ICU sedation, delirium & recovery

Factors associated with oropharyngeal dysphagia 3 months after intensive care unit (ICU) discharge in patients undergoing invasive mechanical ventilation: A post-hoc analysis of a Brazilian multicenter prospective cohort study

J Crit CarePublished Post-hoc analysis of a prospective multicentre cohort study

Authors' conclusion

OD 3 months after ICU discharge is a common condition among ICU survivors who required IMV. Educational level, severity of illness at ICU admission, ARDS diagnosis at ICU admission, and length of mechanical ventilation are key associated variables.

Study context

Population
Adult ICU survivors (age > 18 years) with ICU stay ≥72 h who needed invasive mechanical ventilation, Brazil
Participants
360 survivors
Primary endpoint
Incidence of oropharyngeal dysphagia (Functional Oral Intake Scale, structured telephone interviews)
Follow-up
3 months after ICU discharge
Methodological details10 ICUs
  • 10 ICUs

Primary result

As reported in the abstract

Incidence of oropharyngeal dysphagia
Incidence of oropharyngeal dysphagia (OD)
24.17%
Educational attainment, aRR per 1 year increase
0.95 (95% CI 0.92-0.99)
Risk of death at ICU admission, aRR per 1% increase
1.99 (95% CI 1.06-3.77)
ARDS diagnosis at ICU admission, aRR
0.21 (95% CI 0.06-0.71)
Length of mechanical ventilation, aRR per 1 day increase
1.02 (95% CI 1.01-1.03)

Secondary outcomes

Physical and mental quality of life (Short Form Health Survey version 2)

Patients with OD reported significantly worse physical and mental quality-of-life scores

Rehospitalization

Did not differ significantly between patients with and without OD

Original publication

Factors associated with oropharyngeal dysphagia 3 months after ICU discharge in patients undergoing invasive mechanical ventilation: A post-hoc analysis of a Brazilian multicenter prospective cohort study. J Crit Care. Published 21 January 2026. doi:10.1016/j.jcrc.2026.155437

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