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Master Thesis

Étude rétrospective du dépistage et des facteurs de risque des troubles de la déglutition chez les patients traumatisés en unité de réanimation : comparaison de patients regroupés sur critère d’intubation

Abstract : Background: traumatized patients are at high risk of swallowing disorders because of trauma but also due to management interventions. Intubation is a well-known risk factor but other risks factors should be taken into account. Screening is essential in order to identify and treat them before they lead to complications. Aim: describe ICU trauma patients and swallowing disorders screening. Method: over a four-month period, trauma patient records were analyzed to collect socio-demographic and clinical data, data related to trauma and management, and complications. Swallowing disorder screen test was Gugging Swallowing Screen (GUSS). Patients were analyzed in groups according to the use and the duration of intubation and whether or not there was at least one specific complication of swallowing disorders (pneumopathy, denutrition, reintubation). Results: 99 patients were included. Most of them were intubated. The screening rate for swallowing disorders was 71.6% and 60% of tests were positive. In our study we did not find any indicators of swallowing disorders in patients who were not intubated. Finally, the occurrence of at least one specific complication is significantly associated with the use of enteral nutrition, antibiotics or NIV. A positive screening test is associated with the occurrence of a specific complication. Conclusion: trauma patients are at high risk of intubation and swallowing disorders, which involve more care and complications. Therefore, screening is essential and more studies are necessary to understand more precisely particularities of this disorder concerning this population.
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https://dumas.ccsd.cnrs.fr/dumas-02545250
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, April 16, 2020 - 9:53:08 PM
Last modification on : Saturday, April 18, 2020 - 1:16:57 AM

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Julie Caignieu. Étude rétrospective du dépistage et des facteurs de risque des troubles de la déglutition chez les patients traumatisés en unité de réanimation : comparaison de patients regroupés sur critère d’intubation. Sciences cognitives. 2019. ⟨dumas-02545250⟩

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