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Open Access 04-01-2022 | Dysphonia | Review

An International Commentary on Dysphagia and Dysphonia During the COVID-19 Pandemic

Authors: Anna Miles, Jackie McRae, Gemma Clunie, Patricia Gillivan-Murphy, Yoko Inamoto, Hanneke Kalf, Mershen Pillay, Susan Pownall, Philippa Ratcliffe, Theresa Richard, Ursula Robinson, Sarah Wallace, Martin B. Brodsky

Published in: Dysphagia | Issue 6/2022

Abstract

COVID-19 has had an impact globally with millions infected, high mortality, significant economic ramifications, travel restrictions, national lockdowns, overloaded healthcare systems, effects on healthcare workers’ health and well-being, and large amounts of funding diverted into rapid vaccine development and implementation. Patients with COVID-19, especially those who become severely ill, have frequently developed dysphagia and dysphonia. Health professionals working in the field have needed to learn about this new disease while managing these patients with enhanced personal protective equipment. Emerging research suggests differences in the clinical symptoms and journey to recovery for patients with COVID-19 in comparison to other intensive care populations. New insights from outpatient clinics also suggest distinct presentations of dysphagia and dysphonia in people after COVID-19 who were not hospitalized or severely ill. This international expert panel provides commentary on the impact of the pandemic on speech pathologists and our current understanding of dysphagia and dysphonia in patients with COVID-19, from acute illness to long-term recovery. This narrative review provides a unique, comprehensive critical appraisal of published peer-reviewed primary data as well as emerging previously unpublished, original primary data from across the globe, including clinical symptoms, trajectory, and prognosis. We conclude with our international expert opinion on what we have learnt and where we need to go next as this pandemic continues across the globe.

Miles A, Connor NP, Desai R, Jadcherla S, Allen J, Brodsky M, Garand KL, Malandraki GA, McCullough TM, Moss M, Murray J, Pulia M, Riiquelme L, Langmore S. Dysphagia care across the continuum: a multidisciplinary Dysphagia Research Society taskforce report of service-delivery during the COVID-19 global pandemic. Dysphagia. 2020. https://doi.org/10.1007/s00455-020-10153-8.CrossRefPubMedPubMedCentral

Miles A, Desai R, Langmore S, Connor N, Brodsky M, Malandraki G, McCullough T, Jadcherla J, Allen J, Garand K, Murray J, Riquelme L, Pulia M, Moss M. Dysphagia Research Society (DRS) Statement on COVID-19 Risk Management of Aerosol-generating Procedures (AGPs) for Dysphagia Care. Role: Chair of Dysphagia Research Society (DRS) COVID-19 Taskforce. https://www.dysphagiaresearch.org/page/COVID19AGPs (2020). Accessed 27 Mar 2021

Vergara Herazo J, Skoretz SA, Brodsky MB, Miles A, Langmore S, Wallace S, Seedat J, Starmer HM, Bolton L, Clave P, Vaz Freitas S, Bogaardt H, Matsuo K, Madeira de Souza C, Figueiredo ML. Assessment, diagnosis and treatment of dysphagia in patients infected with SARS-CoV-2: a review of the literature and international guidelines. Am J Speech Lang Pathol IF. 2020;1:713. https://doi.org/10.1044/2020_AJSLP-20-00163.CrossRef

RCSLT. Impact of the COVID-19 pandemic on the speech and language therapy profession. https://www.rcslt.org/learning/rcslt-guidance/#section-7 (2020). Accessed 1 Aug 2020.

Chadd K, Moyse K, Enderby P. Impact of COVID-19 on the speech & language therapy profession and their patients. Front Neurol. 2021. https://doi.org/10.3389/fneur.2021.629190.CrossRefPubMedPubMedCentral

RCSLT. Ongoing impact of COVID-19 on the speech and language therapy profession - Follow Up survey. Retrieved 1st December, 2020, from https://www.rcslt.org/learning/rcslt-guidance/#section-7 (2020). Accessed 1 Dec 2020.

Müller N, Kirkpatrick V, Lyons R, Antonijevic-Elliott. The impact of the Covid-19 pandemic on Speech and Language Therapists and their services in Ireland: A brief snapshot from two surveys. IASLT Newsletter, March (2021). Accessed 27 Mar 2021.

Müller N, Antonijevic-Elliott S, Devlin AM, Kirkpatrick V, Lyons R. The impact of the Covid-19 pandemic on SLT services: Irish perspectives (in review). Accessed 27 Mar 2021.

Yasuhiro Matsuo, Safety Department. A Report on the Urgent Survey Related to COVID-19 infection -Protecting Speech-Language Pathology Patients, Speech-Language Pathologists, and Staff-. Japanese Association of Speech-Language-Hearing Therapists Web. https://www.japanslht.or.jp/article/article_1456.html (2020). Accessed 22 Dec 2020.

10.

Medical Review Committee of Japanese Society of Dysphagia Rehabilitation. Report of “survey of the condition of Dysphagia evaluation and treatment to Covid-19 patients” Survey during the first wave of Covid-19 infection (February to June, 2020). Japanese Society of Dysphagia Rehabilitation Web. https://www.jsdr.or.jp/wp-content/uploads/file/news/news_20200923.pdf (2020). Accessed 3 Jan 2021.

11.

Pillay M, Tiwari R, Kathard H, Chikte UME. Sustainable workforce—South African audiologists and speech therapists. Hum Resour Health. 2020;18:47. https://doi.org/10.1186/s12960-020-00488-6.CrossRefPubMedPubMedCentral

12.

Bolton L, Mills C, Wallace S, Brady MC. Aerosol generating procedures, dysphagia assessment and COVID-19: a rapid review. Int J Lang Commun Disord. 2020. https://doi.org/10.1111/1460-6984.12544.CrossRefPubMedPubMedCentral

13.

Royal College of Speech Language Therapists (RCSLT). Interim guidance to recommence urgent and essential endoscopy in May 2020 https://www.rcslt.org/wp-content/uploads/media/docs/Covid/RCSLT-COVID-19-SLT-led-endoscopic-procedure-guidance_FINAL-(2).PDF?la=en%26hash=8101575091FE8F1ABA41B4B472387DAFB023A39D) (2020). Accessed 17 March 2021.

14.

Brodsky MB, Gilbert RJ. The long-term effects of COVID-19 on dysphagia evaluation and treatment. Arch Phys Med Rehabil. 2020;101(9):1662–4.CrossRefPubMedPubMedCentral

15.

Dawson C, Capewell R, Ellis S, Matthews S, Adamson S, Wood M, Sharma N. Dysphagia presentation and management following coronavirus disease 2019: an acute care tertiary centre experience. J Laryngol Otol. 2020;134(11):981–6. https://doi.org/10.1017/S0022215120002443.CrossRef

16.

American Academy of Otolaryngology-Head and Neck Surgery. Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery [May 7, 2020]. https://www.entnet.org/sites/default/files/guidance_for_return_to_practice_part_1_final_050520.pdf. Accessed 10 Apr 2021.

17.

Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html Accessed 10 Apr 2021.

18.

Royal College of Speech Language Therapists (RCSLT). Revised further in October 2020 to return to the usual FEES protocol and risk assess PPE. https://www.rcslt.org/wp-content/uploads/media/RCSLT-COVID19-SLTled-endoscopic-procedure-guidance151020.pdf (2020). Accessed 17 Mar 2021.

19.

American Speech-language-hearing Association (ASHA). Guidance to SLPs regarding aerosol generating procedures. https://www.asha.org/slp/healthcare/asha-guidance-to-slps-regarding-aerosol-generating-procedures/. Accessed 17 March 2021

20.

Wilson N, Corbett S, Tovey E. Airborne transmission of covid-19. BMJ. 2020;370:m3206. https://doi.org/10.1136/bmj.m3206.CrossRefPubMed

21.

Wilson NM, Marks GB, Eckhardt A, Clarke A, Young F, Garden FL, Stewart W, Cook TM, Tovey ER. medRxiv 2021.02.07.21251309. https://doi.org/10.1101/2021.02.07.21251309

22.

Evans MJ. Avoiding COVID-19: Aerol guidelines. BMJ Yale. 2020. https://doi.org/10.1101/2020.05.21.20108894.CrossRef

23.

Freeman-Sanderson A, Ward EC, Miles A, de Pedro Netto I, Duncan S, Inamoto Y, McRae J, Pillay N, Skoretz SA, Walshe M, Brodsky MB. A consensus statement for the management and rehabilitation of communication and swallowing function in the ICU: a global response to COVID-19. Arch Phys Med Rehabil. 2021. https://doi.org/10.1016/j.apmr.2020.10.113.CrossRefPubMed

24.

Rouse R, Regan J. Psychological impact of COVID-19 on speech and language therapists working with adult dysphagia: a national survey. Int J Lang Commun Disord. 2021;56(5):1037–52. https://doi.org/10.1111/1460-6984.12654.CrossRefPubMedPubMedCentral

25.

Malandraki GA, Hahn Arkenberg RH, Mitchell S, Bauer Malandraki JL. Telehealth for dysphagia across the life span: using Contemporary Evidence and Expertise to Guide Clinical Practice during and after COVID-19. Am J Speech Lang Pathol. 2021. https://doi.org/10.1044/2020_AJSLP-20-00252.CrossRefPubMedPubMedCentral

26.

ASHA Telepractice Services and Coronavirus/COVID-19. https://www.asha.org/Practice/Telepractice-Services-and-Coronavirus/. Accessed 17 Mar 2021.

27.

Aggarwal K, Patel R, Ravi R. Uptake of telepractice among speech-language therapists following COVID-19 pandemic in India. Speech Lang Hear J. 2020. https://doi.org/10.1080/2050571X.2020.1812034.CrossRef

28.

American Speech-Language-Hearing Association. [March 31, 2021]. https://www.asha.org/practice/reimbursement/medicare/providing-telehealth-services-under-medicare-during-the-covid-19-pandemic/. Accessed 10 Apr 2021.

29.

Borders JC, Sevitz JS, Malandraki JB, Malandraki GA, Troche MS. Objective and subjective clinical swallowing outcomes via telehealth: reliability in outpatient clinical practice. Am J Speech Lang Pathol. 2021;30(2):598–608.CrossRefPubMed

30.

Health Professions Council of South Africa (HPCSA). Telepractice guidelines for Health Professionals. https://www.hpcsa.co.za/?contentId=462&actionName=Home (2021). Accessed 17 Mar 2021.

31.

Allen J, Haines J, Govender R, Clunie G, Wallace S, Massey-Gaston C, Slinger C, Zaga C. Utility of ultrasound in the assessment of swallowing and laryngeal function: a rapid review and critical appraisal of the literature. Int J Lang Commun Disord (IJLCD). 2020. https://doi.org/10.1111/1460-6984.12584.CrossRef

32.

Royal College of Speech Language Therapists (RCSLT). Use of Ultrasound for Swallowing and Upper Airway Assessment. https://www.rcslt.org/wp-content/uploads/2020/11/Revised-RCSLT-ultrasound-statement-Feb-2021.pdf (2020). Accessed 17 Mar 2021.

33.

Kratzke IM, Rosenbaum ME, Cox C, Ollila DW, Kapadia MR. Effect of Clear vs standard covered masks on communication with patients during surgical clinic encounters: a randomized clinical trial. JAMA Surg. 2021. https://doi.org/10.1001/jamasurg.2021.0836.CrossRefPubMedPubMedCentral

34.

Corey RM, Jones U, Singer AC. Acoustic effects of medical, cloth, and transparent face masks on speech signals. J Acoust Soc Am. 2020;148(237):1. https://doi.org/10.1121/10.0002279.CrossRef

35.

Alenezi H, Cam ME, Edirisinghe M. A novel reusable anti-COVID-19 transparent face respirator with optimized airflow. Bio-des Manuf. 2021;4:1–9. https://doi.org/10.1007/s42242-020-00097-1.CrossRef

36.

National Tracheostomy Safety Project. New disposable Bubble PAPR PPE hood developed by NTSP team. http://www.tracheostomy.org.uk/news/new-disposable-ppe-hood-developed-by-ntsp-team (2021). Accessed 17 Mar 2021.

37.

Measuria HD, Verma YV, Kerstein R, Tucker S. Modified full-face snorkel mask: answer to the PPE crisis? BMJ Innov. 2021. https://doi.org/10.1136/bmjinnov-2020-000468.CrossRefPubMedCentral

38.

Plotas P, Kagkelaris K, Konstantopoulou A, Georgakopoulos C, Jelastopulu E. The use of acrylic window as protective physical barrier against coronavirus infection in the context of voice disorders. Speech Lang Hear. 2020. https://doi.org/10.1080/2050571X.2020.1839715.CrossRef

39.

Ku PKM, Holsinger FC, Chan JYK, Yeung ZWC, Chan BYT, Tong MCF, Starmer HM. Management of dysphagia in the patient with head and neck cancer during COVID-19 pandemic: practical strategy. Head Neck. 2020;42(7):1491–6.CrossRefPubMedPubMedCentral

40.

Goldman AR, Pahade JK, Langton-Frost NA, Hodges CA, Taylor AM, Bova G, Azadi JR. Adapting the modified barium swallow: Modifications to improve safety in the setting of airborne respiratory illnesses like COVID-19. Abdom Radiol (NY). 2021.

41.

George A, Prince M, Coulson C. Safe nasendoscopy assisted procedure in the post-COVID-19 pandemic era. Clin Otolaryngol. 2020;45(5):844–6. https://doi.org/10.1111/coa.13591.CrossRefPubMedPubMedCentral

42.

Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID- 19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054–62. https://doi.org/10.1016/S0140-6736(20)30566-3.CrossRefPubMedPubMedCentral

43.

Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020. https://doi.org/10.1001/jama.2020.1585.CrossRefPubMedPubMedCentral

44.

Yang W, Cao Q, Qin L, et al. Clinical characteristics and imaging manifestations of the 2019 novel coronavirus disease (COVID-19): a multi-center study in Wenzhou city, Zhejiang, China. J Infect. 2020;80(4):388–93. https://doi.org/10.1016/j.jinf.2020.02.016.CrossRefPubMedPubMedCentral

45.

Tian S, Hu N, Lou J, et al. Characteristics of COVID-19 infection in Beijing. J Infect. 2020;80(4):401–6. https://doi.org/10.1016/j.jinf.2020.02.018.CrossRefPubMedPubMedCentral

46.

Guan W-J, Ni Z-y, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020. https://doi.org/10.1056/NEJMoa2002030.CrossRefPubMedPubMedCentral

47.

Grasselli G, Zangrillo A, Zanella A, et al. Baseline characteristics and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. Jama. 2020. https://doi.org/10.1001/jama.2020.5394.CrossRefPubMedPubMedCentral

48.

Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, Barnaby DP, Becker LB, Chelico JD, Cohen SL, Cookingham J, Coppa K, Diefenbach MA, Dominello AJ, Duer-Hefele J, Falzon L, Gitlin J, Hajizadeh N, Harvin TG, Hirschwerk DA, Kim EJ, Kozel ZM, Marrast LM, Mogavero JN, Osorio GA, Qiu M, Zanos TP. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York City area. JAMA. 2020. https://doi.org/10.1001/jama.2020.6775.CrossRefPubMedPubMedCentral

49.

Zádori N, Váncsa S, Farkas N, Hegyi P, Erőss B, KETLAK Study Group. The negative impact of comorbidities on the disease course of COVID-19. Intensive Care Med. 2020;46(9):1784–6. https://doi.org/10.1007/s00134-020-06161-9.CrossRefPubMedPubMedCentral

50.

Ahmed Y, Cao A, Thal A, Shah S, Kinkhabwala C, Liao D, Li D, Parides M, Mehta V, Ow T, Smith R, Schiff BA. Tracheotomy outcomes in 64 ventilated COVID-19 patients at a high-volume center in Bronx, NY. Laryngoscope. 2021. https://doi.org/10.1002/lary.29391.CrossRefPubMedPubMedCentral

51.

Sanyaolu A, Okorie C, Marinkovic A, et al. Comorbidity and its Impact on Patients with COVID-19. SN Compr Clin Med. 2020. https://doi.org/10.1007/s42399-020-00363-4.CrossRefPubMedPubMedCentral

52.

Western Cape Department of Health (WCDoH) in collaboration with the National Institute for Communicable Diseases, South Africa, Risk Factors for Coronavirus Disease 2019 (COVID-19). Death in a population cohort study from the Western Cape Province South Africa. Clin Infect Dis. 2020. https://doi.org/10.1093/cid/ciaa1198.CrossRef

53.

Archer SK, Iezzi CM, Gilpin L. Swallowing and voice outcomes in patients hospitalised with COVID-19: an observational cohort study. Arch Phys Med Rehabil. 2021. https://doi.org/10.1016/j.apmr.2021.01.063.CrossRefPubMedPubMedCentral

54.

Lima MS, Sassi FC, Medeiros GC, Ritto AP, Andrade CRF. Preliminary results of a clinical study to evaluate the performance and safety of swallowing in critical patients with COVID-19. Clinics (Sao Paulo). 2020;12:75. https://doi.org/10.6061/clinics/2020/e2021.CrossRef

55.

Adkins C, Takakura W, Speigel BMR, Lu M, Vera-Llonch M, Williams J, Almario CV. Prevalence and characteristics of dysphagia based on a population-based survey. Clin Gastroenterol Hepatol. 2020;18:1970–9. https://doi.org/10.1016/j.cgh.2019.10.029.CrossRefPubMed

56.

Altman KW, Yu GP, Schaefer SD. Consequence of dysphagia in the hospitalized patient: impact on prognosis and hospital resources. Arch Otolaryngol Head Neck Surg. 2010;136(8):784–9. https://doi.org/10.1001/archoto.2010.129.CrossRefPubMed

57.

Roden DF, Altman KW. Causes of dysphagia among different age groups: a systematic review of the literature. Otolaryngol Clin N Am. 2013;46(6):965–87.CrossRef

58.

Wang X, Fang J, Zhu Y, et al. Clinical characteristics of non-critically ill patients with novel coronavirus infection (COVID-19) in a Fangcang Hospital. Clin Microbiol Infect. 2020. https://doi.org/10.1016/j.cmi.2020.03.032.CrossRefPubMedPubMedCentral

59.

Mohan R, Mohapatra B. Shedding light on dysphagia associated with COVID-19: the what and why. OTO Open. 2020;4(2):2473974X20934770. https://doi.org/10.1177/2473974X20934770.CrossRefPubMedPubMedCentral

60.

Brodsky MB, Huang M, Shanholtz C, Mendez-Tellez PA, Palmer JB, Colantuoni E, Needham DM. Recovery from dysphagia symptoms after oral endotracheal intubation in acute respiratory distress syndrome survivors. A 5-year longitudinal study. Ann Am Thorac Soc. 2017;14(3):376–83. https://doi.org/10.1513/AnnalsATS.201606-455OC.CrossRefPubMedPubMedCentral

61.

Brodsky MB, Levy MJ, Jedlanek E, Pandian V, Blackford B, Price C, Cole G, Hillel AT, Best SR, Akst LM. Laryngeal Injury and upper airway symptoms after oral endotracheal intubation with mechanical ventilation during critical care: a systematic review. Crit Care Med. 2018;46(12):2010–7. https://doi.org/10.1097/CCM.0000000000003368.CrossRefPubMedPubMedCentral

62.

Skoretz SA, Flowers HL, Martino R. The incidence of dysphagia following endotracheal intubation: a systematic review. Chest. 2010;137(3):665–73. https://doi.org/10.1378/chest.09-1823.CrossRefPubMed

63.

Schefold JC, Berger D, Zürcher P, Lensch M, Perren A, Jakob SM, Parviainen I, Takala J. Dysphagia in mechanically ventilated ICU patients (DYnAMICS): a prospective observational trial. Crit Care Med. 2017;45(12):2061–9. https://doi.org/10.1097/CCM.0000000000002765.CrossRefPubMed

64.

Zuercher P, Moret CS, Dziewas R, Schefold JC. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Crit Care. 2019;23(1):103. https://doi.org/10.1186/s13054-019-2400-2.CrossRefPubMedPubMedCentral

65.

Ponfick M, Linden R, Nowak DA. Dysphagia–a common, transient symptom in critical illness polyneuropathy: a fiberoptic endoscopic evaluation of swallowing study*. Crit Care Med. 2015;43(2):365–72. https://doi.org/10.1097/CCM.0000000000000705.CrossRefPubMed

66.

Vasanthan R, Sorooshian P, Sri Shanmuganathan V, Al-Hashim M. Laryngotracheal stenosis following intubation and tracheostomy for COVID-19 pneumonia: a case report. J Surg Case Rep. 2021;1:rjaa569. https://doi.org/10.1093/jscr/rjaa569.CrossRef

67.

McGrath BA, Wallace S, Goswamy J. Laryngeal oedema associated with COVID-19 complicating airway management. Anaesthesia. 2020. https://doi.org/10.1111/anae.15092.CrossRefPubMedPubMedCentral

68.

Boggiano S, Williams T, Gill SE, et al. Multidisciplinary management of laryngeal pathology identified in patients with COVID-19 following trans-laryngeal intubation and tracheostomy. J Intens Care Soc. 2021. https://doi.org/10.1177/17511437211034699.CrossRef

69.

Rouhani MJ, Clunie G, Thong G, Lovell L, Roe J, Ashcroft M, Holroyd A, Sandhu G, Al Yaghchi CA. Prospective study of voice, swallow, and airway outcomes following tracheostomy for COVID-19. Laryngoscope. 2020. https://doi.org/10.1002/lary.29346.CrossRefPubMed

70.

Lagier A, Melotte E, Poncelet M, Remacle S, Meunier P. Swallowing function after severe COVID-19: early videofluoroscopic findings. Eur Arch Otorhinolaryngol. 2021. https://doi.org/10.1007/s00405-020-06522-6.CrossRefPubMedPubMedCentral

71.

RCSLT. RCSLT Online Outcome Tool. https://www.rcslt.org/speech-and-language-therapy/guidance-for-delivering-slt-services/outcome-measurement/outcome-tool-overview/. Accessed 12 April 2021.

72.

Brugliera L, Spina A, Castellazzi P, Cimino P, Tettamanti A, Houdayer E, Arcuri P, Alemanno F, Mortini P, Iannaccone S. Rehabilitation of COVID-19 patients. J Rehabil Med. 2020;52(4):46. https://doi.org/10.2340/16501977-2678.CrossRef

73.

Regan J, Walshe M, Lavan S, et al. Post-extubation dysphagia and dysphonia amongst adults with COVID-19 in the Republic of Ireland: A prospective multi-site observational cohort study. Authorea. 2021. https://doi.org/10.22541/au.161643490.01689099/v1.CrossRef

74.

Steele CM, Namasivayam-MacDonald AM, Guida BT, Cichero JA, Duivestein J, Hanson B, Lam P, Riquelme LF. Creation and initial validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale. Arch Phys Med Rehabil. 2018;99(5):934–44.CrossRefPubMedPubMedCentral

75.

McRae J. (2020). Dysphagia and Dysphonia outcomes in Covid-19 patients with tracheostomy: Findings from a designated single site critical care hub European Society of Swallowing Disorders (ESSD e-poster, October 2020).

76.

McGrath BA, Ashby N, Birchall M, Dean P, Doherty C, Ferguson K, Gimblett J, Grocott M, Jacob T, Kerewala C, Macnaughton P, Magennis P, Moonesinghe R, Twose P, Wallace S, Higgs A. Multidisciplinary guidance for safe tracheostomy care during the COVID-19 pandemic: the NHS National Patient Safety Improvement Programme (NatPatSIP). Anaesthesia. 2020;75(12):1659–70. https://doi.org/10.1111/anae.15120.CrossRefPubMedPubMedCentral

77.

Intensive Care Society. Responding to COVID-19 and beyond: The Framework for Assessing Early Rehabilitation Needs following Treatment in Intensive Care. https://members.ics.ac.uk/ICS/ICS/GuidelinesAndStandards/Framework_for_assessing_early_rehab_needs_following_ICU.aspx (2020)

78.

Turner-Stokes L, Corner E, Siegert R, Brown C, Wallace S, Highfield J, Bear D, Aitken L, Montgomery H, Puthecheary Z. The post-ICU presentation screen (PICUPS) and rehabilitation prescription (RP) for intensive care survivors Part I: development and preliminary clinimetric evaluation. J Intensive Care Soc (JICS). 2021. https://doi.org/10.1177/1751143720988715.CrossRef

79.

Grilli GM, Giancaspro R, Del Colle A, Quarato CMI, Lacedonia D, Foschino Barbaro MP, Cassano M. Dysphagia in non-intubated patients affected by COVID-19 infection. Eur Arch Otorhinolaryngol. 2021. https://doi.org/10.1007/s00405-021-07062-3.CrossRefPubMedPubMedCentral

80.

Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005;86(8):1516–20.CrossRefPubMed

81.

HM Government, NHS. (2021) Covid-19 hospital discharge service requirements. .https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874213/COVID-19_hospital_discharge_service_requirements.pdf. Accessed 17 March 2021.

82.

British Society of Rehabilitation Medicine (BSRM) (2021) Rehabilitation in the wake of Covid-19: A phoenix from the ashes. https://www.bsrm.org.uk/downloads/covid-19bsrmissue1-published-27-4-2020.pdf. Accessed 27 March 2021.

83.

Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, Chang J, Hong C, Zhou Y, Wang D, Miao X, Li Y, Bo Hu. Neurologic manifestations of hospitalized patients with Coronavirus disease 2019 in Wuhan, China. JAMA Neurol. 2020. https://doi.org/10.1001/jamaneurol.2020.1127.CrossRefPubMedPubMedCentral

84.

Kim SY, Kumble S, Patel B, Pruski AD, Azola A, Tatini AL, Nadendla K, Richards L, Keszler MS, Kott M, Friedman M, Friedlander T, Silver K, Hoyer EH, Celnik P, Lavezza A, Gonzalez-Fernandez M. Managing the rehabilitation wave: Rehabilitation services for COVID-19 survivors. Arch Phys Med Rehabil. 2020;101(12):2243–9.CrossRefPubMedPubMedCentral

85.

Leonard R, Kendall K. Dysphagia assessment and treatment planning: a team approach. 4th ed. San Diego: Plural Publishing Inc.; 2018.

86.

Traugott M, Hoepler W, Kitzberger R, Pavlata S, Seitz T, Baumgartner S, Placher-Sorko G, Pirker-Krassnig D, Ehehalt U, Grasnek A, Grieb A, Beham-Kacerovsky M, Friese E, Wenisch C, Neuhold S. Successful treatment of intubation-induced severe neurogenic post-extubation dysphagia using Pharyngeal Electrical Stimulation in a COVID-19 survivor: a case report. J Med Case Rep. 2020;15(1):1–8. https://doi.org/10.21203/rs.3.rs-96811/v1.CrossRef

87.

Allawadhi P, Khurana A, Allwadhi S, et al. Potential of electric stimulation for the management of COVID-19. Med Hypotheses. 2020;144: 110259. https://doi.org/10.1016/j.mehy.2020.110259.CrossRefPubMedPubMedCentral

88.

The COVID Tracking Project. The Long-Term Care COVID Tracker. https://covidtracking.com/nursing-homes-long-term-care-facilities (2021). Accessed 20 Sept 2021.

89.

Fong R, Tsai KCF, Tong MCF, Lee KYS. Management of dysphagia in nursing homes during the COVID-19 pandemic: strategies and experiences. SN Compr Clin Med. 2020;2(9):1361–5. https://doi.org/10.1007/s42399-020-00464-0.CrossRefPubMedPubMedCentral

90.

Neevel AJ, Smith JD, Morrison RJ, Hogikyan ND, Kupfer RA, Stein AP. Postacute COVID-19 Laryngeal injury and dysfunction. OTO Open. 2021. https://doi.org/10.1177/2473974X211041040.CrossRefPubMedPubMedCentral

91.

Carfì A, Bernabei R, Landi F, for the Gemelli Against COVID-19 (2020) Post-Acute Care Study Group. Persistent Symptoms in Patients After Acute COVID-19. JAMA 324(6):603–605. https://doi.org/10.1001/jama.2020.12603

92.

Office of National Statistics. The prevalence of long COVID symptoms and COVID-19 complications. https://www.ons.gov.uk/news/statementsandletters/theprevalenceoflongcovidsymptomsandcovid19complications (2021). Accessed 17 Mar 2021.

93.

Ladds E, Rushforth A, Wieringa S, et al. Persistent symptoms after Covid-19: qualitative study of 114 “long Covid” patients and draft quality principles for services. BMC Health Serv Res. 2020;20:1144. https://doi.org/10.1186/s12913-020-06001-y.CrossRefPubMedPubMedCentral

94.

Davis HE, Assaf GS, McCorkell L, Wei H, Low RJ, Re’em Y, Redfield S, Austin JP, Akram A. Characterizing Long COVID in an International Cohort: 7 Months of Symptoms and Their Impact. MedRexIv. 2020. https://doi.org/10.1101/2020.12.24.20248802.CrossRef

95.

National Institute for Health Research (NIHR). Living with COVID19—Second Review. Themed Review UK. https://evidence.nihr.ac.uk/themedreview/living-with-covid19-second-review/ (2021). Accessed 27 Mar 2021.

96.

National Institute for Health and Care Excellence (NICE). COVID-19 rapid guideline: managing the long-term effects of COVID-19. https://www.nice.org.uk/guidance/ng188 (2021). Accessed 27 Mar 2021.

97.

Lechien JR, Chiesa-Estomba CM, Cabaraux P, et al. Features of mild-to-moderate COVID-19 patients with dysphonia. J Voice. 2020;S0892–1997(20):30183–91. https://doi.org/10.1016/j.jvoice.2020.05.012.CrossRef

98.

Greenhalgh T. Management of post-acute covid-19 in primary care. BMJ. 2020. https://doi.org/10.1136/bmj.m3026.CrossRefPubMed

99.

Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, Zawistowski C, Bemis-Dougherty A, Berney SC, Bienvenu OJ, Brady SL, Brodsky MB, Denehy L, Elliott D, Flatley C, Harabin AL, Jones C, Louis D, Meltzer W, Muldoon SR, Palmer JB, Perme C, Robinson M, Schmidt DM, Scruth E, Spill GR, Storey CP, Render M, Votto J, Harvey MA. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502–9.CrossRefPubMed

100.

Brodsky MB, Pandian V, Needham DM. Post-extubation dysphagia: a problem needing multidisciplinary efforts. Intens Care Med. 2020;46(1):93–6.CrossRef

101.

Black C. Working for a healthier tomorrow. Dame Carole Black’s review of the health of Britain’s working population. Norwich UK: TSA (The Stationary Office); 2008.

102.

Public Health England (2019) Public Health matters: health and work. https://publichealthmatters.blog.gov.uk/2019/01/31/health-matters-health-and-work/. Accessed 27 March 2021.

103.

Gordon CL, Trubiano JA, Holmes NE, Chua KYL, Feldman J, Young G, Sherry NL, Grayson LM, Kwong JC. Staff to staff transmission as a driver of healthcare worker infections with COVID-19. Infect Dis Heatlh. 2021;26(4):276–83. https://doi.org/10.1016/j.idh.2021.06.003.CrossRef

104.

Dobson H, Malpas CB, Burrell AJ, et al. Burnout and psychological distress amongst Australian healthcare workers during the COVID-19 pandemic. Australas Psychiatry. 2021;29(1):26–30. https://doi.org/10.1177/1039856220965045.CrossRefPubMed

105.

Bagcchi S. (2020) Stigma during the COVID-19 pandemic. Lancet 20. https://www.thelancet.com/pdfs/journals/laninf/PIIS1473-3099(20)30498-9.pdf

106.

Turner-Musa J, Ajayi O, Kemp L. Examining social determinants of health, stigma, and COVID-19 disparities. Healthcare. 2020;8(2):168. https://doi.org/10.3390/healthcare8020168.CrossRefPubMedCentral

107.

Dziewas R, Hufelschulte LM, Lepper J, Sackarnd J, Minnerup J, Teismann I, Ahring S, Claus I, Labeit B, Muhle P, Suntrup-Kruger S, Warnecke T, Padberg JS. Dysphagia in patients with severe coronavirus disease 2019-potential neurologic etiologies. Crit Care Explor. 2021;3(1):e0332.CrossRefPubMedPubMedCentral

108.

Laguna MLB, Pilar M-N, Martínez de Lagrán Zurbano I, Esther Mor M, Carlos Pollan G, Constanza Dolores Viñas S, Pilar Ricart M. Dysphagia and mechanical ventilation in SARS-CoV-2 pneumonia: It’s real. Res Sq (2021). https://doi.org/10.21203/rs.3.rs-206615/v1

109.

Naunheim MR, Zhou AS, Puka E, Franco RA, Carroll TL, Teng SE, Mallur PS, Sing PC. laryngeal complications of COVID-19. Laryngol Invest Otolaryngol. 2020. https://doi.org/10.1002/lio2.484.CrossRef

110.

Weyh A, Davis S, Dolan J, Fattahi T, Fraker J, Salman SO. Obese tracheostomy: a challenging path from surgery to decannulation. J Oral Maxillofac Surg. 2020;78(4):631–43. https://doi.org/10.1016/j.joms.2019.11.021.CrossRefPubMed

111.

Azzolino D, Damanti S, Bertagnoli L, Lucchi T, Cesari M. Sarcopenia and swallowing disorders in older people. Aging Clin Exp Res. 2019;31(6):799–805. https://doi.org/10.1007/s40520-019-01128-3.CrossRefPubMed

112.

Zheng Z, Wu Z, Liu N, Chen P, Hou P, Wang X, Fu Y, Liang W, Chen R. Silent aspiration in patients with exacerbation of COPD. Eur Respir J. 2016;48(2):570–3. https://doi.org/10.1183/13993003.00007-2016.CrossRefPubMed

113.

Gross RD, Atwood CW Jr, Ross SB, Olszewski JW, Eichhorn KA. The coordination of breathing and swallowing in chronic obstructivepulmonary disease. Am J Respir Crit Care Med. 2009;179:559–65.CrossRefPubMed

114.

Zielske J, Bohne S, Brunkhorst FM, Axer H, Guntinas-Lichius O. Acute and long-term dysphagia in critically ill patients with severe sepsis: results of a prospective controlled observational study. Eur Arch Otorhinolaryngol. 2014;271(11):3085–93. https://doi.org/10.1007/s00405-014-3148-6.CrossRefPubMed

115.

Virgens IPA, Santana NM, Lima SCVC, Fayh APT. Can COVID-19 be a risk for cachexia for patients during intensive care? Narrative review and nutritional recommendations. Br J Nutr. 2020. https://doi.org/10.1017/s0007114520004420.CrossRefPubMedPubMedCentral

116.

Krusciunas GP, Langmore SE, Gomez-Taborda S, Fink D, Levitt J, McKeehan J, McNally E, Scheel R, Rubio AC, Siner J, Vojnik R, Warner H, White D, Moss M. The association between endotracheal tube size and aspiration (during FEES) in acute respiratory failure survivors. Crit Care Med. 2020. https://doi.org/10.1097/CCM.0000000000004554.CrossRef

117.

Similowski T, Moricot C, Nion N, Decavele M, Lavault S, Guerder A, Morelot-Panzini C, Serresse L. Facemasks as a COVID-19 barrier: a window into the overlooked experience of chronic dyspnoea? Lancet. 2021;9(1):12–3. https://doi.org/10.1016/S2213-2600(20)30512-9.CrossRef

118.

McGonagle AK, Barnes-Farrell JL. Chronic illness in the workplace: stigma, identity threat and strain. Stress Health. 2014;30(4):310–21. https://doi.org/10.1002/smi.2518.CrossRefPubMed

Title: An International Commentary on Dysphagia and Dysphonia During the COVID-19 Pandemic
Authors: Anna Miles
Jackie McRae
Gemma Clunie
Patricia Gillivan-Murphy
Yoko Inamoto
Hanneke Kalf
Mershen Pillay
Susan Pownall
Philippa Ratcliffe
Theresa Richard
Ursula Robinson
Sarah Wallace
Martin B. Brodsky
Publication date: 04-01-2022
Publisher: Springer US
Keywords: Dysphonia
COVID-19
Tracheostomy
Dysphonia
Dysphagia
Dysphagia
Dysphagia
Flexible Endoscopic Evaluation of Swallowing
Flexible Endoscopic Evaluation of Swallowing
Published in: Dysphagia / Issue 6/2022
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-021-10396-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

An International Commentary on Dysphagia and Dysphonia During the COVID-19 Pandemic

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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