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Title of Journal: Intensive Care Med

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Abbravation: Intensive Care Medicine

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Springer-Verlag

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DOI

10.1002/prac.18410220168

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1432-1238

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Swallowing disorders post orotracheal intubation i

Authors: Ali El Solh Mifue Okada Abid Bhat Celestino Pietrantoni
Publish Date: 2003/08/02
Volume: 29, Issue: 9, Pages: 1451-1455
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Abstract

Swallowing dysfunction was assessed by the detection of test material below the true vocal cords Aspiration was documented in 52 of the elderly and 36 of the control group P=02 No significant difference in the comorbidity index and the length of mechanical ventilation was found between aspirators and nonaspirators None of the control group had swallowing deficits after 2 weeks while 13 of the elderly participants showed persistent impairment in the swallowing reflex By multivariate analysis the preadmission functional status was the only determinant of a slowly resolving swallowing deficit hazard ratio 168 95 confidence interval 126–397 No postextubation aspiration pneumonia was identified in either group

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