About: A Systematic Review of Tracheostomy Modifications and Swallowing in Adults

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	A Systematic Review of Tracheostomy Modifications and Swallowing in Adults
Creator	Anger, Nicole Empey, Allison Skoretz, Stacey Takai, Osamu Wellman, ·
topic	covid:3dbc069aa88ed71c04ecde060aebf2d2871b31b3#this
Source	PMC
abstract	Dysphagia occurs in 11% to 93% of patients following tracheostomy. Despite its benefits, the tracheostomy often co-exists with dysphagia given its anatomical location, the shared pathway of the respiratory and alimentary systems, and the medical complexities necessitating the need for the artificial airway. When tracheostomy weaning commences, it is often debated whether the methods used facilitate swallowing recovery. We conducted a systematic review to determine whether tracheostomy modifications alter swallowing physiology in adults. We searched eight electronic databases, nine grey literature repositories and conducted handsearching. We included studies that reported on oropharyngeal dysphagia as identified by instrumentation in adults with a tracheostomy. We accepted case series (n > 10), prospective or retrospective observational studies, and randomized control trials. We excluded patients with head and neck cancer and/or neurodegenerative disease. Two independent and blinded reviewers rated abstracts and articles for study inclusion. Data abstraction and risk of bias assessment was conducted on included studies. Discrepancies were resolved by consensus. A total of 7079 citations were identified, of which, 639 articles were reviewed, with ten articles meeting our inclusion criteria. The studies were heterogeneous in study design, patient population, and outcome measures. For these reasons, we presented our findings descriptively. All studies were limited by bias risk. This study highlights the limitations of the evidence and therefore the inability to conclude whether tracheostomy modifications alter swallowing physiology.
has issue date	2020-05-06(xsd:dateTime)
bibo:doi	10.1007/s00455-020-10115-0
bibo:pmid	32377977
has license	no-cc
sha1sum (hex)	3dbc069aa88ed71c04ecde060aebf2d2871b31b3
schema:url	https://doi.org/10.1007/s00455-020-10115-0
resource representing a document's title	A Systematic Review of Tracheostomy Modifications and Swallowing in Adults
has PubMed Central identifier	PMC7202464
has PubMed identifier	32377977
schema:publication	Dysphagia
resource representing a document's body	covid:3dbc069aa88ed71c04ecde060aebf2d2871b31b3#body_text
is http://vocab.deri.ie/void#inDataset of	proxy:http/ns.inria.fr/covid19/3dbc069aa88ed71c04ecde060aebf2d2871b31b3
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