Deglutition assessment instruments used in critical patients submitted to orotracheal extubation: a scoping review

Silva, Rayane Délcia da; Santos, Rosane Sampaio; Taveira, Karinna Verissimo Meira; Guariza Filho, Odilon; Basso, Isabela Bittencourt; Ravazzi, Glória Maria Nogueira Cortz; Zeigelboim, Bianca Simone; Stechman-Neto, José; Araujo, Cristiano Miranda de

doi:10.1590/1982-0216/20222457222

Rayane Délcia da Silva

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Universidade Tuiuti do Paraná, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0003-1935-6448

Rosane Sampaio Santos

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Universidade Tuiuti do Paraná, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0001-6400-5706

Karinna Verissimo Meira Taveira

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Universidade Federal do Rio Grande do Norte - UFRN, Natal, Rio Grande do Norte, Brasil.

http://orcid.org/0000-0001-6978-4083

Odilon Guariza Filho

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Pontifícia Universidade Católica do Paraná, Departamento de Ortodontia, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0001-9799-1223

Isabela Bittencourt Basso

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0001-9511-047X

Glória Maria Nogueira Cortz Ravazzi

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Universidade Tuiuti do Paraná, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0002-6574-9878

Bianca Simone Zeigelboim

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Universidade Tuiuti do Paraná, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0003-4871-2683

José Stechman-Neto

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Universidade Tuiuti do Paraná, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0002-0259-2420

Cristiano Miranda de Araujo

Núcleo de Estudos Avançados em Revisão Sistemática e Meta-Análise - NARSM, Curitiba, Paraná, Brasil.

Universidade Tuiuti do Paraná, Curitiba, Paraná, Brasil.

http://orcid.org/0000-0003-1325-4248

Corresponding address: Rayane Délcia da Silva, Prefeito Dib Cherem, 2608, Capoeiras, CEP 88090-000 - Florianópolis, Santa Catarina, Brasil, E-mail: fonorayanedelcia@gmail.com

Conflict of interests: Nonexistent

Figures (2)
Tables (3)

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Figure 1:
Flowchart of literature search and selection criteria

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Figure 2:
Radial bar chart for the frequency of the tool used to assess swallowing in patients after orotracheal extubation, and characteristics of the tools used

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Table 1:
Summary of descriptive characteristics and outcomes of interest of the included studies (n=14)

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Lilacs («Intubação intratraqueal» OR «intubações intratraqueais» OR «intubação endotraqueal» OR «intubações endotraqueais» OR «Extubação das vias aéreas» OR «extubações das vias aéreas» OR «Extubação traqueal» OR «Extubações traqueais» OR «Extubação intratraqueal» OR «Extubações intratraqueais» OR «Extubação endotraqueal» OR «Extubações endotraqueais» OR «Intubación intratraqueal» OR «intubaciones intratraqueales» OR «intubación endotraqueal» OR «intubaciones endotraqueales» OR «Extubación de la vía aérea» OR «extubaciones de vías aéreas» OR «Extubación traqueal» OR «extubaciones traqueales» OR «Extubación intratraqueal» OR «extubaciones intratraqueales» OR «Extubación intratraqueal» OR «Extubación endotraqueal» OR «extubaciones endotraqueales» OR «intratracheal intubation» OR «intratracheal intubations» OR «endotracheal intubation» OR «endotracheal intubations» OR «Airway Extubation» OR «airway extubations» OR «Tracheal Extubation» OR «Tracheal Extubations» OR «Intratracheal Extubation» OR «Intratracheal Extubations» OR «Endotracheal Extubation» OR «Endotracheal Extubations») AND («Trastornos de la deglución» OR «Trastorno de la deglución» OR «transtorno de deglución» OR «transtornos de deglución» OR «Disfagia» OR «Disfagia orofaríngea» OR «Disfagia esofágica» OR «Transtornos da Deglutição» OR «Transtorno da Deglutição» OR «Disfagia» OR «Disfagia orofaríngea» OR «Disfagia esofágica» OR «Deglutition Disorders» OR «Deglutition Disorder» OR «Swallowing Disorders» OR «Swallowing Disorder» OR «Dysphagia» OR «Oropharyngeal Dysphagia» OR «Esophageal Dysphagia») AND («Patología del habla y Lenguaje» OR «Patología del lenguaje» OR «Patología del habla» OR «Rehabilitación de trastornos del habla y lenguaje» OR «Rehabilitación de trastorno del habla y lenguaje» OR «Rehabilitación del trastorno del lenguaje y del habla» OR «Rehabilitación del trastornos del habla y lenguaje» OR «fonoaudiologia» OR «patologia da fala e linguagem» OR «Patologia da Linguagem» OR «Patologia da Fala» OR «Reabilitação de Distúrbios da Fala e da Linguagem» OR «Reabilitação de Distúrbios de Linguagem e Fala» OR «Reabilitação de Distúrbios de Fala e Linguagem» OR «Speech-Language Pathology» OR «Speech Language Pathology» OR «Language Pathology» OR «Speech Pathology» OR «Rehabilitation of Speech and Language Disorders» OR «Language and Speech Disorder Rehabilitation» OR «Speech and Language Disorder Rehabilitation») PubMed 1. ((“intubation, intracheal”[MeSH Terms]) OR (“intubation, intracheal”[All Fields]) OR (“intratracheal intubation”[All Fields]) OR (“intratracheal intubations”[All Fields]) OR (“endotracheal intubation”[All Fields]) OR (“endotracheal intubations”[All Fields]) OR (“Airway Extubation”[MeSH Terms]) OR (“Airway Extubation”[All Fields]) OR (“airway extubations”[All Fields]) OR (“Tracheal Extubation”[All Fields]) OR (“Tracheal Extubations”[All Fields]) OR (“Intratracheal Extubation”[All Fields]) OR (“Intratracheal Extubations”[All Fields]) OR (“Endotracheal Extubation”[All Fields]) OR (“Endotracheal Extubations”[All Fields])) 2. ((“Deglutition Disorders”[MeSH Terms]) OR (“Deglutition Disorders”[All Fields]) OR (“Deglutition Disorder”[All Fields]) OR (“Swallowing Disorders”[All Fields]) OR (“Swallowing Disorder”[All Fields]) OR (“Dysphagia”[All Fields]) OR (“Oropharyngeal Dysphagia”[All Fields]) OR (“Esophageal Dysphagia”[All Fields])) 3. ((“Speech-Language Pathology”[MeSH Terms]) OR (“Speech-Language Pathology”[All Fields]) OR (“Speech Language Pathology”[All Fields]) OR (“Language Pathology”[All Fields]) OR (“Speech Pathology”[All Fields]) OR (“Rehabilitation of Speech and Language Disorders”[MeSH Terms]) OR (“Rehabilitation of Speech and Language Disorders”[All Fields]) OR (“Language and Speech Disorder Rehabilitation”[All Fields]) OR (“Speech and Language Disorder Rehabilitation”[All Fields])) 4. #1 AND #2 AND #3 SCOPUS (“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND (“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND (“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”) Web of Science 1. TS=(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) 2. TS=(“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) 3. TS=(“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”) 4. #1 AND #2 AND #3 Embase (‘intratracheal intubation’/exp OR ‘intratracheal intubation’ OR ‘intratracheal intubations’ OR ‘endotracheal intubation’/exp OR ‘endotracheal intubation’ OR ‘endotracheal intubations’ OR ‘airway extubation’/exp OR ‘airway extubation’ OR ‘airway extubations’ OR ‘tracheal extubation’/exp OR ‘tracheal extubation’ OR ‘tracheal extubations’ OR ‘intratracheal extubation’ OR ‘intratracheal extubations’ OR ‘endotracheal extubation’/exp OR ‘endotracheal extubation’ OR ‘endotracheal extubations’) AND (‘deglutition disorders’/exp OR ‘deglutition disorders’ OR ‘deglutition disorder’/exp OR ‘deglutition disorder’ OR ‘swallowing disorders’ OR ‘swallowing disorder’/exp OR ‘swallowing disorder’ OR ‘dysphagia’/exp OR ‘dysphagia’ OR ‘oropharyngeal dysphagia’/exp OR ‘oropharyngeal dysphagia’ OR ‘esophageal dysphagia’/exp OR ‘esophageal dysphagia’) AND (‘speech-language pathology’/exp OR ‘speech-language pathology’ OR ‘speech language pathology’/exp OR ‘speech language pathology’ OR ‘language pathology’ OR ‘speech pathology’ OR ‘rehabilitation of speech and language disorders’/exp OR ‘rehabilitation of speech and language disorders’ OR ‘language and speech disorder rehabilitation’ OR ‘speech and language disorder rehabilitation’) Livivo TI=(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND TI=(“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND TI=(“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”) AshaWire (“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND (“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND (“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”) Google Scholar “Endotracheal Extubations” AND “deglutition disorders” Open Grey “Endotracheal Extubations” ProQuest NOFT(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND NOFT(“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND NOFT(“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”)

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Author, Year Reason for Exclusion Barquist E, Brown M, Cohn S, Lundyv D, Jackowski J. 2001¹ 3 Bordon A, Bokhari R, Sperry J, Testa IVD, Feinstein A, Ghaemmaghami V. 2011² 1 Cheung W, Clayton N, Li F, Tan J, Milliss D, Thanakrishnan G, Maitz P. 2013³ 1 Daly E, Miles A, Scott S, Gillham M. 2016⁴ 2 Johnson KL, Speirs L, Mitchell A, Przybyl H, Anderson D, Manos B., et al. 20185 1 Macht M, King, CJ, Wimbish T, Clark BJ, Benson AB, Burnham EL., et al. 20136 2 Macht M, Wimbish T, Clark BJ, Benson AB, Burnham EL, Williams A., et al. 20127 1 Malandraki GA., Markaki V, Georgopoulos VC, Psychogios L, Nanas S. 20168 1 Partik B, Pokieser P, Schima W, Schober E, Stadler A, Eisenhuber E., et al. 20009 2 Regan J, Walshe M, Lavan S, Horan E, Gillivan-Murphy P, Healy A., et al. 202110 2 Skoretz SA, Yau TM., Ivanov J, Granton JT, Martino R. 201411 1 1. Study that did not specify the swallowing assessment instrument; 2. Study that included patients with tracheostomy; 3. Study that included patients under 18 years of age. References 1. Barquist E, Brown M, Cohn S, Lundyv D, Jackowski J. Postextubation fiberoptic endoscopic evaluation of swallowing after prolonged endotracheal intubation: a randomized, prospective trial. Crit Care Med. 2001;29(9):1710-3. 2. Bordon A, Bokhari R, Sperry J, Testa IVD, Feinstein A, Ghaemmaghami V. Swallowing dysfunction after prolonged intubation: analysis of risk factors in trauma patients. Am J Surg. 2011;202(6):679-83. 3. Cheung W, Clayton N, Li F, Tan J, Milliss D, Thanakrishnan G et al. The effect of endotracheal tube size on voice and swallowing function in patients with thermal burn injury: an evaluation using the Australian Therapy Outcome Measures (AusTOMS). Int J Speech Lang Pathol. 2013;15(2):216-20. 4. Daly E, Miles A, Scott S, Gillham M. Finding the red flags: swallowing difficulties after cardiac surgery in patients with prolonged intubation. J Crit Care. 2016;31(1):119-24. 5. Johnson KL, Speirs L, Mitchell A, Przybyl H, Anderson D, Manos B et al. Validation of a postextubation dysphagia screening tool for patients after prolonged endotracheal intubation. J Crit Care. 2018;27(2):89-96. 6. Macht M, King CJ, Wimbish T, Clark BJ, Benson AB, Burnham EL et al. Postextubation dysphagia is associated with longer hospitalization in survivors of critical illness with neurologic impairment. J Crit Care. 2013;17(3):1-9. 7. Macht M, Wimbish T, Clark BJ, Benson AB, Burnham EL, Williams A et al. Diagnosis and treatment of post-extubation dysphagia: results from a national survey. J Crit Care. 2012;27(6):578-86. 8. Malandraki GA, Markaki V, Georgopoulos VC, Psychogios L, Nanas S. Postextubation dysphagia in critical patients: a first report from the largest step-down intensive care unit in Greece. Int J Speech Lang Pathol. 2016;25(2):150-6. 9. Partik B, Pokieser P, Schima W, Schober E, Stadler A, Eisenhuber E et al. Videofluoroscopy of swallowing in symptomatic patients who have undergone long-term intubation. AJR. 2000;174(5):1409-12. 10. Regan J, Walshe M, Lavan S, Horan E, Gillivan-Murphy P, Healy A et al. Postextubation dysphagia and dysphonia amongst adults with COVID-19 in the Republic of Ireland: a prospective multi-site observational cohort study. Clin Otolaryngol. 2021;46(6):1290-9. 11. Skoretz SA, Yau TM, Ivanov J, Granton JT, Martino R. Dysphagia and associated risk factors following extubation in cardiovascular surgical patients. Dysphagia. 2014;29(6):647-54.

Author, year, country	Sample (n)	Females n (%)	Males n (%)	Age (Median or range)	Etiology	Evaluation tool	Study type
Brodsky, M.B., et al., (2018), USA²²	11	73%	27%	53	Acute Respiratory Distress Syndrome (ARDS)	Imaging instrument Swallowing Videofluoroscopy (VFSS)	Observational, (Cohort)
Ferrucci, J.L., (2018), Brazil²¹	113	13.2%	86.7%	35.2 - 43.6	Head trauma	Evaluation protocol Dysphagia Risk Assessment Protocol (PARD)	Observational (Cross-sectional)
El Gharib, A.Z.G., et al., (2019), Brazi^l16	15	33.3%	66.6%	48,6 ±16,5	Not included	Evaluation protocol and imaging instrument. Dysphagia Risk Assessment Protocol (PARD) and Surface Electromyography	Interventional, (non-randomized clinical trial)
Kunigk, M.R.G., Ethel, C., (2007), Brazi^l1	30	33.3%	66.6%	20 - 72	Head injuries, ischemic and hemorrhagic strokes, brain tumors, cardiorespiratory arrests, coronary insufficiencies, spinal cord injury, and acute respiratory failure	Imaging instrument Fiberoptic endoscopic evaluation of swallowing (FEES)	Observational (Cohort)
Langmore, S.E., et al., (2021), USA¹³	213	32%	62%	57	Acute Respiratory Failure (ARF)	Imaging instrument Fiberoptic endoscopic evaluation of swallowing (FEES)	Observational, (Cohort)
Leder, S.B., et al., (2019), USA²³	202	31.6%	68,3%	33 (Aspiration Group) - 40 (No Aspiration group)	Cardiac, cardiothoracic, and neurosurgical	Evaluation protocol and imaging instrument. Yale Swallow Protocol and Fiberoptic endoscopic evaluation of swallowing (FEES)	Observational, (Cohort)
Medeiros, G.C., et al., (2014), Brazil¹⁹	148	38.5%	61.4%	18 - 90	Not included	Evaluation protocol Dysphagia Risk Assessment Protocol (PARD)	Observational (Cohort)
Medeiros, G.C., et al., (2016), Brazi^l18	150	Not included	Not included	62 ± 17.4 (Asha 1 group) / 55.3 ± 17.48 (Asha 2 group) / 46.4 ± 18.3 (Asha 3 group)	Pulmonary disease, polytrauma without traumatic brain injury, kidney and liver transplantation, cardiac, vascular, gastroenterological, rheumatic, and endocrine diseases.	Evaluation protocol Dysphagia Risk Assessment Protocol (PARD)	Observational (Cross-sectional)
Moraes, D.P., (2013), Brazi^l17	148	38.5%	61.4%	53.51 ± 16.18 (males) / 52.88 ± 19.32 (females)	Not included	Evaluation protocol Dysphagia Risk Assessment Protocol (PARD)	Observational (Cohort)
Moss,M., et al., (2020), USA¹⁴	213	32%	62%	57	Acute Respiratory Failure (ARF)	Imaging instrument Fiberoptic endoscopic evaluation of swallowing (FEES)	Interventional (Non-randomized clinical trial)
Oliveira, A.C., et al., (2018), Brazil¹⁵	181	64.1%	35.9%	19 - 90	Acute Respiratory Failure (ARF)	Screening Mann Assessment of Swallowing Ability (Masa) protocol	Observational (Cross-sectional)
Padovani, A.R., et al., (2013), Brazi^l20	35	51%	49%	54 ± 20.1	Not included	Evaluation protocol Preliminary Assessment Protocol (PAP), Dysphagia Risk Assessment Protocol (PARD), and Protocol for the Food Introduction and Transition of Oral Feeding (PITA)	Observational (Cross-sectional)
El Solh, A.E., et al., (2003), USA¹²	84	52%	47%	75.3 ± 6.2 (Elderly group) / 49.7 ± 7.8 (Control group)	Pneumonia, sepsis, chronic obstructive pulmonary disease (COPD), liver failure, and acute respiratory distress syndrome (ARDS)	Imaging instrument Fiberoptic endoscopic evaluation of swallowing (FEES)	Observational (Cross-sectional)
Skoretz, S.A., et al., (2017), Canada²⁴	3	33.3%	66.6%	37 - 71	Cardiovascular	Imaging instrument Videofluoroscopy (VFSS), and Fiberoptic endoscopic evaluation of swallowing (FEES)	Observational (Cross-sectional)

Lilacs	(«Intubação intratraqueal» OR «intubações intratraqueais» OR «intubação endotraqueal» OR «intubações endotraqueais» OR «Extubação das vias aéreas» OR «extubações das vias aéreas» OR «Extubação traqueal» OR «Extubações traqueais» OR «Extubação intratraqueal» OR «Extubações intratraqueais» OR «Extubação endotraqueal» OR «Extubações endotraqueais» OR «Intubación intratraqueal» OR «intubaciones intratraqueales» OR «intubación endotraqueal» OR «intubaciones endotraqueales» OR «Extubación de la vía aérea» OR «extubaciones de vías aéreas» OR «Extubación traqueal» OR «extubaciones traqueales» OR «Extubación intratraqueal» OR «extubaciones intratraqueales» OR «Extubación intratraqueal» OR «Extubación endotraqueal» OR «extubaciones endotraqueales» OR «intratracheal intubation» OR «intratracheal intubations» OR «endotracheal intubation» OR «endotracheal intubations» OR «Airway Extubation» OR «airway extubations» OR «Tracheal Extubation» OR «Tracheal Extubations» OR «Intratracheal Extubation» OR «Intratracheal Extubations» OR «Endotracheal Extubation» OR «Endotracheal Extubations») AND («Trastornos de la deglución» OR «Trastorno de la deglución» OR «transtorno de deglución» OR «transtornos de deglución» OR «Disfagia» OR «Disfagia orofaríngea» OR «Disfagia esofágica» OR «Transtornos da Deglutição» OR «Transtorno da Deglutição» OR «Disfagia» OR «Disfagia orofaríngea» OR «Disfagia esofágica» OR «Deglutition Disorders» OR «Deglutition Disorder» OR «Swallowing Disorders» OR «Swallowing Disorder» OR «Dysphagia» OR «Oropharyngeal Dysphagia» OR «Esophageal Dysphagia») AND («Patología del habla y Lenguaje» OR «Patología del lenguaje» OR «Patología del habla» OR «Rehabilitación de trastornos del habla y lenguaje» OR «Rehabilitación de trastorno del habla y lenguaje» OR «Rehabilitación del trastorno del lenguaje y del habla» OR «Rehabilitación del trastornos del habla y lenguaje» OR «fonoaudiologia» OR «patologia da fala e linguagem» OR «Patologia da Linguagem» OR «Patologia da Fala» OR «Reabilitação de Distúrbios da Fala e da Linguagem» OR «Reabilitação de Distúrbios de Linguagem e Fala» OR «Reabilitação de Distúrbios de Fala e Linguagem» OR «Speech-Language Pathology» OR «Speech Language Pathology» OR «Language Pathology» OR «Speech Pathology» OR «Rehabilitation of Speech and Language Disorders» OR «Language and Speech Disorder Rehabilitation» OR «Speech and Language Disorder Rehabilitation»)
PubMed	1. ((“intubation, intracheal”[MeSH Terms]) OR (“intubation, intracheal”[All Fields]) OR (“intratracheal intubation”[All Fields]) OR (“intratracheal intubations”[All Fields]) OR (“endotracheal intubation”[All Fields]) OR (“endotracheal intubations”[All Fields]) OR (“Airway Extubation”[MeSH Terms]) OR (“Airway Extubation”[All Fields]) OR (“airway extubations”[All Fields]) OR (“Tracheal Extubation”[All Fields]) OR (“Tracheal Extubations”[All Fields]) OR (“Intratracheal Extubation”[All Fields]) OR (“Intratracheal Extubations”[All Fields]) OR (“Endotracheal Extubation”[All Fields]) OR (“Endotracheal Extubations”[All Fields])) 2. ((“Deglutition Disorders”[MeSH Terms]) OR (“Deglutition Disorders”[All Fields]) OR (“Deglutition Disorder”[All Fields]) OR (“Swallowing Disorders”[All Fields]) OR (“Swallowing Disorder”[All Fields]) OR (“Dysphagia”[All Fields]) OR (“Oropharyngeal Dysphagia”[All Fields]) OR (“Esophageal Dysphagia”[All Fields])) 3. ((“Speech-Language Pathology”[MeSH Terms]) OR (“Speech-Language Pathology”[All Fields]) OR (“Speech Language Pathology”[All Fields]) OR (“Language Pathology”[All Fields]) OR (“Speech Pathology”[All Fields]) OR (“Rehabilitation of Speech and Language Disorders”[MeSH Terms]) OR (“Rehabilitation of Speech and Language Disorders”[All Fields]) OR (“Language and Speech Disorder Rehabilitation”[All Fields]) OR (“Speech and Language Disorder Rehabilitation”[All Fields])) 4. #1 AND #2 AND #3
SCOPUS	(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND (“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND (“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”)
Web of Science	1. TS=(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) 2. TS=(“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) 3. TS=(“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”) 4. #1 AND #2 AND #3
Embase	(‘intratracheal intubation’/exp OR ‘intratracheal intubation’ OR ‘intratracheal intubations’ OR ‘endotracheal intubation’/exp OR ‘endotracheal intubation’ OR ‘endotracheal intubations’ OR ‘airway extubation’/exp OR ‘airway extubation’ OR ‘airway extubations’ OR ‘tracheal extubation’/exp OR ‘tracheal extubation’ OR ‘tracheal extubations’ OR ‘intratracheal extubation’ OR ‘intratracheal extubations’ OR ‘endotracheal extubation’/exp OR ‘endotracheal extubation’ OR ‘endotracheal extubations’) AND (‘deglutition disorders’/exp OR ‘deglutition disorders’ OR ‘deglutition disorder’/exp OR ‘deglutition disorder’ OR ‘swallowing disorders’ OR ‘swallowing disorder’/exp OR ‘swallowing disorder’ OR ‘dysphagia’/exp OR ‘dysphagia’ OR ‘oropharyngeal dysphagia’/exp OR ‘oropharyngeal dysphagia’ OR ‘esophageal dysphagia’/exp OR ‘esophageal dysphagia’) AND (‘speech-language pathology’/exp OR ‘speech-language pathology’ OR ‘speech language pathology’/exp OR ‘speech language pathology’ OR ‘language pathology’ OR ‘speech pathology’ OR ‘rehabilitation of speech and language disorders’/exp OR ‘rehabilitation of speech and language disorders’ OR ‘language and speech disorder rehabilitation’ OR ‘speech and language disorder rehabilitation’)
Livivo	TI=(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND TI=(“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND TI=(“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”)
AshaWire	(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND (“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND (“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”)
Google Scholar	“Endotracheal Extubations” AND “deglutition disorders”
Open Grey	“Endotracheal Extubations”
ProQuest	NOFT(“intratracheal intubation” OR “intratracheal intubations” OR “endotracheal intubation” OR “endotracheal intubations” OR “Airway Extubation” OR “airway extubations” OR “Tracheal Extubation” OR “Tracheal Extubations” OR “Intratracheal Extubation” OR “Intratracheal Extubations” OR “Endotracheal Extubation” OR “Endotracheal Extubations”) AND NOFT(“Deglutition Disorders” OR “Deglutition Disorder” OR “Swallowing Disorders” OR “Swallowing Disorder” OR “Dysphagia” OR “Oropharyngeal Dysphagia” OR “Esophageal Dysphagia”) AND NOFT(“Speech-Language Pathology” OR “Speech Language Pathology” OR “Language Pathology” OR “Speech Pathology” OR “Rehabilitation of Speech and Language Disorders” OR “Language and Speech Disorder Rehabilitation” OR “Speech and Language Disorder Rehabilitation”)

Author, Year	Reason for Exclusion
Barquist E, Brown M, Cohn S, Lundyv D, Jackowski J. 2001¹	3
Bordon A, Bokhari R, Sperry J, Testa IVD, Feinstein A, Ghaemmaghami V. 2011²	1
Cheung W, Clayton N, Li F, Tan J, Milliss D, Thanakrishnan G, Maitz P. 2013³	1
Daly E, Miles A, Scott S, Gillham M. 2016⁴	2
Johnson KL, Speirs L, Mitchell A, Przybyl H, Anderson D, Manos B., et al. 2018⁵	1
Macht M, King, CJ, Wimbish T, Clark BJ, Benson AB, Burnham EL., et al. 2013⁶	2
Macht M, Wimbish T, Clark BJ, Benson AB, Burnham EL, Williams A., et al. 2012⁷	1
Malandraki GA., Markaki V, Georgopoulos VC, Psychogios L, Nanas S. 2016⁸	1
Partik B, Pokieser P, Schima W, Schober E, Stadler A, Eisenhuber E., et al. 2000⁹	2
Regan J, Walshe M, Lavan S, Horan E, Gillivan-Murphy P, Healy A., et al. 2021¹⁰	2
Skoretz SA, Yau TM., Ivanov J, Granton JT, Martino R. 2014¹¹	1
1. Study that did not specify the swallowing assessment instrument; 2. Study that included patients with tracheostomy; 3. Study that included patients under 18 years of age.
References 1. Barquist E, Brown M, Cohn S, Lundyv D, Jackowski J. Postextubation fiberoptic endoscopic evaluation of swallowing after prolonged endotracheal intubation: a randomized, prospective trial. Crit Care Med. 2001;29(9):1710-3. 2. Bordon A, Bokhari R, Sperry J, Testa IVD, Feinstein A, Ghaemmaghami V. Swallowing dysfunction after prolonged intubation: analysis of risk factors in trauma patients. Am J Surg. 2011;202(6):679-83. 3. Cheung W, Clayton N, Li F, Tan J, Milliss D, Thanakrishnan G et al. The effect of endotracheal tube size on voice and swallowing function in patients with thermal burn injury: an evaluation using the Australian Therapy Outcome Measures (AusTOMS). Int J Speech Lang Pathol. 2013;15(2):216-20. 4. Daly E, Miles A, Scott S, Gillham M. Finding the red flags: swallowing difficulties after cardiac surgery in patients with prolonged intubation. J Crit Care. 2016;31(1):119-24. 5. Johnson KL, Speirs L, Mitchell A, Przybyl H, Anderson D, Manos B et al. Validation of a postextubation dysphagia screening tool for patients after prolonged endotracheal intubation. J Crit Care. 2018;27(2):89-96. 6. Macht M, King CJ, Wimbish T, Clark BJ, Benson AB, Burnham EL et al. Postextubation dysphagia is associated with longer hospitalization in survivors of critical illness with neurologic impairment. J Crit Care. 2013;17(3):1-9. 7. Macht M, Wimbish T, Clark BJ, Benson AB, Burnham EL, Williams A et al. Diagnosis and treatment of post-extubation dysphagia: results from a national survey. J Crit Care. 2012;27(6):578-86. 8. Malandraki GA, Markaki V, Georgopoulos VC, Psychogios L, Nanas S. Postextubation dysphagia in critical patients: a first report from the largest step-down intensive care unit in Greece. Int J Speech Lang Pathol. 2016;25(2):150-6. 9. Partik B, Pokieser P, Schima W, Schober E, Stadler A, Eisenhuber E et al. Videofluoroscopy of swallowing in symptomatic patients who have undergone long-term intubation. AJR. 2000;174(5):1409-12. 10. Regan J, Walshe M, Lavan S, Horan E, Gillivan-Murphy P, Healy A et al. Postextubation dysphagia and dysphonia amongst adults with COVID-19 in the Republic of Ireland: a prospective multi-site observational cohort study. Clin Otolaryngol. 2021;46(6):1290-9. 11. Skoretz SA, Yau TM, Ivanov J, Granton JT, Martino R. Dysphagia and associated risk factors following extubation in cardiovascular surgical patients. Dysphagia. 2014;29(6):647-54.

[1] Corresponding address: Rayane Délcia da Silva, Prefeito Dib Cherem, 2608, Capoeiras, CEP 88090-000 - Florianópolis, Santa Catarina, Brasil, E-mail: fonorayanedelcia@gmail.com

Brasil

Brasil

Deglutition assessment instruments used in critical patients submitted to orotracheal extubation: a scoping review

ABSTRACT

Purpose:

Methods:

Results:

Conclusion: