Publikasi Scopus 2024 per tanggal 30 September 2024 (820 artikel)

Sari I.; Tamin S.; Rachmawati E.Z.K.; Hutauruk S.M.; Fardizza F.; Aditianingsih D.; Prihartono J.
Sari, Indira (59250418200); Tamin, Susyana (57195719598); Rachmawati, Elvie Zulka Kautzia (57221634154); Hutauruk, Syahrial M. (57205105620); Fardizza, Fauziah (55091031700); Aditianingsih, Dita (56312263600); Prihartono, Joedo (6602605635)
59250418200; 57195719598; 57221634154; 57205105620; 55091031700; 56312263600; 6602605635
Post-Extubated Dysphagia in Intensive Care Unit Patients Based on Flexible Endoscopic Evaluation of Swallowing Examination and Its Affecting Factors
2024
Korean Journal of Otorhinolaryngology-Head and Neck Surgery
67
7
394
400
6
0
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Anesthesiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Sari I., Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Tamin S., Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Rachmawati E.Z.K., Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Hutauruk S.M., Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Fardizza F., Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Aditianingsih D., Department of Anesthesiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Prihartono J., Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
Background and Objectives Post-extubation dysphagia (PED) is a condition characterized by swallowing difficulty following the removal of breathing tube. Untreated dysphagia leads to increased morbidity and mortality; however, no study has been conducted on the proportion of PED at RSUPN Dr. Cipto Mangunkusumo (RSCM), using flexible endoscopic evaluation of swallowing (FEES), or on the factors that contribute to its occurrence. Subjects and Method Anamnesis and medical record review were conducted on post-extubation patients in the RSCM intensive care unit (ICU) meeting inclusion criteria. Research subjects underwent maximum phonation time (MPT) examination thrice. FEES examination was carried out twice, with 24 hours of post-extubation on all subjects and 72 hours of postextubation on those with PED on initial FEES examination. Results The study involved 33 subjects who met the inclusion criteria. The proportion of mild to severe PED determined by FEES 24 hours after extubation was 66.7%, and those exhibiting laryngeal injury was 87.9%. The bivariate analysis revealed a significant correlation between the number of comorbidities, intubation duration, laryngeal injury severity, and MPT value with the incidence of PED in the RSCM ICU. Moreover, the multivariate analysis showed that the duration of intubation exceeding 24 hours had a statistically significant association with the incidence of PED (p=0.003; OR 15.30; 95% CI 2.46-95.19). Conclusion The proportion of mild to severe dysphagia in post-extubation patients in the RSCM ICU is quite high. Intubation duration exceeding 24 hours and having more than one comorbidity significantly contribute to the increased risk of dysphagia in post-extubated patients in the RSCM ICU. Copyright © 2024 Korean Society of Otorhinolaryngology-Head and Neck Surgery.
Deglutition disorders; Endoscopy; Intensive care unit; Laryngeal disease
Fakultas Kedokteran, Universitas Indonesia, FKUI; Cipto Mangunkusumo General Hospital
Our study has received approval from the Ethics Committee of the Faculty of Medicine Universitas Indonesia and permission to do the research from Cipto Mangunkusumo General Hospital. Informed consent has been obtained from each patient before the initiation of data collection.
Korean Society of Otolaryngology
20926529
Article
Q4
125
25072