Characteristics, predictors, and management of post-extubation dysphagia in critically Ill children: a scoping review - Takeaways - MDSpire

Characteristics, predictors, and management of post-extubation dysphagia in critically Ill children: a scoping review

  • By

  • Yaokang Xue

  • Baorong Zhang

  • Xiaoshuang Zhao

  • Lili Hu

  • Liting Ju

  • Hairui Sun

  • Dan Zhang

  • Jiping Zhang

  • Yuxuan Yang

  • Ruixin Guan

  • June 15, 2026

  • 0 min

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  • 1

    Post-extubation dysphagia (PED) is prevalent in critically ill children, with incidence rates ranging from 28.36% to 68.94%.

  • 2

    Independent predictors of PED include intubation duration, age, and neurological comorbidities, categorized into three evidence tiers.

  • 3

    No bedside assessment tool for PED has been validated against instrumental gold standards like VFSS or FEES, highlighting a significant methodological gap.

  • 4

    Interventions for PED primarily focus on oral motor training, but lack standardization in frequency, intensity, and multidisciplinary integration.

  • 5

    Future research should prioritize multicenter studies to unify diagnostic criteria and develop age-appropriate screening tools for pediatric PED.

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