Dysphagia in the postoperative period of carotid endarterectomy in intensive care units
DOI:
https://doi.org/10.23925/2176-2724.2025v37i1e69642Keywords:
Carotid Endarterectomy, Cardiovascular Abnormalities, Critical Care, Deglutition Disorders, Speech, Language and Hearing SciencesAbstract
Introduction: Carotid endarterectomy is a surgical procedure performed on patients with carotid stenosis, either symptomatic or asymptomatic, aimed at preventing cerebrovascular accidents.Purpose: To identify the prevalence and severity of dysphagia in patients who underwent carotid endarterectomy in two general intensive care units. Methods: Cross-sectional and retrospective study was conducted with patients over 18 years of age, of both sexes, diagnosed with carotid stenosis and admitted to two general intensive care units at Sao Paulo Hospital of the Federal University of Sao Paulo (HSP Unifesp) between May 2018 and August 2021. The patients were identified using the Speech Therapy Service database, and data collection was performed through electronic medical records. Swallowing classification was determined based on the findings from clinical evaluations and the ASHA NOMS scale. Results: Medical records of 50 patients were identified, of which 31 met the inclusion criteria for this study. The cohort was predominantly elderly with multiple comorbidities: 80% were hypertensive, 48% were smokers or former smokers, 35% were dyslipidemic, and 35% were diabetic. Among the patients, eight (25.8%) had dysphagia and twenty-three (74.2%) had normal swallowing. Among the dysphagic patients, six (19.35%) had mild swallowing difficulties, and two (6.45%) had moderate difficulties. Conclusion: The prevalence of dysphagia in patients undergoing carotid endarterectomy in two intensive care units during the immediate postoperative period was 25.8%, with a range from mild to moderate severity.
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Copyright (c) 2025 Mariana da Silva Novaes, Guilherme Maia Zica, Fernanda Teixeira Menezes, Maria Inês Rebelo Gonçalves
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