Mills, CS orcid.org/0000-0002-3436-3876, Michou, E, Hanratty, A et al. (2 more authors) (2022) The adaptation of the Leeds Post-Extubation Dysphagia Screen: Lessons learned during the COVID-19 pandemic. Journal of the Intensive Care Society, 23 (3). pp. 281-284. ISSN 1751-1437
Abstract
Introduction
Post-extubation dysphagia (PED) can have serious consequences for critically unwell patients. COVID-19 has resulted in an increasing need for a PED screen in order to effectively identify patients and mitigate risk, whilst balancing under-resourced services. Online training provides the advantage of reducing time pressures on staff and supporting social distancing. This project aimed to adapt the Leeds Post-Extubation Dysphagia Screen (L-PEDS) and the associated training package to be more suitable and effective for use during COVID-19 pandemic.
Methods
The screen was modified to a digital format with additional guidance for users. The training package was shortened and converted to an online package while keeping the interactive mode of training.
Results
Preliminary results of 14 staff members indicate that the median confidence levels for screening patients for PED improved from 5 to 8 (on a scale of 0 to 10) after completing the L-PEDS-COVID training package. Likewise, knowledge of PED improved from a median of 4 to 8 (on a scale of 0 to 10). Training quality was rated at a median of 8 on a scale of 0 to 10 (0 being very poor; 10 being very good).
Conclusions
Preliminary evidence demonstrated increased knowledge of PED and confidence in screening. The development of an adapted version of the L-PEDS and online training package may allow easier implementation of post-extubation dysphagia screening. This could help to compensate for insufficient speech and language therapy critical care staffing, assist in identifying patients at risk and improve outcomes by enabling earlier and safe resumption of oral intake.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © The Intensive Care Society 2021. This is an author produced version of an article, published in Journal of the Intensive Care Society. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Post-extubation dysphagia, extubation, dysphagia, swallowing, screening, aspiration, coronavirus |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 11 Nov 2021 16:25 |
Last Modified: | 25 Jun 2023 22:49 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/1751143721998140 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:180213 |