Voice-Related Quality of Life Increases With a Talking Tracheostomy Tube: A Randomized Controlled Trial

The Laryngoscope
Vinciya PandianMarek Mirski

Abstract

The primary objective of our study was to determine the quality of life (QOL) using a talking tracheostomy tube. 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. 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 ...Continue Reading

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Citations

May 27, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Rebecca L CherneyMichael J Brenner
Jul 30, 2020·BMJ Open Respiratory Research·Kirsty A WhitmoreKevin B Laupland
Jun 12, 2020·American Journal of Speech-language Pathology·Charissa J ZagaMichael J Brenner
Sep 14, 2020·Acta Anaesthesiologica Scandinavica·Antonija PetosicHelene Berntzen
Oct 2, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Nicole Langton-Frost, Martin B Brodsky

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