Phoniatric Unit, ORL Department, Faculty of Medicine, Mansoura University, Mansoura, 35516, Egypt.
Chest Diseases Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Eur Arch Otorhinolaryngol. 2023 May;280(5):2623-2631. doi: 10.1007/s00405-022-07810-z. Epub 2023 Jan 6.
To screen for oropharyngeal dysphagia (OD) in hospitalized COVID-19 patients.
A descriptive longitudinal study was conducted on 500 adult patients with confirmed COVID-19 in the age range of 19-65 years who were admitted to the main university isolation hospital (whether admitted in the ward or the intensive care unit). Screening for OD was done using the Arabic version of the Eating Assessment Tool (EAT-10) and the Yale swallow protocol.
45.4% of the admitted and 40.97% of the discharged COVID-19 patients had a positive screen for OD. Several risk factors for OD could be detected. These include older age, longer duration of presenting symptoms of COVID-19, presence of ageusia and anosmia, presence of dysphonia, ICU admission, lower oxygen saturation, higher respiratory rate, presence of OD at admission, longer duration of hospital stay, and use of noninvasive ventilation (NIV) and/or invasive mechanical ventilation (IMV).
Screening for OD in hospitalized COVID-19 patients is a mandatory procedure, whether for admitted or discharged patients.
在住院的 COVID-19 患者中筛查口咽吞咽困难（OD）。
对 500 名年龄在 19-65 岁之间、确诊为 COVID-19 的成年患者进行了一项描述性纵向研究，这些患者被收入主要大学隔离医院（无论是在病房还是重症监护病房）。使用阿拉伯语版的进食评估工具（EAT-10）和耶鲁吞咽协议对 OD 进行筛查。
住院和出院的 COVID-19 患者中分别有 45.4%和 40.97%的患者 OD 筛查呈阳性。可以发现一些 OD 的危险因素。这些因素包括年龄较大、COVID-19 症状出现时间较长、味觉和嗅觉丧失、声音嘶哑、入住 ICU、血氧饱和度较低、呼吸频率较高、入院时存在 OD、住院时间较长、使用无创通气（NIV）和/或有创机械通气（IMV）。
在住院的 COVID-19 患者中筛查 OD 是一项强制性程序，无论是对住院患者还是出院患者。
