Speech Therapy
Cohort Study: Thick liquids not linked to better outcomes in hospitalized patients with dementia—further studies required – JAMA Intern Med
25 May, 2024 | 19:41h | UTC– This matched cohort study evaluated the impact of thick vs. thin liquids on clinical outcomes in 8916 hospitalized patients aged 65 and older with Alzheimer Disease and Related Dementias (ADRD) and oropharyngeal dysphagia. Conducted across 11 diverse hospitals in New York from January 2017 to September 2022, the study utilized propensity score matching to ensure comparability between the two diet groups based on demographic and clinical characteristics.
– The study found no significant difference in mortality rates between the thick and thin liquid groups (hazard ratio, 0.92; 95% CI, 0.75-1.14; P = .46). Patients on a thick liquid diet were less likely to require intubation (odds ratio [OR], 0.66; 95% CI, 0.54-0.80) but exhibited a higher incidence of respiratory complications such as pneumonia (OR, 1.73; 95% CI, 1.56-1.91).
– The findings suggest that while thick liquids may reduce the need for intubation, they may increase the risk of respiratory complications. These results underscore the necessity for future prospective studies to more definitively ascertain the effectiveness of thick liquids in improving clinical outcomes for this patient population.
Reference (link to abstract – $ for full-text):
Makhnevich, A. et al. (2024). Thick Liquids and Clinical Outcomes in Hospitalized Patients With Alzheimer Disease and Related Dementias and Dysphagia. JAMA Intern Med. Published online May 6, 2024. doi:10.1001/jamainternmed.2024.0736
USPSTF Draft Statement | Insufficient evidence for screening children under 5 years for speech and language delay
2 Aug, 2023 | 14:13h | UTCSpeech and Language Delay and Disorders in Children: Screening – U.S. Preventive Services Task Force
Commentary:
USPSTF: Evidence Lacking for Screening for Speech Delays in Young Children – HealthDay
RCT | Dysphagia-optimized intensity-modulated radiotherapy better preserves swallowing function in pharyngeal cancer patients
25 Jul, 2023 | 13:52h | UTCCommentaries:
Radiation approach improves swallowing in head, neck cancer – MDedge
Commentary on Twitter
NOW OF: The (DARS) phase 3 RCT investigates if dysphagia-optimised intensity-modulated radiotherapy (IMRT) reduces radiation dose to the dysphagia and aspiration related structures and improves swallowing function compared with standard IMRT.#hncsmhttps://t.co/CzpxsNxx1N pic.twitter.com/xNgfm43tHE
— The Lancet Oncology (@TheLancetOncol) July 7, 2023
RCT | Swallowing and oral-care program enhances oral-feeding resumption and reduces pneumonia post-extubation
14 Jul, 2023 | 12:44h | UTC
M-A | Cognitive rehabilitation may improve everyday activities in mild to moderate dementia
12 Jul, 2023 | 13:34h | UTCCognitive rehabilitation for people with mild to moderate dementia – Cochrane Library
Podcast | Dysphagia pearls
18 May, 2023 | 13:42h | UTC#395 Dysphagia with Dr. Diana Snyder – The Curbsiders
What’s new in reducing the impact of tracheostomy on communication and swallowing in the ICU
4 May, 2023 | 13:34h | UTC
Commentary on Twitter
? Tracheostomy? Profound impact on functional communication, swallowing/oral intake & other comorbidities in #ICU. Early strategies to restore laryngo‑pharyngeal airflow/subglottic P likely to ⬇️ negative impact ⬆️ short/longer-term sequelae.#ICUrehab
?️ https://t.co/Jslkv04Djf pic.twitter.com/YKLNKYvabC— Intensive Care Medicine (@yourICM) April 23, 2023
M-A | Age, tracheal intubation time, tracheostomy, and APACHE II score are risk factors for post-extubation dysphagia in ICU patients
13 Mar, 2023 | 14:59h | UTCSummary: Post-extubation dysphagia is a common complication in ICU patients who have undergone intubation and mechanical ventilation, leading to a risk of aspiration and pneumonia.
The review included 15 studies involving 50,669 patients and found that: 1 – age; 2 – duration of tracheal intubation; 3 – tracheostomy; and 4 – APACHE II score were significant risk factors for post-extubation dysphagia.
By identifying these risk factors, clinicians can better identify patients at risk of developing dysphagia after extubation and take measures to prevent and manage the condition.
Article: Risk factors for post-extubation dysphagia in ICU: A systematic review and meta-analysis – Medicine
Review | Voice restoration in mechanically ventilated intensive care unit patients with a tracheostomy
9 Jan, 2023 | 13:44h | UTC
M-A | Effects of transcranial direct current stimulation on poststroke dysphagia.
21 Jul, 2022 | 12:49h | UTC
Evidence-based recommendations on texture modified foods and thickened liquids for adults with oropharyngeal dysphagia – “There is no convincing evidence that thickened liquid or texture modified diet prevents death or pneumonia nor improves the quality of life, nutritional status, or oral intake in individuals with OD”.
30 May, 2022 | 11:54h | UTC
Systematic Review | Post-stroke dysphagia: prognosis and treatment.
20 May, 2022 | 10:33h | UTC
M-A: Prevalence and methods for assessment of oropharyngeal dysphagia in older adults.
17 May, 2022 | 10:21h | UTC
Consensus Recommendations: Development of a swallowing risk screening tool and best practice recommendations for the management of oropharyngeal dysphagia following acute cervical spinal cord injury.
17 Feb, 2022 | 08:40h | UTC
Systematic Review: Avoidance of bottles during the establishment of breastfeeds in preterm infants – “Avoiding the use of bottles when preterm infants need supplementary feeds probably increases the extent of any breastfeeding at discharge”.
28 Oct, 2021 | 09:56h | UTCAvoidance of bottles during the establishment of breastfeeds in preterm infants – Cochrane Library
Summary: Avoidance of bottles during the establishment of breastfeeds in preterm infants – Cochrane Library
A multinational consensus on dysphagia in Parkinson’s disease: screening, diagnosis and prognostic value.
27 Aug, 2021 | 08:51h | UTC
Systematic review: Enteral tube feeding for people with severe dementia – “We found no evidence that tube feeding improves survival; improves quality of life; reduces pain; reduces mortality; decreases behavioural and psychological symptoms of dementia”.
16 Aug, 2021 | 00:54h | UTCEnteral tube feeding for people with severe dementia – Cochrane Library
Summary: Enteral tube feeding for people with severe dementia – Cochrane Library
Related: Viewpoint: Tube Feeding and Deteriorating Patients (resources on the subject)
Commentary on Twitter
??So happy our @CochraneUK review on enteral tube feeding in #dementia is now published – no evidence tube feeding improves #survival; improves quality of life; reduces #pain; reduces #mortality. But was evidence of increase risk of pressure ulcers https://t.co/uUHJEboNCd
— Nathan Davies (@NathanDavies50) August 13, 2021
AHA/ASA Scientific Statement: Primary Care of Adult Patients After Stroke.
18 Jul, 2021 | 23:20h | UTCNews release: Comprehensive primary care is vital to holistic care and optimal recovery after a stroke – American Heart Association
Commentary on Twitter
Primary Care of Adult Patients After Stroke: A Scientific Statement From the American Heart Association/American Stroke Association https://t.co/moIZ1W2cXL @American_Heart @American_Stroke pic.twitter.com/jWOK8Fz0vM
— Stroke AHA/ASA (@StrokeAHA_ASA) July 15, 2021
Cohort study: swallowing and voice outcomes in patients hospitalized with COVID-19.
18 Jun, 2021 | 08:24h | UTCRelated study: Characterization of dysphagia and laryngeal findings in COVID-19 patients treated in the ICU—An observational clinical study – PLOS One
M-A: Effectiveness of telerehabilitation in physical therapist practice.
10 Jun, 2021 | 09:29h | UTC
M-A: The benefit of dysphagia screening in adult patients with stroke.
6 Jun, 2021 | 23:43h | UTC
Guideline: Diagnosis and treatment of neurogenic dysphagia.
6 May, 2021 | 08:51h | UTC