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Postextubation Dysphagia in Pediatric Populations: Incidence, Risk Factors, and Outcomes

Jesse Hoffmeister1, Nicholas Zaborek2, Susan L Thibeault1

  • 1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery; Department of Communication Sciences and Disorders.

The Journal of Pediatrics
|April 8, 2019
PubMed

Insights

Postextubation dysphagia, a swallowing disorder after mechanical ventilation, affects 29% of pediatric patients. It significantly increases hospital stay and the need for feeding tubes.

Area of Science:

  • Pediatric critical care medicine
  • Swallowing disorders
  • Mechanical ventilation outcomes

Background:

  • Postextubation dysphagia (PED) is a common complication following mechanical ventilation.
  • Understanding PED in pediatric populations is crucial for optimizing care and outcomes.
  • Previous research has primarily focused on adult populations, leaving a gap in pediatric-specific data.

Purpose of the Study:

  • To determine the incidence of PED in pediatric patients.
  • To identify risk factors associated with developing PED.
  • To evaluate the impact of PED on patient outcomes, including length of stay and need for nutritional support.

Main Methods:

  • A retrospective observational cohort study was conducted.
  • Included were pediatric patients (0-16 years) extubated in the ICU.
  • Data on patient demographics, intubation duration, and clinical outcomes were analyzed.

Main Results:

  • The incidence of PED was 29% among the studied pediatric patients.
  • Each hour of intubation increased the odds of PED by 1.7%.
  • Younger age (<25 months) and longer intubation duration were significant risk factors for PED.

Conclusions:

  • PED is a significant issue in pediatric intensive care units.
  • PED is associated with a prolonged hospital stay (10.95 days increase).
  • Patients with PED have a substantially higher likelihood of requiring gastrostomy or nasogastric tube feeding at discharge.
Abstract

Keywords:
aspirationdysphagiaextubationintubation

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