Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study

Explorando la viabilidad de un tamizaje integral de la función de la voz y la deglución en pacientes postextubación: un estudio piloto

Published 2023-11-30 — Updated on 2023-12-20

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Vol. 5 No. 2 (2023)
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Research Article
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Exploring the Feasibility of a Comprehensive Screening for Voice and Swallowing Function in Post-Extubation Patients: A Pilot Study. Rev. Investig. Innov. Cienc. Salud [Internet]. 2023 Dec. 20 [cited 2024 Dec. 1];5(2):112-28. Available from: https://riics.info/index.php/RCMC/article/view/239
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https://doi.org/10.46634/riics.239
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fernanda Figueroa-Martínez
Department of Speech-Language Pathology; School of Medicine; Universidad de Chile; Santiago; Chile. / Department of Health Sciences; School of Medicine; Pontificia Universidad Católica de Chile; Santiago; Chile
    https://orcid.org/0000-0003-1935-3431
    Adrián Castillo-Allendes
    Department of Communicative Sciences and Disorders; Michigan State University; East Lansing; Michigan; United States. / Department of Communication Sciences and Disorders; The University of Iowa; Iowa City; Iowa; United States
      https://orcid.org/0000-0002-9511-6203
      Karla Grunewaldt
      Department of Health Sciences; School of Medicine; Pontificia Universidad Católica de Chile; Santiago; Chile
        https://orcid.org/0000-0001-9747-1666
        Tamara Solís-Meza
        Department of Health Sciences; School of Medicine; Pontificia Universidad Católica de Chile; Santiago; Chile
          https://orcid.org/0000-0003-2916-1134
          Eric J Hunter
          Department of Communication Sciences and Disorders; The University of Iowa; Iowa City; Iowa; United States
            https://orcid.org/0000-0001-5571-464X
            Show authors biography

            Objectives. This pilot study aimed to identify and test a battery of time-efficient and cost-effective voice and swallowing screening tools for post-extubated patients in Chile.

            Methods. A panel of four experts selected and rated voice and swallowing screening tools. Seven measures were selected: smoothed cepstral peak prominence (CPPS) and maximum phonation time (MPT) for voice assessment, Volume-Viscosity Swallow Test (V-VST) for swallowing, voluntary and reflex peak cough flow for cough assessment, Eating Assessment Tool-10 (EAT-10), and Vocal Symptom Scale (VoiSS) for patient-reported outcomes. These tools were applied to four post-extubation patients within 48-72 hours post-hospital discharge, alongside the assessment of 17 matched controls.

            Results. Post-extubation patients showed significantly shorter MPT, lower CPPS values, increased V-VST dysphagia signs, reduced voluntary peak cough flow, and more pronounced symptoms on both the VoiSS and EAT-10 compared to controls.

            Limitations. The study had a modest sample size and relied solely on clinical screening tools.
            Value. This pilot study suggests a feasible and cost-effective approach to voice and swallowing screening for post-extubation patients, valuable in resource-constrained settings.
            Conclusion. While these accessible tools are not gold-standard assessments, they offer valuable insights and can guide future research. This study underscores the potential of selected tools in facilitating early detection of voice and swallowing disorders in post-extubation patients.

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