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398 H. Warner and N. Young: Swallow Assessment in COVID-19 1 3 two objective assessments that serve as the gold standard for swallowing evaluation are Fiberoptic Endoscopic Evaluation of Swallowing (FEES) and Videouoroscopic Swallowing Study (VFSS) or Modied Barium Swallow Study (MBS). Given the high viral load in the airway, risk of cough, risk of
- Procedure
- Patient Population
- Data Extraction
- Data Analysis
- Clinical Protocols and Algorithms
This study was conducted as a retrospective medical record review and was approved by the Yale School of Medicine and Southern Connecticut State University’s Institutional Review Board. Data extraction took place from the electronic medical record during a period of time between 3/1/2020 and 10/6/2021.
Participants for this retrospective study were all hospitalized patients over the age of 18 in our tertiary care facility for whom a swallowing consult had been placed by their medical provider. Patients who did not have a swallowing consult placed by their medical team were excluded from the dataset.
The data extraction was completed through the Yale Center for Clinical Investigation (YCCI) at Yale University School of Medicine by the Joint Data Analytics Team. The following data points were extracted from the medical record: patient demographics, date of swallow evaluation consult and evaluation, type of swallowing assessment performed (FEES, ...
In order to analyze the extracted data for this observational study, raw data was filtered and frequency counts were determined and used to summarize data in order to provide descriptive statistics of study outcomes. Frequency counts for number of swallowing evaluations, type of swallowing evaluations, and patient COVID status were recorded and sum...
Clinical decisions about the to return to pre-pandemic clinical practice was a dynamic process over the study period, evolving as information about the virus become more readily available. During this time, decisions about patient facing clinical care were determined by the Speech-Language Pathology Medical Director and Manager in accordance with H...
be at high risk of exposure and infection from COVID-19 due to close proximity to the patients’ upper respiratory mucosa and interventional procedures that induce cough. 18,19 Given the nature of dysphagia assessment SLTs are likely to be at a similarly high level of risk of COVID-19 infection. Dysphagia induced coughing and patients with ...
May 26, 2020 · In the aftermath of COVID-19, what otolaryngologists consider to be a comprehensive approach to common conditions such as dysphagia will have to be redefined since the endoscopic tools typically used for dysphagia evaluation—flexible endoscopic evaluation of swallowing (FEES), modified barium swallow study (MBSS), or transnasal esophagoscopy—are aerosol-generating procedures (AGPs). 1 ...
- Liuba Soldatova, Colleen Williams, Gregory N. Postma, Gary W. Falk, Natasha Mirza
- 2020
Oct 20, 2021 · Dysphagia management in COVID-19 patients during the New York City spring surge in early 2020 was challenging for many speech-language pathologists, as instrumental swallow evaluations were unavailable. Renewed attention was brought to the value of the clinical swallow evaluation.
- Talia H. Schwartz
- 2021
Nov 10, 2020 · Accordingly, safety concerns featured prominently in results of ASHA’s COVID-19 Tracker Surveys, with close to 60% of respondents citing risk of exposure to COVID-19 as a major challenge. And the risk may be heightened for those conducting aerosol-generating procedures (AGPs), such as endoscopic swallowing assessments, because of these ...
Sep 1, 2021 · Although new information is obtained about COVID-19 every day, studies defining the risk factors and risk groups are still insufficient. Studies define such characteristics as old age, presence of additional comorbidities, smoking and being a healthcare professional as risk factors and associate them with severe disease.[4-6] Old age
