Dysphagia severity predicts extubation failure in acute stroke

Takeaway

  • The risk of extubation failure (EF) is strongly correlated with dysphagia severity in acute stroke and fiberoptic endoscopic examination of swallowing (FEES) is the best predictor of reintubation necessity.

Why this matters

  • In addition to FEES, the 4-item Determine Extubation Failure in Severe Stroke (DEFISS)-Score extubation may guide extubation decision-making in critically ill stroke adults. Those with FEDSS ≥5 should closely be monitored for respiratory distress due to secretion aspiration and reintubated as required.