Speech-language pathologist involvement in the paediatric intensive care unit.

IF 1.4 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Speech-Language Pathology Pub Date : 2024-10-01 Epub Date: 2023-10-01 DOI:10.1080/17549507.2023.2244195

Rachel Santiago, Blair J Gorenberg, Christine Hurtubise, Panayiota Senekki-Florent, Sapna R Kudchadkar

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引用次数: 0

Abstract

Purpose: To measure the prevalence of speech-language pathologist (SLP) involvement and associated trends for critically ill children in United States (US) paediatric intensive care units (PICU) through secondary analysis of the Prevalence of Acute Rehab for Kids in the PICU (PARK-PICU) study data.

Method: A secondary analysis of cross-sectional point prevalence study conducted over 1 day in 82 US PICUs. Data collected included SLP presence, patients' age, length of stay, medical interventions, aetiology, admission data, Glasgow Coma Scale scores, staffing involvement, and family presence.

Result: Among 961 patients, 82 were visited by an SLP on the study day for a prevalence of 8.5%. Most visits were for children <3 years old. The odds of SLP involvement were lower for children who were 7-12 years old (vs. age 0-2; adjusted odds ratio [aOR] 0.28; 95% CI 0.1-0.8), were mechanically ventilated via endotracheal tube (vs. room air; aOR 0.02; 95% CI 0.005-0.11), or had mild or severe disability (mild vs. no disability; aOR 0.34; 95% CI 0.16-0.76 and severe vs. no disability; aOR 0.39; 95% CI 0.17-0.90). Concurrent physical and/or occupational therapy involvement was associated with higher odds of SLP involvement (aOR 3.6; 95% CI 2.1-6.4).

Conclusion: SLP involvement is infrequent in US PICUs. PICU teams should be educated about the scope of SLP practice, to support communication and oral feeding needs during early recovery from critical illness.

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言语语言病理学家参与儿科重症监护室。

目的：通过对美国儿科重症监护室（PICU）研究数据中儿童急性康复患病率的二次分析，测量言语语言病理学家（SLP）参与的患病率和危重儿童的相关趋势。方法：对82例患者在1天内进行的横断面点患病率研究进行二次分析美国PICU。收集的数据包括SLP存在、患者年龄、住院时间、医疗干预、病因、入院数据、格拉斯哥昏迷量表评分、人员参与和家庭存在。结果：在961名患者中，82名患者在研究当天接受了SLP检查，患病率为8.5%。大多数患者都是儿童。结论：SLP在美国PICU中很少发生。PICU团队应接受SLP实践范围的教育，以支持危重症早期康复期间的沟通和口腔喂养需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

3.10

自引率

16.70%

发文量

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.