COVID-19对呼吸道和吞功能的影响
Lauren Linquest1, Kayla Ackerman1, Karuna Dewan1
1Department of Otolaryngology-Head and Neck Surgery LSU-Health Sciences Center Shreveport Louisiana USA.
需要重症监护的COVID-19患者经历了显著的吞困难,直管患者在住院后改变了饮食. 未接种疫苗的患者面临更长时间的重症监护室停留和通风持续时间.
科学领域:
- 医学研究 医学研究
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- COVID-19的急性阶段及其并发症得到了充分记录.
- 然而,对吞功能的长期影响,特别是在重症患者中,需要进一步研究.
研究的目的:
- 追溯分析COVID-19的重症监护室 (ICU) 患者的吞和呼吸道结果.
- 根据这些患者的饮食修改,比较吞结果.
主要方法:
- 在2020年3月至2022年5月期间,Ochsner-LSU医院ICU接受治疗的207名COVID-19患者的回顾性图表审查.
- 分析包括人口统计数据,输管/通风时间,呼吸道干预,体外膜氧化使用和饮食变化.
主要成果:
- 在直管和非直管患者之间观察到出院饮食的显著差异 (P=.007).
- 30%的患者在修改后的饮食中出院;那些不定期饮食的人更有可能被送往医院 (P=.043).
- 阴性疫苗状态与长时间的ICU停留,输管和通风相关.
结论:
- COVID-19带来了持续的挑战,对患者的康复产生了不断变化的影响.
- 需要进一步的研究来优化COVID-19幸存者的言语和吞干预措施.
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