The incidence and risk factors of post-extubation dysphagia in critically ill surgical patients

Status

Unknown

Phases

Early Phase 1

Study type

Interventional

Source

TCTR

Registry ID

TCTR20211023003

Enrollment

200

Registered

2021-10-23

Start date

2021-08-02

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-Extubation Dysphagia (PED) is a common condition in critically ill patients who admitted in the ICU. The occurrence is about 41% with some studies reported vary widely from 3% to 83%. It occurs frequently in patients who have high risks such as elderly patients, preexisting dysphagia, prolong intubation with mechanical ventilation (more than 48 hours), stroke and neurological problems, renal failure, cervical spine or head &amp

Interventions

All of the extubated patients who are eligible with the inclusion criteria will be enrolled and informed consent will be obtained from the participants and/or LAR before undergoing protocol. For PED

a single sip and consecutive sip technique because of concerning for safety and avoid silent aspiration. The patient will be asked to drink each 5 ml of water (1 teaspoon) 3 times respectively. If th

Active Comparator Procedure/Surgery

WST positive

Eligibility

Sex/Gender

All

Age

60 Years to 100 Years

Inclusion criteria

Inclusion criteria: 1. Age of 60 years old or more 2. Surgical ICU patients who were intubated and on mechanical ventilation for at least 48 hours after intubation 3. Successfully extubation 4. Stable hemodynamics (MAP more than 65 mmHg) without vasopressors use at the time of enrollment 5. Patient is awake, alert, and able to follow commands

Exclusion criteria

Exclusion criteria: 1. Surgical procedure involving head and neck, cervical, cranial trauma, cardiothoracic surgery, neurosurgery 2. Surgical procedure involving GI tract that need to NPO more than 7 days 3. Tracheostomy 4. Profound deafness 5. Pre-existing dysphagia before underwent surgical procedure from other diseases e.g., neurological conditions: previous stroke, Parkinson disease, head& neck cancer, underwent head and neck surgery

Design outcomes

Primary

Measure	Time frame
Dysphagia 28 day water swallowing test, FEES	—

Secondary

Measure	Time frame
risk factors 28 day occurring	—

Countries

Thailand

Contacts

Public ContactThassayu Yuyen

Siriraj Hospital

thassayu.yuy@mahidol.ac.th66816325282

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026