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Vocal function following discharge from intensive care

Published online by Cambridge University Press:  11 January 2010

I Nixon ,
S Ramsay  and
K MacKenzie
I Nixon*
Affiliation:
Department of ENT, North Glasgow Hospitals NHS Trust, Gartnavel General Hospital, Scotland, UK
S Ramsay
Affiliation:
Department of Anaesthesia, North Glasgow Hospitals University Division, Scotland, UK
K MacKenzie
Affiliation:
Department of ENT, North Glasgow Hospitals University Division, Scotland, UK
*
Address for correspondence: Mr Iain Nixon, Department of ENT, North Glasgow Hospitals NHS Trust, Gartnavel General Hospital, Great Western Road, Glasgow G12 0YN, Scotland, UK. E-mail: iainjnixon@gmail.com
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Abstract

Introduction:

There is growing interest in the long term outcomes of critical care. The degree of vocal morbidity suffered by patients surviving intensive care admission has not previously been reported.

Objective:

To determine the degree of subjective, patient-reported vocal morbidity following discharge from intensive care.

Materials and methods:

A prospective study was undertaken of patients admitted to intensive care. A total of 273 consecutive admissions were assessed; 181 patients were suitable for inclusion.

Main outcome measure:

The Voice Symptom Scale questionnaire.

Results:

Eighty-three patients responded. Twenty-seven patients (33 per cent) reported a degree of vocal morbidity greater than that suffered by patients treated for early laryngeal cancer. Thirteen patients (16 per cent) reported a degree of morbidity greater than that suffered by patients attending voice clinics.

Conclusion:

Up to one-third of patients who survived admission to an intensive care unit reported suffering significant vocal morbidity. The Voice Symptom Scale could be used in an intensive care follow-up setting to identify and ensure the referral of such patients.

Keywords

VoiceIntensive CareDysphonia

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 5 , May 2010 , pp. 515 - 519
Copyright
Copyright © JLO (1984) Limited 2010

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Footnotes

Presented at the Laryngology Section, Royal Society of Medicine, 5 September 2008, London, UK (poster); The Intensive Care Society State of the Art Meeting, 18 December 2007, London, UK (poster); the Scottish Otolaryngological Society Summer Meeting, 10 May 2007, Dunkeld, UK; and the Oto-Rhino-Laryngological Research Society Meeting, 30 March 2007, Glasgow, UK.

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