. doi: 10.1016/j.apmr.2020.10.113. Epub 2020 Nov 7.
To identify core practices for workforce management of communication and swallowing functions in coronavirus disease 2019 (COVID-19) positive patients within the intensive care unit (ICU).
A modified Delphi methodology was used, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included.
Electronic modified Delphi process.
Speech-language pathologists (SLPs) (N=35) from 6 continents representing 12 countries.
Not applicable.
The main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: 0=strongly disagree, 10=strongly agree). Prioritization rank order of statements in a fourth round was also conducted.
SLPs with a median of 15 years of ICU experience, working primarily in clinical (54%), academic (29%), or managerial positions (17%), completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance.
A set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focused on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic.
确定在重症监护病房（ICU）中管理 COVID-19 阳性患者的沟通和吞咽功能的核心实践。
采用改良 Delphi 方法，进行了 3 轮电子投票。AGREE II 和来自物理治疗的适应 COVID-19 的调查框架用于制定调查陈述。共纳入了 66 条关于 ICU 中沟通和吞咽功能的劳动力规划和管理的陈述。
电子改良 Delphi 流程。
来自 6 个大陆的 35 名言语-语言病理学家（SLP），代表 12 个国家。
不适用。
主要结果是一致同意，预先定义为≥70%的参与者的平均李克特评分≥7.0（11 分制：0=强烈不同意，10=强烈同意）。还进行了第四轮陈述的优先排序。
具有 15 年 ICU 经验的中位数的 SLP，主要从事临床工作（54%）、学术工作（29%）或管理职位（17%），完成了所有投票轮次。第三轮后，有 64 项陈述（97%）符合标准。排名确定了高重要性的问题。
一组全球共识陈述通过国际专家 SLP 小组达成一致，以促进在 COVID-19 大流行期间入住 ICU 的患者的康复护理计划和交付。陈述侧重于劳动力准备、资源配置和培训以及沟通和吞咽功能管理的考虑因素。这些陈述支持并为康复团队的所有成员提供指导，以便在全球大流行期间为入住 ICU 的患者使用。
