@article{Freeman-Sanderson:2021:10.1016/j.apmr.2020.10.113,
author = {Freeman-Sanderson, A and Ward, EC and Miles, A and de, Pedro Netto I and Duncan, S and Inamoto, Y and McRae, J and Pillay, N and Skoretz, SA and Walshe, M and Brodsky, MB and Archer, SK and Baker, S and Bergström, L and Burns, CL and Cameron, T and Cimoli, M and Clayton, NA and Clunie, G and Cole, T and Dawson, C and Dikeman, K and Duggan, B and Engelbrecht, L and Langton-Frost, N and Hemsley, B and Kalf, H and Kazandjian, M and Lakha, S and Marvin, S and McIntyre, M and Puntil-Sheltman, J and Ribamar, do Nascimento Junior J and Suiter, DM and Sutt, A-L and Wallace, S and Zaga, CJ},
doi = {10.1016/j.apmr.2020.10.113},
journal = {Archives of Physical Medicine and Rehabilitation},
pages = {835--842},
title = {A consensus statement for the management and rehabilitation of communication and swallowing function in the ICU: A global response to COVID-19},
url = {http://dx.doi.org/10.1016/j.apmr.2020.10.113},
volume = {102},
year = {2021}
}

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TY  - JOUR
AB  - ObjectiveTo identify core practices for workforce management of communication and swallowing functions in COVID-19 positive patients within the ICU.DesignA 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.SettingElectronic modified Delphi process.Participants35 speech-language pathologists (SLPs) from 6 continents representing 12 countries.InterventionsNot applicable.Main Outcome MeasuresThe 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.ResultsSLPs 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.ConclusionsA 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.
AU  - Freeman-Sanderson,A
AU  - Ward,EC
AU  - Miles,A
AU  - de,Pedro Netto I
AU  - Duncan,S
AU  - Inamoto,Y
AU  - McRae,J
AU  - Pillay,N
AU  - Skoretz,SA
AU  - Walshe,M
AU  - Brodsky,MB
AU  - Archer,SK
AU  - Baker,S
AU  - Bergström,L
AU  - Burns,CL
AU  - Cameron,T
AU  - Cimoli,M
AU  - Clayton,NA
AU  - Clunie,G
AU  - Cole,T
AU  - Dawson,C
AU  - Dikeman,K
AU  - Duggan,B
AU  - Engelbrecht,L
AU  - Langton-Frost,N
AU  - Hemsley,B
AU  - Kalf,H
AU  - Kazandjian,M
AU  - Lakha,S
AU  - Marvin,S
AU  - McIntyre,M
AU  - Puntil-Sheltman,J
AU  - Ribamar,do Nascimento Junior J
AU  - Suiter,DM
AU  - Sutt,A-L
AU  - Wallace,S
AU  - Zaga,CJ
DO  - 10.1016/j.apmr.2020.10.113
EP  - 842
PY  - 2021///
SN  - 0003-9993
SP  - 835
TI  - A consensus statement for the management and rehabilitation of communication and swallowing function in the ICU: A global response to COVID-19
T2  - Archives of Physical Medicine and Rehabilitation
UR  - http://dx.doi.org/10.1016/j.apmr.2020.10.113
UR  - https://www.sciencedirect.com/science/article/pii/S0003999320312107?via%3Dihub
VL  - 102
ER  - 

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