Fonoaudiología En Salas De Urgencias: Perspectiva Desde Una Revisión Documental

Speech Language Pathology In Emergency Rooms: Perspective From A Documentary Review ¿Qué Sabemos?

Contenido principal del artículo

Johanna Rodríguez Riaño
DANIELA MARCELA QUECHO RODRIGUEZ
MARIA PAULA RINCON PINILLA
PAULA VANESSA GARAVITO HERNÁNDEZ
DANIELA MARCELA QUECHO RODRIGUEZ
MARIA PAULA RINCON PINILLA
PAULA VANESSA GARAVITO HERNÁNDEZ

Resumen

Las salas de urgencias son espacios con protocolos coordinados y actuaciones diagnósticas y terapéuticas secuenciales. Los profesionales de rehabilitación en urgencias aportan a la toma de decisiones sobre conductas de hospitalización o egreso, planes caseros, ayudas diagnósticas y remisión a especialistas. El propósito de este análisis de literatura fue identificar evidencia internacional, sobre el fonoaudiólogo en sala de urgencias y sus acciones profesionales con pacientes, familiares y equipos de salud. Materiales y métodos. Se revisó evidencia de las bases de datos Ebsco, PubMed, Scielo, Elsevier y Web of Science, entre enero de 2015 hasta septiembre de 2020, con términos de búsqueda: speech language pathology, speech therapy, emergency room en español e inglés. Se seleccionaron documentos que informaran sobre procesos de rehabilitación en salas de urgencias, que incluyeran acciones desde fonoaudiología. Se analizaron 51 documentos según criterios de inclusión. La evidencia muestra la incursión del trabajo fonoaudiológico en un contexto no tradicional, motivado por las necesidades en la toma de decisiones clínicas en diálogo interdisciplinar, principalmente en condiciones de disfagia y alteraciones deglutorias. Las acciones profesionales en este contexto incluyen la promoción y prevención de ingresos a sala de urgencias, hasta la atención en condiciones críticas, agudas y al final de la vida. Este contexto representa retos profesionales hacia habilidades de juicio clínico, argumentación científico profesional, uso de instrumentos de detección y trabajo interdisciplinar. que hacen la diferencia entre aspectos como el egreso y la hospitalización, un tratamiento o procedimiento y en algunos casos, entre la vida y la muerte.

Palabras clave:

Descargas

Los datos de descargas todavía no están disponibles.

Detalles del artículo

Biografía del autor/a (VER)

Johanna Rodríguez Riaño, Universidad Manuela Beltrán

Fonoaudióloga, Magister en Neurociencias, Docente Investigadora, Facultad de Ciencias de la Salud, Corporación Universitaria Iberoamericana.

Referencias (VER)

Abboud, M. E., Band, R., Jia, J., Pajerowski, W., David, G., Guo, M., Mechem, C. C., Messé, S. R., Carr, B. G., & Mullen, M. T. (2016). Recognition of stroke by EMS is associated with improvement in emergency department quality measures. Prehospital Emergency Care, 20(6), 729-736. DOI: 10.1080/10903127.2016.1182602

Aguirre-Bravo, Á. N., y Sampallo-Pedroza, R. (2015). Fonoaudiología en los cuidados paliativos / Phonoaudiology in palliative care. Revista de la Facultad de Medicina, 63(2), 289-289-300. https://doi.org/10.15446/revfacmed.v63n2.48539

Akhtar, N., Kamran, S., Singh, R., Cameron, P., Bourke, P., Khan, R., Joseph, S., Santos, M., Deleu, D., Own, A., Al-Yazeedi, W., Butt, A. A., Boulton, J., & Shuaib, A. (2016). Prolonged Stay of Stroke Patients in the Emergency Department May Lead to an Increased Risk of Complications, Poor Recovery, and Increased Mortality. Journal of Stroke and Cerebrovascular Diseases, 25(3), 672-672-678. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.10.018

Almeida, M. A. F., Mahmud, M. A. I., & Finard, S. A. (2018). Profile of patients using nasoenteric probe at the adult emergency service in a public hospital. Clinical & Biomedical Research, 38(3). https://seer.ufrgs.br/hcpa/article/view/80454/pdf.

Andrade, J. S., Jesus, S. d., Oliveira, W. W., Paranhos, L. R., Domenis, D. R., Ribeiro César, & Hernandez Alves, C. P. (2017). Efeitos da Terapia da Fala em Pacientes Internados com Disfagia Pós-Acidente Cerebrovascular: Revisão Sistemática de Estudos Observacionais. Acta Medica Portuguesa, 30(12). https://doi.org/10.20344/amp.9183

Bahcecı, K., Umay, E., Gundogdu, I., Gurcay, E., Ozturk, E., & Alıcura, S. (2017). The effect of swallowing rehabilitation on quality of life of the dysphagic patients with cortical ischemic stroke. Iranian journal of neurology, 16(4), 178. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937003/.

Baier, A. L., Marques, L., Borba, C. P., Kelly, H., Clair-Hayes, K., Dixon De Silva, L., Chow, L. K., & Simon, N. M. (2019). Training needs among nonmental health professionals working with service members: A qualitative investigation. Military Psychology, 31(1), 71-80. doi: 10.1080/08995605.2018.1541392

Balou, M., Herzberg, E. G., Kamelhar, D., & Molfenter, S. M. (2019). An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia. Clinical interventions in aging, 14, 283. doi: 10.2147/CIA.S194723

Bath, P. M., Lee, H. S., & Everton, L. F. (2019). Swallowing therapy for dysphagia in acute and subacute stroke. Stroke, 50(3), e46-e47. doi: 10.1002/14651858.CD000323.pub3.

Beaulieu, C. L., Dijkers, M. P., Barrett, R. S., Horn, S. D., Giuffrida, C. G., Timpson, M. L., Carroll, D. M., Smout, R. J., & Hammond, F. M. (2015). Occupational, physical, and speech therapy treatment activities during inpatient rehabilitation for traumatic brain injury. Archives of physical medicine and rehabilitation, 96(8), S222-S234. e217. doi: 10.1016/j.apmr.2014.10.028

Berning, M. J., e Silva, L. O. J., Suarez, N. E., Walker, L. E., Erwin, P., Carpenter, C. R., & Bellolio, F. (2020). Interventions to improve older adults' Emergency Department patient experience: A systematic review. The American journal of emergency medicine, 38(6), 1257-1269. doi: 10.1016/j.ajem.2020.03.012. Epub 2020 Mar 12.

Carmignani, I., Locatello, L. G., Desideri, I., Bonomo, P., Olmetto, E., Livi, L., Le Saec, O., Coscarelli, S., & Mannelli, G. (2018). Analysis of dysphagia in advanced-stage head-and-neck cancer patients: impact on quality of life and development of a preventive swallowing treatment. European Archives of Oto-Rhino-Laryngology, 275(8), 2159-2167. doi: 10.1007/s00405-018-5054-9. Epub 2018 Jul 5.

Cassarino, M., Robinson, K., Quinn, R., Naddy, B., O'Regan, A., Ryan, D., Boland, F., Ward, M. E., McNamara, R., O'Connor, M., McCarthy, G., & Galvin, R. (2019). Impact of early assessment and intervention by teams involving health and social care professionals in the emergency department: A systematic review. In (Vol. 14, pp. e0220709-e0220709). https://doi.org/10.1371/journal.pone.0220709

de Cerio Canduela, P. D., González, I. A., Durban, R. B., Suárez, A. S., Secall, M. T., Arias, P. L. P., & Group, L. R. W. (2019). Rehabilitation of the Laryngectomised Patient. Recommendations of the Spanish Society of Otolaryngology and Head and Neck Surgery. Acta Otorrinolaringologica (English Edition), 70(3), 169-174. DOI: 10.1016/j.otoeng.2018.01.003

García-Carbajal, S., Pipa-Muniz, M., & Múgica, J. L. (2020). Using String Metrics to Improve the Design of Virtual Conversational Characters: Behavior Simulator Development Study. JMIR serious games, 8(1), e15349. doi: 10.2196/15349

Gormley, J., & Light, J. (2019). Providing Services to Individuals With Complex Communication Needs in the Inpatient Rehabilitation Setting: The Experiences and Perspectives of Speech-Language Pathologists. American Journal of Speech-Language Pathology, 28(2), 456-456-468. https://doi.org/10.1044/2018_AJSLP-18-0076

Gross, H., & Grose, N. (2017). Emergency neurological life support: acute ischemic stroke. Neurocritical care, 27(1), 102-115. oi: 10.1007/s12028-017-0449-9

Guirao Goris, S. J. A. (2015). Utilidad y tipos de revisión de literatura. Ene, 9(2), 0-0. https://dx.doi.org/10.4321/S1988-348X2015000200002

Hammond, F. M., Barrett, R., Dijkers, M. P., Zanca, J. M., Horn, S. D., Smout, R. J., Guerrier, T., Hauser, E., & Dunning, M. R. (2015). Group therapy use and its impact on the outcomes of inpatient rehabilitation after traumatic brain injury: data from traumatic brain injury–practice based evidence project. Archives of physical medicine and rehabilitation, 96(8), S282-S292. e285. doi: 10.1016/j.apmr.2014.11.029.

Hegland, K. W., Davenport, P. W., Brandimore, A. E., Singletary, F. F., & Troche, M. S. (2016). Rehabilitation of swallowing and cough functions following stroke: an expiratory muscle strength training trial. Archives of physical medicine and rehabilitation, 97(8), 1345-1351. doi: 10.1016/j.apmr.2016.03.027.

Ibanez-Sanchez, G., Fernandez-Llatas, C., Martinez-Millana, A., Celda, A., Mandingorra, J., Aparici-Tortajada, L., Valero-Ramon, Z., Munoz-Gama, J., Sepúlveda, M., & Rojas, E. (2019). Toward value-based healthcare through interactive process mining in emergency rooms: the stroke case. International journal of environmental research and public health, 16(10), 1783. doi: 10.3390/ijerph16101783

Jeyaseelan, R. D., Vargo, M. M., & Chae, J. (2015). National Institutes of Health Stroke Scale (NIHSS) as an early predictor of poststroke dysphagia. PM&R, 7(6), 593-598. doi: 10.1016/j.pmrj.2014.12.007.

Kidane, B., Kaaki, S., Hirpara, D. H., Shen, Y. C., Bassili, A., Allison, F., Waddell, T. K., & Darling, G. E. (2018). Emergency department use is high after esophagectomy and feeding tube problems are the biggest culprit. The Journal of thoracic and cardiovascular surgery, 156(6), 2340-2348. doi: 10.1016/j.jtcvs.2018.07.100.

Kim, H., Choi, J., Yoo, S., Chang, M., Lee, S., & Park, J. (2017). Tongue‐to‐palate resistance training improves tongue strength and oropharyngeal swallowing function in subacute stroke survivors with dysphagia. Journal of oral rehabilitation, 44(1), 59-64. doi: 10.1111/joor.12461.

Lal, P. B., Wishart, L. R., Ward, E. C., Schwarz, M., Seabrook, M., & Coccetti, A. (2020). Understanding speech pathology and dysphagia service provision in Australian emergency departments. Speech, Language and Hearing, 1-9.

Leite, K. K. d. A., Sassi, F. C., MEDEIROS, G. C. d., Comerlatti, L. R., & ANDRADE, C. R. F. d. (2019). Clinical swallowing prognostic indicators in patients with acute ischemic stroke. Arquivos de neuro-psiquiatria, 77(7), 501-508. https://doi.org/10.1590/0004-282X20190080

Lew, H. L., Oh-Park, M., & Cifu, D. X. (2020). The war on COVID-19 pandemic: Role of rehabilitation professionals and hospitals. American journal of physical medicine & rehabilitation. doi: 10.1097/PHM.0000000000001460

Liu, C., Marino, V., Sheehan, O. C., Huang, J., Roth, D. L., & Haley, W. E. (2020). Association between caregiver engagement and patient-reported healthcare utilization after stroke: a mixed-methods study. Topics in stroke rehabilitation, 27(1), 1-7. doi: 10.1080/10749357.2019.1659640.

Lynch, E. A., Luker, J. A., Cadilhac, D. A., & Hillier, S. L. (2015). Rehabilitation assessments for patients with stroke in Australian hospitals do not always reflect the patients' rehabilitation requirements. Archives of physical medicine and rehabilitation, 96(5), 782-789. doi: 10.1016/j.apmr.2014.12.009.

Mackay, M. T., Lee, M., Yock‐Corrales, A., Churilov, L., Donnan, G. A., Monagle, P., & Babl, F. E. (2018). Differentiating arterial ischaemic stroke from migraine in the paediatric emergency department. Developmental Medicine & Child Neurology, 60(11), 1117-1122. doi: 10.1111/dmcn.13772.

Maloney, P., Clancy, I., Bernard, P., O'Riardan, Y., Lyons, O., Keogh, E., Hinch, A., Molloy, A., Hastings, N., Brennan, S., & Reddy, C. (2017). Frailty Intervention Therapy Team (FITT): A Step in the Right Direction - Integration of Early Interdisciplinary Assessment in the Emergency Department. International Journal of Integrated Care (IJIC), 17, 1-1-3. https://doi.org/10.5334/ijic.3739

Markle-Reid, M., Valaitis, R., Bartholomew, A., Fisher, K., Fleck, R., Ploeg, J., & Salerno, J. (2020). An integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A feasibility study. Journal of comorbidity, 10, DOI: 2235042X19900451.

Maureen, R., Ruta, V., Amy, B., Kathryn, F., Rebecca, F., Jenny, P., Jennifer Salerno, A., Lehana, T., Amiram, G., & Norman, A. (2019). Implementation and evaluation of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: a feasibility study. International Journal of Integrated Care, 19(4). https://doi.org/10.5334/ijic.s3367

Merino-Trujillo, A. (2013). Como escribir documentos científicos. Artículo de revisión. Salud en Tabasco, 19(3), 90-94. https://www.redalyc.org/pdf/487/48730715004.pdf

Middleton, S., Dale, S., McInnes, E., Craig, L., Schadewaldt, V., Levi, C., Cheung, N. W., Considine, J., D'Este, C., Cadilhac, D. A., Grimshaw, J., Gerraty, R., McElduff, P., Fitzgerald, M., Quinn, C., Cadigan, G., Denisenko, S., Longworth, M., Ward, J., May, C., Grimley, R., Paolini, R., Phillips, R., Salema, E., Pitkin, J., & Sheridan, T. (2016). Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial): A cluster randomised trial protocol. Implementation Science, 11(1). https://doi.org/10.1186/s13012-016-0503-6

Milazzo, M., Panepinto, A., Sabatini, A. M., & Danti, S. (2019). Tongue rehabilitation device for dysphagic patients. Sensors, 19(21), 4657. doi: 10.3390/s19214657

Muzerengi, S., Herd, C., Rick, C., & Clarke, C. E. (2016). A systematic review of interventions to reduce hospitalisation in Parkinson's disease. Parkinsonism and Related Disorders, 24, 3-3-7. https://doi.org/10.1016/j.parkreldis.2016.01.011

Nazareth, T., Li, N., Marynchenko, M., Zhou, Z., Chopra, P., Signorovitch, J., Wu, E., Ahmed, S., Marvel, J., & Sasane, R. (2016). Burden of illness among patients with fragile X syndrome (FXS): A Medicaid perspective. Current medical research and opinion, 32(3), 405-416. doi: 10.1185/03007995.2015.1119678.

Ng, T.-T. (2017). The forgotten cause of stridor in the emergency department. Open access emergency medicine: OAEM, 9, 19. doi: 10.2147/OAEM.S125593.

Niwano, M. (2016). The nutritional intake of elderly patients with dysphagia admitted to the internal medical department of the emergency hospital was analyzed. The Fujishima dysphagia scale after care and treatment by the Nutrition Support Team was assessed. Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics, 53(3), 238-243. doi: 10.3143/geriatrics.53.238.

Organización Mundial de la Salud, y Organización Panamericana de la Salud. (2009). Coloquio Regional sobre Organización y Gestión de Servicios de Emergencias Médicas. https://www.paho.org/hq/index.php?option=com_docman&view=list&slug=servicios-emergencias-3236&Itemid=270〈=es

Perlow, H. K., Ramey, S. J., Farnia, B., Silver, B., Kwon, D., Chinea, F. M., Sotnick, S. C., Klein, L. B., Elsayyad, N., & Samuels, M. A. (2018). Nutrition and Swallowing Therapy in Head and Neck Cancer: Utilization of Care and Preventative Efficacy. Nutrition and cancer, 70(8), 1290-1298. doi: 10.1080/01635581.2018.1557220.

Piran, P., Thomas, J., Kunnakkat, S., Pandey, A., Gilles, N., Weingast, S., Burton, D., Balucani, C., & Levine, S. R. (2019). Medical mobile applications for stroke survivors and caregivers. Journal of Stroke and Cerebrovascular Diseases, 28(11), 104318. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104318

Pundole, A., & Crawford, S. (2018). The assessment of language and the emergence from disorders of consciousness. Neuropsychological rehabilitation, 28(8), 1285-1294. doi: 10.1080/09602011.2017.1307766.

Rebollo-Román, Á., Barrera-Martín, A., Alcántara-Laguna, M., Iglesias-Flores, E., Padillo-Cuenca, J. C., Molina-Puertas, M., y Calañas-Continente, A. (2018). Disfagia no orofaríngea con alta frecuentación en Urgencias. Nutrición Hospitalaria, 35(4), 996-998. https://dx.doi.org/10.20960/nh.1933

Rodgers H, Price C. Stroke unit care, inpatient rehabilitation and early supported discharge. Clin Med (Lond). 2017 Apr;17(2):173-177. doi: 10.7861/clinmedicine.17-2-173. PMID: 28365632; PMCID: PMC6297619.

Rodríguez-Riaño, L.-J., y Duarte-Valderrama, A. (2018). Fonoaudiología/logopedia en cuidado intensivo: el valor de la comunicación, más allá de las alteraciones de deglución. Revista de Logopedia, Foniatría y Audiología, 38(2), 84-91. DOI: 10.1016/j.rlfa.2017.08.002

Royal College of Speech & Language Therapists. (2015). Reducing pressures on urgent and emergency care: the role of sppech language therapists. Givin Voice. Speech and Language Therapy transforms lives. https://www.rcslt.org/wp-content/uploads/media/Project/RCSLT/rcslt-reducing-pressure-urgent-emergency-care-factsheet.pdf

Schrock, J. W., Lou, L., Ball, B. A., & Van Etten, J. (2018). The use of an emergency department dysphagia screen is associated with decreased pneumonia in acute strokes. The American journal of emergency medicine, 36(12), 2152-2154. doi: 10.1016/j.ajem.2018.03.046.

Sheehan, O. C., Prvu-Bettger, J., Huang, J., Haley, W. E., David Rhodes, J., E Judd, S., Kilgore, M. L., & Roth, D. L. (2018). Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke? Topics in sTroke rehabiliTaTion, 25(7), 521-526. Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke?

Steele, C.M. (2002). Emergency room assessment and early intervention for dysphagia: A pilot project. Journal of Speech-Language Pathology & Audiology, 26(2): 100-110. http://www.caslpa.ca/english/resources/jslpa.asp

Stephen, C. D., Fung, V., Lungu, C. I., & Espay, A. J. (2021). Assessment of emergency department and inpatient use and costs in adult and pediatric functional neurological disorders. JAMA neurology, 78(1), 88-101. doi: 10.1001/jamaneurol.2020.3753.

Sung, H. Y., Lee, K.-S., Choi, M.-G., & Kim, J.-S. (2018). Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke. International Journal of Gerontology, 12(2), 110-115. https://doi.org/10.1016/j.ijge.2017.07.003

Vega Rodríguez, Y. E., Torres Rodríguez, A. M., y del Campo Rivas, M. N. (2017). Análisis del Rol del Fonoaudiólogo (a) en el Sector Salud en Chile. Ciencia & trabajo, 19(59), 76-80. http://dx.doi.org/10.4067/S0718-24492017000200076

Wall, K., Cumming, T., Koenig, S., & Copland, D. (2018). Using a non-immersive virtual reality approach to assess cognition in post-stroke aphasia: validating the Cognitive Assessment for Aphasia App (C3A). Aphasiology, 32(sup1), 54-55. https://doi.org/10.1080/02687038.2018.1485853

Wates, E., Higginson, J., Kichenaradjou, A., & McVeigh, K. (2018). A severe deep neck odontogenic infection not prioritised by the emergency department triage system and National Early Warning Score. Case Reports, 2018, bcr-2018-224634. doi: 10.1136/bcr-2018-224634.

Winck, J., Camacho, R., & Ambrosino, N. (2015). Multidisciplinary rehabilitation in ventilator-dependent patients: Call for action in specialized inpatient facilities. Revista Portuguesa de Pneumologia (English Edition), 21(6), 334-340. DOI: 10.1016/j.rppnen.2015.03.005

Yong Kyun, K., Kyun Yeon, L., & Sang-Heon, L. (2018). Efficacy of a 4-Week Swallowing Rehabilitation Program Combined With Pyriform Sinus Ballooning in Patients With Post-stroke Dysphagia. Annals of Rehabilitation Medicine, 42(4), 542-542-550. https://doi.org/10.5535/arm.2018.42.4.542

Citado por