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- Title
Voice-Related Quality of Life Increases With a Talking Tracheostomy Tube: A Randomized Controlled Trial.
- Authors
Pandian, Vinciya; Cole, Therese; Kilonsky, Dana; Holden, Kate; Feller‐Kopman, David J.; Brower, Roy; Mirski, Marek; Feller-Kopman, David J
- Abstract
<bold>Objective: </bold>The primary objective of our study was to determine the quality of life (QOL) using a talking tracheostomy tube.<bold>Methods: </bold>Randomized clinical trial (NCT2018562). Adult intensive care unit patients who were mechanically ventilated, awake, alert, attempting to communicate, English-speaking, and could not tolerate one-way speaking valve were included. Intervention comprised a Blue Line Ultra Suctionaid (BLUSA) talking tracheostomy tube (Smiths Medical, Dublin, OH, US). Outcome measures included QOL scores measured using Quality of Life in Mechanically Ventilated Patients (QOL-MV) and Voice-Related Quality of Life (V-RQOL), Speech Intelligibility Test (SIT) scores, independence, and satisfaction.<bold>Results: </bold>The change in V-RQOL scores from pre- to postintervention was higher among patients using a BLUSA (Smiths Medical) compared to those who did not (P = 0.001). The QOL-MV scores from pre- to postintervention were significantly higher among patients who used a BLUSA (Smiths Medical) compared to patients who did not use BLUSA (Smiths Medical) or a one-way speaking valve (P = 0.04). SIT scores decreased by 6.4 points for each 1-point increase in their Sequential Organ Failure Assessment scores (P = 0.04). The overall QOL-MV scores correlated moderately with the overall V-RQOL scores (correlation coefficient = 0.59). Cronbach alpha score for overall QOL-MV was 0.71. Seventy-three percent of the 22 intervention patients reported the ability to use the BLUSA (Smiths Medical) with some level of independence, whereas 41% reported some level of satisfaction with the use of BLUSA (Smiths Medical). The lengths of stay was longer in the intervention group.<bold>Conclusion: </bold>Our study suggests that BLUSA (Smiths Medical) talking tracheostomy tube improves patient-reported QOL in mechanically ventilated patients with a tracheostomy who cannot tolerate cuff deflation.<bold>Level Of Evidence: </bold>I Laryngoscope, 130:1249-1255, 2020.
- Subjects
DUBLIN (Ireland); RANDOMIZED controlled trials; TRACHEOTOMY; INTENSIVE care patients; QUALITY of life; INTELLIGIBILITY of speech; RESEARCH; HUMAN voice; RESEARCH methodology; EVALUATION research; MEDICAL cooperation; ARTIFICIAL respiration; COMPARATIVE studies; RESEARCH funding; STATISTICAL sampling
- Publication
Laryngoscope, 2020, Vol 130, Issue 5, p1249
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.28211