{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:06:20Z","timestamp":1782968780037,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,7,18]],"date-time":"2021-07-18T00:00:00Z","timestamp":1626566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aims to (i) investigate post\u2010extubation dysphagia and dysphonia amongst adults intubated with SARS\u2010COV\u20102 (COVID\u201019) and referred to speech and language therapy (SLT) in acute hospitals across the Republic of Ireland (ROI) between March and June 2020; (ii) identify variables predictive of post\u2010extubation oral intake status and dysphonia and (iii) establish SLT rehabilitation needs and services provided to this cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A multi\u2010site prospective observational cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>One hundred adults with confirmed COVID\u201019 who were intubated across eleven acute hospital sites in ROI and who were referred to SLT services between March and June 2020 inclusive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Oral intake status, level of diet modification and perceptual voice quality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Based on initial SLT assessment, 90% required altered oral intake and 59% required tube feeding with 36% not allowed oral intake. Age (OR 1.064; 95% CI 1.018\u20131.112), proning (OR 3.671; 95% CI 1.128\u201311.943) and pre\u2010existing respiratory disease (OR 5.863; 95% CI 1.521\u201311.599) were predictors of oral intake status post\u2010extubation. Two\u2010thirds (66%) presented with dysphonia post\u2010extubation. Intubation injury (OR 10.471; 95% CI 1.060\u2013103.466) and pre\u2010existing respiratory disease (OR 24.196; 95% CI 1.609\u2013363.78) were predictors of post\u2010extubation voice quality. Thirty\u2010seven per cent required dysphagia intervention post\u2010extubation, whereas 20% needed intervention for voice. Dysphagia and dysphonia persisted in 27% and 37% cases, respectively, at hospital discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Post\u2010extubation dysphagia and dysphonia were prevalent amongst adults with COVID\u201019 across the ROI. Predictors included iatrogenic factors and underlying respiratory disease. Prompt evaluation and intervention is needed to minimise complications and inform rehabilitation planning.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13832","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T06:45:24Z","timestamp":1625208324000},"page":"1290-1299","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Post\u2010extubation dysphagia and dysphonia amongst adults with COVID\u201019 in the Republic of Ireland: A prospective multi\u2010site observational cohort study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-4516","authenticated-orcid":false,"given":"Julie","family":"Regan","sequence":"first","affiliation":[{"name":"Department of Clinical Speech and Language Studies Trinity College Dublin Dublin 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