A consensus statement for the management and rehabilitation of communication and swallowing function in the ICU: A global response to COVID-19.

Freeman-Sanderson, A; Ward, EC; Miles, A; de Pedro Netto, I; Duncan, S; Inamoto, Y; McRae, J; Pillay, N; Skoretz, SA; Walshe, M; Brodsky, MB; COVID-19 SLP Global Group

A consensus statement for the management and rehabilitation of communication and swallowing function in the ICU: A global response to COVID-19.

Ward, EC Miles, A de Pedro Netto, I Duncan, S Inamoto, Y McRae, J Pillay, N Skoretz, SA Walshe, M Brodsky, MB COVID-19 SLP Global Group

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Archives of physical medicine and rehabilitation, 2020
Issue Date:: 2020-11-06

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Field	Value	Language
dc.contributor.author	Freeman-Sanderson, A https://orcid.org/0000-0003-2161-6421
dc.contributor.author	Ward, EC
dc.contributor.author	Miles, A
dc.contributor.author	de Pedro Netto, I
dc.contributor.author	Duncan, S
dc.contributor.author	Inamoto, Y
dc.contributor.author	McRae, J
dc.contributor.author	Pillay, N
dc.contributor.author	Skoretz, SA
dc.contributor.author	Walshe, M
dc.contributor.author	Brodsky, MB
dc.contributor.author	COVID-19 SLP Global Group
dc.date.accessioned	2020-11-14T08:02:04Z
dc.date.available	2021-05-25T19:01:25Z
dc.date.issued	2020-11-06
dc.identifier.citation	Archives of physical medicine and rehabilitation, 2020
dc.identifier.issn	0003-9993
dc.identifier.issn	1532-821X
dc.identifier.uri	http://hdl.handle.net/10453/144000
dc.description.abstract	OBJECTIVE:To identify core practices for workforce management of communication and swallowing functions in COVID-19 positive patients within the ICU. DESIGN:A modified Delphi methodology was utilized, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included. SETTING:Electronic modified Delphi process. PARTICIPANTS:35 speech-language pathologists (SLPs) from 6 continents representing 12 countries. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:The main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: "0" = strongly disagree, "10" strongly agree). Prioritization rank order of statements in a 4th round was also conducted. RESULTS:SLPs with a median of 15 years ICU experience, working primarily in clinical (54%), in academic (29%) or managerial (17%) positions, completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance. CONCLUSIONS:A set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focus on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Archives of physical medicine and rehabilitation
dc.relation.isbasedon	10.1016/j.apmr.2020.10.113
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	1103 Clinical Sciences, 1106 Human Movement and Sports Sciences, 1117 Public Health and Health Services
dc.subject.classification	Rehabilitation
dc.title	A consensus statement for the management and rehabilitation of communication and swallowing function in the ICU: A global response to COVID-19.
dc.type	Journal Article
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1106 Human Movement and Sports Sciences
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Speech Pathology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
utslib.copyright.status	open_access	*
dc.date.updated	2020-11-14T08:01:51Z
pubs.publication-status	Published

Abstract:

OBJECTIVE:To identify core practices for workforce management of communication and swallowing functions in COVID-19 positive patients within the ICU. DESIGN:A modified Delphi methodology was utilized, with 3 electronic voting rounds. AGREE II and an adapted COVID-19 survey framework from physiotherapy were used to develop survey statements. Sixty-six statements pertaining to workforce planning and management of communication and swallowing function in the ICU were included. SETTING:Electronic modified Delphi process. PARTICIPANTS:35 speech-language pathologists (SLPs) from 6 continents representing 12 countries. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:The main outcome was consensus agreement, defined a priori as ≥70% of participants with a mean Likert score ≥7.0 (11-point scale: "0" = strongly disagree, "10" strongly agree). Prioritization rank order of statements in a 4th round was also conducted. RESULTS:SLPs with a median of 15 years ICU experience, working primarily in clinical (54%), in academic (29%) or managerial (17%) positions, completed all voting rounds. After the third round, 64 statements (97%) met criteria. Rank ordering identified issues of high importance. CONCLUSIONS:A set of global consensus statements to facilitate planning and delivery of rehabilitative care for patients admitted to the ICU during the COVID-19 pandemic were agreed by an international expert SLP group. Statements focus on considerations for workforce preparation, resourcing and training, and the management of communication and swallowing functions. These statements support and provide direction for all members of the rehabilitation team to use for patients admitted to the ICU during a global pandemic.

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http://hdl.handle.net/10453/144000