• Lingyu Hou, Ying Li, Jianhua Wang, Yuqi Wang, Jingchao Wang, GuoJing Hu, and Xiao Rong Ding.
• Nursing Department, Peking University Shenzhen Hospital, Shenzhen, People's Republic of China.
• Medicine (Baltimore). 2023 Mar 10; 102 (10): e33153e33153.

BackgroundPost-extubation dysphagia is high in critically ill patients and is not easily recognized. This study aimed to identify risk factors for acquired swallowing disorders in the intensive care unit (ICU).MethodsWe have retrieved all relevant research published before August 2022 from PubMed, Embase, Web of Science, and the Cochrane Library electronic databases. The studies were selected using inclusion and exclusion criteria. Two reviewers screened studies, extracted data, and independently evaluated the risk of bias. The quality of the study was assessed with the Newcastle-Ottawa Scale, and a meta-analysis was carried out with Cochrane Collaboration's Revman 5.3 software.ResultsA total of 15 studies were included. Age (odds ratio [OR] = 1.04), tracheal intubation time (OR = 1.61), APACHE II (OR = 1.04), and tracheostomy (OR = 3.75) were significant risk factors that contributed to post-extubation dysphagia in ICU.ConclusionThis study provides preliminary evidence that post-extraction dysphagia in ICU is associated with factors such as age, tracheal intubation time, APACHE II, and tracheostomy. The results of this research may improve clinician awareness, risk stratification, and prevention of post-extraction dysphagia in the ICU.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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