Role of Prolonged Intubation in Vocal Fold Motion Impairment in Critically Ill Patients

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dc.catalogadorvzp
dc.contributor.authorCabrera López, José María
dc.contributor.authorLagos Villaseca, Antonia Elisa
dc.contributor.authorFuentes López, Eduardo
dc.contributor.authorRosenbaum Fuentes, Andrés Ricardo
dc.contributor.authorWillson Easton, Matías Iñigo
dc.contributor.authorPalma Rojas, Soledad De Los Ángeles
dc.contributor.authorKattan Tala, Eduardo José
dc.contributor.authorVera Alarcón, María Magdalena
dc.contributor.authorAquevedo Salazar, Andrés Fernando
dc.contributor.authorNapolitano Valenzuela, Carla Andrea
dc.contributor.authorCabello Estay, Pablo Andrés
dc.date.accessioned2024-06-07T16:00:48Z
dc.date.available2024-06-07T16:00:48Z
dc.date.issued2024
dc.description.abstractSummary: Objective. COVID-19 upsurge in orotracheal intubation (OTI) has opened a new opportunity for studying associated complications. Vocal fold motion impairment (VFMI) is a known complication of OTI. The present study sought to determine the impact of OTI and prolonged OTI on the risk of developing VFMI; to identify both risk and protective factors associated with it. Study design. Retrospective cohort study. Setting. Multicenter. Methods. Medical charts were reviewed for all patients that received invasive mechanical ventilation with a subsequent flexible laryngoscopic assessment between March 2020 and March 2022. The main outcomes were the presence of VFMI, including immobility (VFI) and hypomobility (VFH). Results. A total of 155 patients were included, 119 (76.8%) COVID-19 and 36 (23.2%) non-COVID-19 patients; overall 82 (52.9%) were diagnosed with VFMI. Eighty (52.3%) patients underwent a tracheostomy. The median (IQR) intubation duration was 18 (11–24.25) days, while the median (IQR) time to tracheostomy was 22 (16–29). In the adjusted model, we observed there was a 68% increased risk for VFMI from day 21 of intubation (RR: 1.68; 95% CI 1.07–2.65; P = 0.025). Conclusions. VFMI is a frequent complication in severely ill patients that undergo intubation. A prolonged OTI was associated with an increased risk of VFMI, highlighting the importance of timely tracheostomy. Further research is needed to confirm these findings in other subsets of critically ill patients.
dc.fechaingreso.objetodigital2024-08-30
dc.format.extent7 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1016/j.jvoice.2024.04.030
dc.identifier.urihttps://doi.org/10.1016/j.jvoice.2024.04.030
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/86632
dc.information.autorucEscuela de Medicina; Cabrera López, José María; S/I; 234433
dc.information.autorucEscuela de Medicina; Lagos Villaseca, Antonia Elisa; 0000-0002-2579-5474; 185024
dc.information.autorucEscuela de Medicina; Fuentes López, Eduardo; 0000-0002-0141-0226; 1013849
dc.information.autorucEscuela de Medicina; Rosenbaum Fuentes, Andrés Ricardo; S/I; 185907
dc.information.autorucEscuela de Medicina; Willson Easton Matias Iñigo; S/I; 172161
dc.information.autorucEscuela de Medicina; Palma Rojas, Soledad De Los Ángeles; S/I; 172141
dc.information.autorucEscuela de Medicina; Kattan Tala, Eduardo José; 0000-0002-1997-6893; 172152
dc.information.autorucEscuela de Medicina; Vera Alarcón, María Magdalena; 0000-0002-2969-3408; 226652
dc.information.autorucEscuela de Medicina; Aquevedo Salazar, Andrés Fernando; S/I; 18450
dc.information.autorucEscuela de Medicina; Napolitano Valenzuela, Carla Andrea; S/I; 11167
dc.information.autorucEscuela de Medicina; Cabello Estay, Pablo Andrés; S/I; 120426
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final7
dc.pagina.inicio1
dc.rightsacceso restringido
dc.subjectOTI–Vocal fold
dc.subjectMotion impairment
dc.subjectParalysis
dc.subjectTracheostomy
dc.subject.ddc610
dc.subject.deweyMedicina y salud
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleRole of Prolonged Intubation in Vocal Fold Motion Impairment in Critically Ill Patients
dc.typeartículo
sipa.codpersvinculados234433
sipa.codpersvinculados185024
sipa.codpersvinculados1013849
sipa.codpersvinculados185907
sipa.codpersvinculados172161
sipa.codpersvinculados172141
sipa.codpersvinculados172152
sipa.codpersvinculados226652
sipa.codpersvinculados18450
sipa.codpersvinculados11167
sipa.codpersvinculados120426
sipa.trazabilidadORCID;2024-06-03
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