ICU sedation, delirium & recovery

A Systematic Review of the Prevalence and Characteristics of Oropharyngeal Dysphagia in Critically Ill Patients During the Acute and Postacute Recovery Phase

Crit Care MedPublished Systematic review

Authors' conclusion

Due to study design limitations, high risk of bias, and heterogeneity in methods/outcomes, firm conclusions cannot be drawn. However, current data suggest a high prevalence of dysphagia in critically ill adults who persists greater than or equal to 12 months posthospital discharge.

Study context

Population
Critically ill adults (COVID-19, sepsis, critical illness or postintensive care syndrome) with dysphagia, in acute or postacute care settings51 studies
Outcome
Prevalence and characteristics of oropharyngeal dysphagia
Methodological detailsPRISMA guidelines, registered on PROSPERO, 5 databases searched from inception to September 2024; 5058 articles identified, 214 full-text reviewed, 51 included, Risk of bias assessed with Modified Downs and Black Checklist
  • PRISMA guidelines
  • Registered on PROSPERO
  • 5 databases searched from inception to September 2024; 5058 articles identified, 214 full-text reviewed, 51 included
  • Risk of bias assessed with Modified Downs and Black Checklist

Pooled result

As reported in the abstract

Prevalence of dysphagia

Prevalence of dysphagia, range

15% to 100%

Further pooled results

Persistent dysphagia · at hospital discharge

Dysphagia persisted in up to
74%

Persistent dysphagia · 10 to 17 months posthospital discharge

Dysphagia persisted in up to
22%

Original publication

A Systematic Review of the Prevalence and Characteristics of Oropharyngeal Dysphagia in Critically Ill Patients During the Acute and Postacute Recovery Phase. Crit Care Med. Published 27 March 2025. doi:10.1097/ccm.0000000000006669

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