Related Experiment Video
Updated: Jan 13, 2026
ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
Published on: February 10, 2017
Dysphagia Prevalence and Recovery After Extubation in Neurosurgical ICU Patients: A Cross-Sectional Study Based on
Long Li1,2,3, Naqin Zhang2,3, Jun-E Liu1
1School of Nursing, Capital Medical University, Beijing, China.
Background:
Post-extubation dysphagia (PED) is a common complication in neurosurgical ICU (NICU) patients, increasing the risks of aspiration, pneumonia and malnutrition. Limited research has examined how PED prevalence and recovery vary across different neurological disease types.
Aim:
This study aimed to investigate the prevalence and recovery rates of post-extubation dysphagia in neurosurgical ICU patients with intracerebral haemorrhage, cerebral ischaemia, or intracranial tumours. It further sought to identify disease-specific differences and contributing factors to inform the development of individualised swallowing rehabilitation strategies.
Study Design:
This cross-sectional study consecutively enrolled eligible patients. Swallowing function was assessed using the Gugging Swallowing Screen for ICU (GuSS-ICU) at 24 h post-extubation and at discharge (score < 15 = dysphagia). Prevalence, improvement rates and associated factors (via multivariate logistic regression) were analysed.
Results:
A total of 341 participants were included. The overall prevalence of dysphagia was 85.3%. Patients with intracerebral haemorrhage exhibited the highest prevalence (OR = 1.774, p = 0.008) and a relatively lower improvement rate (OR = 1.992, p = 0.006). Compared to haemorrhagic stroke, patients with cerebral ischaemia showed a slightly better recovery trend (OR = 1.408, p = 0.111), although overall improvement remained limited (OR = 0.659, p = 0.040). The poorest recovery was observed in patients with intracranial tumours (OR = 0.374, p = 0.002).
Conclusions:
The prevalence and recovery of PED varied significantly depending on the neurological disorder. Patients with ICH were at the highest risk, while those with intracranial tumours faced the poorest prognosis for recovery.
Relevance To Clinical Practice:
These findings highlight the critical need for early and routine dysphagia screening in this vulnerable population. Understanding these disease-specific patterns allows clinicians to identify high-risk patients earlier and provides an evidence-based foundation for creating personalised swallowing rehabilitation strategies.
More Related Videos
08:32Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
07:22Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
Related Concept Videos
01:17Endotracheal Intubation II: Nursing Management
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
01:24Endotracheal Tube Extubation
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
01:22Aneurysm IV: Nursing Management
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
01:26Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...