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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

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Published on: June 6, 2020

Speech-language pathologist involvement in the paediatric intensive care unit.

Rachel Santiago¹, Blair J Gorenberg², Christine Hurtubise²

¹Department of Otolaryngology & Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.

International Journal of Speech-Language Pathology

|October 1, 2023

Summary

Speech-language pathologist (SLP) involvement in US pediatric intensive care units (PICUs) is infrequent, affecting only 8.5% of critically ill children. Increased awareness of SLP scope of practice is crucial for supporting communication and feeding needs.

Keywords:

acute rehabilitation augmentative and alternative communication critical illness dysphagia intensive care unit paediatrics

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Published on: December 14, 2012

Area of Science:

Pediatric Critical Care Medicine
Speech-Language Pathology
Rehabilitation Services

Background:

Critically ill children in pediatric intensive care units (PICUs) often experience communication and swallowing impairments.
The role of speech-language pathologists (SLPs) in managing these impairments within the PICU setting is not well-defined.
Understanding SLP involvement is essential for optimizing patient care and outcomes.

Purpose of the Study:

To determine the prevalence of speech-language pathologist (SLP) involvement among critically ill children in United States (US) pediatric intensive care units (PICUs).
To identify trends and factors associated with SLP involvement in the PICU.
To analyze secondary data from the Prevalence of Acute Rehab for Kids in the PICU (PARK-PICU) study.

Main Methods:

Secondary analysis of a cross-sectional point prevalence study.
Data collected from 82 US PICUs over a single day.
Included patient demographics, medical interventions, Glasgow Coma Scale scores, and therapy involvement.

Main Results:

SLP involvement was identified in 8.5% of 961 patients.
Younger children (<3 years) were more likely to receive SLP services.
Mechanical ventilation, endotracheal intubation, and disability were associated with lower odds of SLP involvement.

Conclusions:

Speech-language pathologist involvement is infrequent in US PICUs.
PICU teams require education on the scope of SLP practice.
SLP services are vital for supporting communication and oral feeding in early recovery.