Innovative Interventions to Improve Swallowing in Patients with Dysphagia and Aspiration

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Healthcare Quality and Patient Safety".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 1102

Special Issue Editor


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Guest Editor
Department of Oral Surgery, School of Medicine, Toho University, Tokyo 143-8541, Japan
Interests: aspiration; dysphagia; rehabilitation; frailty; sarcopenia; choking

Special Issue Information

Dear Colleagues,

It has been exactly 30 years since I have been involved in the evaluation and rehabilitation of dysphagia. During that time, the understanding of swallowing functions and the systematization of its evaluation methods and rehabilitation have undergone remarkable developments. Moreover, the importance of a multidisciplinary team approach has been emphasized, and the decision that a patient is "unable to eat" is no longer made by a single medical professional. On the other hand, techniques used for the functional recovery of dysphagia are still biased by their careers, and the opinions of highly specialized individuals are also important. Therefore, we have attempted to create a special feature with the overarching goal of highlighting ‘Innovative Interventions to Improve Swallowing’, so that even if a highly specialized member of the team is not available, it can be used as a reference. We welcome original papers and review articles on various aspects of systemizing monitoring and intervention for dysphagia; oral appliances and rehabilitation machines; new swallowing function assessments; new approaches related to medications, oral care, taste, smell, and hot and cold stimuli; as well as other trending topics.

Dr. Hideki Sekiya
Guest Editor

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Keywords

  • aspiration
  • dysphagia
  • rehabilitation
  • frailty
  • sarcopenia
  • choking

Published Papers (1 paper)

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Research

12 pages, 1091 KiB  
Article
Development and Effect Evaluation of an Action-Oriented Interdisciplinary Weaning Protocol for Cuffed Tracheostomy Tubes in Patients with Acquired Brain Injury
by Katje Bjerrum, Linda-Maria Delgado Grove, Sine Secher Mortensen and Jesper Fabricius
Healthcare 2024, 12(4), 480; https://doi.org/10.3390/healthcare12040480 - 16 Feb 2024
Viewed by 730
Abstract
The objective was to develop an interdisciplinary weaning protocol (IWP) for patients with tracheostomy tubes due to acquired brain injury, and to effect evaluate implementation of the IWP on decannulation rates and weaning duration. An expert panel completed a literature review in 2018 [...] Read more.
The objective was to develop an interdisciplinary weaning protocol (IWP) for patients with tracheostomy tubes due to acquired brain injury, and to effect evaluate implementation of the IWP on decannulation rates and weaning duration. An expert panel completed a literature review in 2018 to identify essential criteria in the weaning process. Based on consensus and availability in clinical practice, criteria for guiding the weaning process were included in the protocol. Using the IWP, dysphagia is graded as either severe, moderate, or mild. The weaning process is guided through a protocol which specified the daily duration of cuff deflation until decannulation, along with recommendations for treatment and rehabilitation interventions. Data from 337 patient records (161 before and 176 after implementation) were included for effect evaluation. Decannulation rate during hospitalization was unchanged at 91% vs. 90% before and after implementation (decannulation rate at 60 days was 68% vs. 74%). After implementation, the weaning duration had decreased compared to before implementation, hazard ratio 1.309 (95%CI: 1.013; 1.693), without any increased risk of tube-reinsertion or pneumonia. Furthermore, a tendency toward decreased length of stay was seen with median 102 days (IQR: 73–138) and median 90 days (IQR: 58–119) (p = 0.061) before and after implementation, respectively. Scientific debate on weaning protocols for tracheostomy tubes are encouraged. Full article
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