Affordable Access

deepdyve-link
Publisher Website

Dysphagia, Dysphonia, and Dysarthria Outcomes Among Adults Hospitalized With COVID-19 Across Ireland.

Authors
  • Regan, Julie1
  • Walshe, Margaret1
  • Lavan, Sarah2
  • Horan, Eanna3
  • Murphy, Patricia Gillivan4
  • Healy, Anne5
  • Langan, Caoimhe6
  • Malherbe, Karen7
  • Murphy, Breda Flynn8
  • Cremin, Maria9
  • Hilton, Denise10
  • Cavaliere, Jenni11
  • Curley, Jacinta12
  • Moloney, Andrea13
  • Flanagan, Grace14
  • Whyte, Alice15
  • 1 Department of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland. , (Ireland)
  • 2 Speech and Language Therapy Department, St. James' Hospital, Dublin, Ireland. , (Ireland)
  • 3 Speech and Language Therapy Department, Tallaght University Hospital, Dublin, Ireland. , (Ireland)
  • 4 Speech and Language Therapy Department, Mater Misericordiae University Hospital, Dublin, Ireland. , (Ireland)
  • 5 Speech and Language Therapy Department, Beaumont Hospital, Dublin, Ireland. , (Ireland)
  • 6 Speech and Language Therapy Department, St. Vincent's University Hospital, Dublin, Ireland. , (Ireland)
  • 7 Speech and Language Therapy Department, Galway University Hospital, Galway, Ireland. , (Ireland)
  • 8 Speech and Language Therapy Department, Midland Regional Hospital Tullamore & Portlaoise, Offaly, Ireland. , (Ireland)
  • 9 Speech and Language Therapy Department, University Hospital Kerry, Kerry, Ireland. , (Ireland)
  • 10 Speech and Language Therapy Department, Cavan General Hospital, Cavan, Ireland. , (Ireland)
  • 11 Speech and Language Therapy Department, University Hospital Waterford, Waterford, Ireland. , (Ireland)
  • 12 Speech and Language Therapy Department, Wexford General Hospital, Wexford, Ireland. , (Ireland)
  • 13 Speech and Language Therapy Department, St. Luke's Hospital, Kilkenny, Ireland. , (Ireland)
  • 14 Speech and Language Therapy Department, Sligo University Hospital, Sligo, Ireland. , (Ireland)
  • 15 Speech and Language Therapy Department, Naas General Hospital, Kildare, Ireland. , (Ireland)
Type
Published Article
Journal
The Laryngoscope
Publisher
Wiley (John Wiley & Sons)
Publication Date
Jun 01, 2022
Volume
132
Issue
6
Pages
1251–1259
Identifiers
DOI: 10.1002/lary.29900
PMID: 34622966
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To investigate the presence, degree, predictors, and trajectory of dysphagia, dysphonia, and dysarthria among adults hospitalized with COVID-19 across the Republic of Ireland (ROI) during the first wave of the pandemic. Prospective observational cohort study. Adults with confirmed COVID-19 who were admitted into 14 participating acute hospitals across ROI and referred to speech and language therapy between March 1st and June 30th, 2020 were recruited. Outcomes obtained at initial SLT evaluation and at discharge were oral intake status (Functional Oral Intake Scale), perceptual voice quality (GRBAS), and global dysarthria rating (Dysarthria Severity Scale). Data from 315 adults were analyzed. At initial SLT assessment, 84% required modified oral diets, and 31% required tube feeding. There were high rates of dysphonia (42%) and dysarthria (23%). History of intubation (OR 19.959, 95% CI 6.272, 63.513; P = .000), COVID-19 neurological manifestations (OR 3.592, 95% CI 1.733, 7.445; P = .001), and age (OR 1.034; 95% CI 1.002, 1.066; P = .036) were predictive of oral intake status. History of intubation was predictive of voice quality (OR 4.250, 95% CI 1.838, 9.827; P = .001) and COVID-19 neurological manifestations were predictive of dysarthria (OR 2.275; 95% CI 1.162, 4.456; P = .017). At discharge, there were significant improvements in oral intake (Z = -7.971; P = .000), voice quality (Z = -5.971; P = .000), and dysarthria severity (Z = -2.619; P = .009), although need for modified oral intake (59%), dysphonia (23%), and dysarthria (14%) persisted. Dysphagia, dysphonia, and dysarthria were widespread among adults hospitalized with COVID-19 and they persisted for many at discharge. Prompt SLT evaluation is required to minimize complications. 3 Laryngoscope, 132:1251-1259, 2022. © 2021 The Authors. The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.

Report this publication

Statistics

Seen <100 times