Evaluation and classification of post-extubation dysphagia in critically ill patients.

ABSTRACT Objective: to identify factors associated with dysphagia in patients undergoing prolonged orotracheal intubation (pOTI) and the post-extubation consequences. Methods: 150 patients undergoing pOTI participated in the study, evaluated according to the deglutition functional level (American Speech Language - Hearing Association National Outcome Measurement System - ASHA NOMS), severity determination (The Simplified Acute Physiology Score - SOFA) and submitted to collection of variables age, mortality, days of orotracheal intubation, number of sessions to introduce oral diet, and days to hospital discharge. We grouped patients according to ASHA classification: 1 (levels 1 and 2), 2 (levels 3, 4 and 5) and 3 (levels 6 and 7). Results: the variables associated with impaired deglutition functionality were age (p摘要 研究目的：明确接受长期经口气管插管（prolonged orotracheal intubation, pOTI）患者发生吞咽障碍的相关影响因素，以及拔管后相关结局。 研究方法：本研究共纳入150例行长期经口气管插管的患者，分别采用吞咽功能水平评估工具——美国言语语言听力协会国家结局测量系统（American Speech-Language-Hearing Association National Outcome Measurement System, ASHA NOMS）、简化急性生理学评分（Simplified Acute Physiology Score, SOFA）对患者的吞咽功能与病情严重程度进行评估，并收集患者年龄、病死率、经口气管插管时长、起始口服饮食所需治疗次数及住院天数等临床变量。根据ASHA分级标准将患者分为3组：1组（分级1、2级）、2组（分级3、4、5级）及3组（分级6、7级）。 研究结果：与吞咽功能受损相关的变量包括年龄（p