{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T07:00:24Z","timestamp":1784358024358,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Reasons for long-term stays in intensive care units (ICUs) include various critical conditions, prolonged weaning with post-extubation dysphagia (PED), as well as the mere presence of a tracheal cannula. In an interprofessional QM project, medicine, nursing, physiotherapy, speech and language therapy (SLT), and occupational therapy work together to reduce the length of stay (LOS) in ICUs. SLT focuses on tracheal cannula management (TCM) and PED. The primary aim of SLT is fast and safe decannulation and thereby the reduction in LOS. Methods: Two SOPs for dealing with PED patients and for structured TCM were developed for this purpose and were both implemented in a postoperative ICU, together with a SLT staff increase. To compare the effects on the intervention group (IG, n = 54), a historical control (HC, n = 58) group was created through a retrospective data analysis. We screened all patients from ICU (n = 5605), including those with tracheostomy, and analyzed them during their ICU stay. Results: Clinically relevant results were observed for the mean time in days of tracheostomy in those who could be decannulated (HC = 43.43, IG = 23.8; d = 0.99) and, even more importantly, for LOS in days (HC = 33.41, IG = 23.8; d = 0.48). Conclusions: The integration of SLT in ICU care is feasible and helps to reduce the time to decannulation and LOS.<\/jats:p>","DOI":"10.3390\/jcm15010303","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T15:05:01Z","timestamp":1767193501000},"page":"303","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Interprofessional Quality Improvement Project to Reduce the Length of Stay of Tracheostomized Patients in a Multi-Etiological Intensive Care Unit\u2014The Contribution of Speech and Language Therapy to the Overall Result (IQ-ICU-SLT)"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2297-3482","authenticated-orcid":false,"given":"J\u00fcrgen","family":"Konradi","sequence":"first","affiliation":[{"name":"Institute of Physical Therapy, Prevention and Rehabilitation, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Neef","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Institute of Physical Therapy, Prevention and Rehabilitation, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4384-7511","authenticated-orcid":false,"given":"Robert","family":"Kuchen","sequence":"additional","affiliation":[{"name":"Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heike","family":"Maagh","sequence":"additional","affiliation":[{"name":"Institute of Physical Therapy, Prevention and Rehabilitation, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2157-4287","authenticated-orcid":false,"given":"Ulrich","family":"Betz","sequence":"additional","affiliation":[{"name":"Institute of Physical Therapy, Prevention and Rehabilitation, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Bodenstein","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University Medical Center of the Johannes Gutenberg University Mainz, 55131 Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1186\/s40001-024-02024-x","article-title":"Incidence of post-extubation dysphagia among critical care patients undergoing orotracheal intubation: A systematic review and meta-analysis","volume":"29","author":"Yu","year":"2024","journal-title":"Eur. J. Med. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2319","DOI":"10.1038\/s41598-024-52785-y","article-title":"Follow-up short and long-term mortalities of tracheostomized critically ill patients in an Italian multi-center observational study","volume":"14","author":"Vargas","year":"2024","journal-title":"Sci. Rep."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Calderone, A., Filoni, S., De Luca, R., Corallo, F., Calapai, R., Mirabile, A., Caminiti, F., Conti-Nibali, V., Quartarone, A., and Calabr\u00f2, R.S. (2025). Predictive Factors of Successful Decannulation in Tracheostomy Patients: A Scoping Review. J. Clin. Med., 14.","DOI":"10.3390\/jcm14113798"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40560-017-0234-z","article-title":"The practice of tracheostomy decannulation\u2014A systematic review","volume":"5","author":"Singh","year":"2017","journal-title":"J. Intensive Care"},{"key":"ref_5","unstructured":"Deutsche Gesellschaft f\u00fcr An\u00e4sthesiologie und Intensivmedizin e.V. (DGAI) (2025, September 24). Lagerungstherapie und Mobilisation von Kritisch Erkrankten auf Intensivstationen. Available online: https:\/\/register.awmf.org\/de\/leitlinien\/detail\/001-015."},{"key":"ref_6","unstructured":"Deutsche Interdisziplin\u00e4re Vereinigung f\u00fcr Intensiv- und Notfallmedizin (DIVI) (2025, October 15). Empfehlung zur Struktur und Ausstattung von Intensivstationen 2022 (Erwachsene). Available online: https:\/\/www.divi.de\/publikationen\/intensivstationen."},{"key":"ref_7","unstructured":"(2025, October 03). The Short-Life Standards and Guidelines Working Party of the UK National Tracheostomy Safety Project. Guidance for: Tracheostomy Care. Available online: https:\/\/www.ficm.ac.uk\/sites\/ficm\/files\/documents\/2021-11\/2020-08%20Tracheostomy_care_guidance_Final.pdf."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1080\/14015439.2023.2173288","article-title":"Qualifications, professional roles and service practices of nurses, occupational therapists and speech-language pathologists in the management of adults with oropharyngeal dysphagia: A Nordic survey","volume":"49","author":"Rivelsrud","year":"2024","journal-title":"Logop. Phoniatr. Vocol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1002\/pmrj.12717","article-title":"Speech-language pathology approaches to neurorehabilitation in acute care during COVID-19: Capitalizing on neuroplasticity","volume":"14","author":"Brodsky","year":"2022","journal-title":"PM&R"},{"key":"ref_10","first-page":"8","article-title":"Qualit\u00e4tssicherungs-Projekt zur Pr\u00e4vention von Aspirationspneumonien in der Akutversorgung von Schlaganfallpatienten mit Dysphagie","volume":"22","author":"Burek","year":"2008","journal-title":"Forum Logop\u00e4die"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2756","DOI":"10.1161\/01.STR.0000190056.76543.eb","article-title":"Dysphagia after stroke: Incidence, diagnosis, and pulmonary complications","volume":"36","author":"Martino","year":"2005","journal-title":"Stroke"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1001\/jamaoto.2014.921","article-title":"Changing practice and improving care using a low-risk tracheotomy clinical pathway","volume":"140","author":"Smith","year":"2014","journal-title":"JAMA Otolaryngol.\u2013Head Neck Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/S1474-4422(18)30255-2","article-title":"Pharyngeal electrical stimulation for early decannulation in tracheotomised patients with neurogenic dysphagia after stroke (PHAST-TRAC): A prospective, single-blinded, randomised trial","volume":"17","author":"Dziewas","year":"2018","journal-title":"Lancet Neurol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1007\/s00115-023-01598-x","article-title":"Curriculum \u201cTrachealkan\u00fclenmanagement in der Dysphagietherapie\u201d","volume":"95","author":"Ledl","year":"2024","journal-title":"Der Nervenarzt"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1007\/s00115-014-4114-7","article-title":"FEES f\u00fcr neurogene Dysphagien","volume":"85","author":"Dziewas","year":"2014","journal-title":"Der Nervenarzt"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1046\/j.1365-2702.2001.00502.x","article-title":"Screening swallowing function of patients with acute stroke. Part two: Detailed evaluation of the tool used by nurses","volume":"10","author":"Perry","year":"2001","journal-title":"J. Clin. Nurs."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"154447","DOI":"10.1016\/j.jcrc.2023.154447","article-title":"Management of swallowing disorders in ICU patients\u2014A multinational expert opinion","volume":"79","author":"Likar","year":"2024","journal-title":"J. Crit. Care"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/BF01709751","article-title":"The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction\/failure: On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine","volume":"22","author":"Vincent","year":"1996","journal-title":"Intensive Care Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2957","DOI":"10.1001\/jama.1993.03510240069035","article-title":"A new Simplified Acute Physiology Score (SAPS II) based on a European\/North American multicenter study","volume":"270","author":"Lemeshow","year":"1993","journal-title":"JAMA"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1503\/cmaj.050051","article-title":"A global clinical measure of fitness and frailty in elderly people","volume":"173","author":"Rockwood","year":"2005","journal-title":"Can. Med. Assoc. J."},{"key":"ref_21","first-page":"69","article-title":"The Early Rehabilitation Barthel Index\u2014An early rehabilitation-oriented extension of the Barthel Index","volume":"34","year":"1995","journal-title":"Die Rehabil."},{"key":"ref_22","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioural Sciences, Lawrence Erlbaum. [2nd ed.]."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Zivi, I., Valsecchi, R., Maestri, R., Maffia, S., Zarucchi, A., Molatore, K., Vellati, E., Saltuari, L., and Frazzitta, G. (2018). Early Rehabilitation Reduces Time to Decannulation in Patients With Severe Acquired Brain Injury: A Retrospective Study. Front. Neurol., 9.","DOI":"10.3389\/fneur.2018.00559"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1002\/ohn.70013","article-title":"Predictors of Decannulation Success in Tracheostomy: A 10-Year Analysis of the Global Tracheostomy Collaborative Database","volume":"173","author":"Zaga","year":"2025","journal-title":"Otolaryngol.\u2013Head Neck Surg."},{"key":"ref_25","first-page":"529","article-title":"Can we predict the duration of the decannulation process?","volume":"36","year":"2012","journal-title":"Med. Intensiv. (Engl. Ed.)"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"111810","DOI":"10.1016\/j.jclinane.2025.111810","article-title":"Predicting admission to and length of stay in intensive care units after general anesthesia: Time-dependent role of pre- and intraoperative data for clinical decision-making","volume":"103","author":"Stieger","year":"2025","journal-title":"J. Clin. Anesth."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.1007\/s12070-023-03666-9","article-title":"Comparative Study of Percutaneous Dilatational Tracheostomy and Conventional Surgical Tracheostomy in Critically Ill Adult Patients","volume":"75","author":"Pandit","year":"2023","journal-title":"Indian J. Otolaryngol. Head Neck Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1001\/jamaoto.2021.0025","article-title":"Association of Early vs Late Tracheostomy Placement With Pneumonia and Ventilator Days in Critically Ill Patients: A Meta-analysis","volume":"147","author":"Chorath","year":"2021","journal-title":"JAMA Otolaryngol.\u2014Head Neck Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s42466-025-00376-1","article-title":"Decannulation ahead: A comprehensive diagnostic and therapeutic framework for tracheotomized neurological patients","volume":"7","author":"Dziewas","year":"2025","journal-title":"Neurol. Res. Pract."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1186\/s13054-025-05492-7","article-title":"Post-extubation dysphagia in the ICU\u2212a narrative review: Epidemiology, mechanisms and clinical management (Update 2025)","volume":"29","author":"Bertschi","year":"2025","journal-title":"Crit. Care"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/1\/303\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T15:25:00Z","timestamp":1767194700000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/1\/303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,31]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["jcm15010303"],"URL":"https:\/\/doi.org\/10.3390\/jcm15010303","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,31]]}}}