Imperial College London
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DrGemmaClunie

Faculty of Medicine, Department of Surgery & Cancer

Honorary Research Fellow
 
 
 
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Contact

 

g.clunie Website

 
 
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Location

 

202Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Rouhani:2021:10.1002/lary.29346,
author = {Rouhani, MJ and Clunie, G and Thong, G and Lovell, L and Roe, J and Ashcroft, M and Holroyd, A and Sandhu, G and Al, Yaghchi C},
doi = {10.1002/lary.29346},
journal = {The Laryngoscope},
pages = {E1918--E1925},
title = {A prospective study of voice, swallow, and airway outcomes following tracheostomy for COVID19},
url = {http://dx.doi.org/10.1002/lary.29346},
volume = {131},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectiveThe COVID19 pandemic has led to unprecedented demands on healthcare with many requiring intubation. Tracheostomy insertion has often been delayed and the enduring effects of this on voice, swallow, and airway outcomes in COVID19 tracheostomy patients are unknown. The aim of this study was to prospectively assess these outcomes in this patient cohort following hospital discharge.MethodsAll COVID19 patients who had undergone tracheostomy insertion, and were subsequently decannulated, were identified at our institution and followed up 2 months postdischarge. Patientreported (PROMS) and clinicianreported outcome measures, endoscopic examination, and spirometry were used to assess voice, swallow, and airway outcomes.ResultsFortyone patients were included in the study with a mean age of 56 years and male:female ratio of 28:13. Average duration of endotracheal intubation was 24 days and 63.4% of tracheostomies were performed at day 21 to 35 of intubation. 53.7% had an abnormal GRBAS score and 30% reported abnormal swallow on EAT10 questionnaire. 81.1% had normal endoscopic examination of the larynx, however, positive endoscopic findings correlated with the patient selfreported VHI10 (P = .036) and EAT10 scores (P = .027). 22.5% had spirometric evidence of fixed upper airway obstruction using the ExpiratoryDisproportion Index (EDI) and Spearman correlation analysis showed a positive trend between abnormal endoscopic findings and EDI scores over 50 (P < .0001).ConclusionThe preliminary results of this study reveal a high incidence of laryngeal injury among patients who underwent intubation and tracheostomy insertion during the COVID19 pandemic. As these patients continue to be followed up, the evolution of these complications will be studied.Level of EvidenceLevel 3. Laryngoscope, 2020
AU  - Rouhani,MJ
AU  - Clunie,G
AU  - Thong,G
AU  - Lovell,L
AU  - Roe,J
AU  - Ashcroft,M
AU  - Holroyd,A
AU  - Sandhu,G
AU  - Al,Yaghchi C
DO  - 10.1002/lary.29346
EP  - 1925
PY  - 2021///
SN  - 0023-852X
SP  - 1918
TI  - A prospective study of voice, swallow, and airway outcomes following tracheostomy for COVID19
T2  - The Laryngoscope
UR  - http://dx.doi.org/10.1002/lary.29346
UR  - https://onlinelibrary.wiley.com/doi/10.1002/lary.29346
UR  - http://hdl.handle.net/10044/1/86026
VL  - 131
ER  -
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