An audit of perioperative speech pathology intervention on improving enhanced recovery after surgery in oesophagectomy patients.

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Amelia Starkey, Laura Lincoln, Douglas Fenton-Lee, Lauren J Christie
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引用次数: 0

Abstract

Purpose: To evaluate the impact of a speech-language pathology (SLP) pathway on recovery following oesophagectomy.

Method: An audit was conducted at a single metropolitan public hospital in Sydney, Australia. Patients between 2014-2021 undergoing a three-stage oesophagectomy (n = 41) were included in the study. The sample was divided into two groups, those who received usual care (2014-2019) and those who received perioperative SLP assessment and intervention (2020-2021), with data collected across swallowing and health outcomes. Patient demographics and outcomes between the two groups were compared.

Result: Patients who received perioperative SLP intervention commenced oral intake faster postoperatively (SLP intervention group Mdn = 6.50 days, IQR = 6.00-7.00; usual care group Mdn = 9.00 days, IQR = 7.00-13.25; p = 0.001). There was no statistically significant difference between groups in rates of aspiration on the postoperative leak test (p = 0.32). No statistically significant differences were found between the two groups in length of hospital stay or number of swallowing-related medical images completed during their admission.

Conclusion: Perioperative SLP intervention has a positive impact on commencing oral intake following a three-stage oesophagectomy, however, it does not have a significant impact on rates of aspiration postoperatively. This pathway may contribute to enhanced recovery after oesophagectomy.

围手术期语言病理学干预对改善食道切除术患者术后恢复的审计。
目的:评估语言病理学(SLP)路径对食道切除术后康复的影响:在澳大利亚悉尼的一家大都市公立医院进行了一项审计。研究对象包括 2014-2021 年间接受三阶段食道切除术的患者(n = 41)。样本分为两组,一组接受常规护理(2014-2019 年),另一组接受围手术期 SLP 评估和干预(2020-2021 年),收集的数据涵盖吞咽和健康结果。比较了两组患者的人口统计学特征和结果:结果:接受围手术期SLP干预的患者术后开始口腔摄入的时间更快(SLP干预组Mdn = 6.50天,IQR = 6.00-7.00;常规护理组Mdn = 9.00天,IQR = 7.00-13.25;p = 0.001)。在术后漏气测试中,各组间的吸入率差异无统计学意义(P = 0.32)。在住院时间或入院期间完成的与吞咽相关的医学影像数量方面,两组之间没有统计学意义上的差异:围手术期SLP干预对三段式食管切除术后开始口腔摄入有积极影响,但对术后吸入率没有显著影响。这一途径可能有助于促进食道切除术后的恢复。
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来源期刊
International Journal of Speech-Language Pathology
International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.10
自引率
16.70%
发文量
73
审稿时长
>12 weeks
期刊介绍: International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.
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