Understanding Voice Problems in Adults Who Survived ICU Stays with a Breathing Machine: A Study from One Hospital
Assessment of Voice disorder among mechanically ventilated adult ICU survivors – A single-centre observational study (VOICE study)
Kiran Kumar Gudivada, Sr registrar/Fellow, Intensive Care Medicine, The Canberra Hospital
455 participants
Apr 30, 2025
Observational
Conditions
Summary
In hospitals, mechanical ventilation is crucial for critical conditions, commonly initiated in intensive care units through intubation. Unfortunately, about half of patients undergoing this process may suffer acute laryngeal injury, with limited information on its impact on post-ventilator speech. Our study focuses on how ventilator use for over 48 hours affects the voice in adult ICU patients. Utilising the vocal handicap index (VHI-10) and voice-related quality of life (V-RQOL), we measure the impact on voice and overall well-being at 8 weeks following ventilation. The VHI-10, a 10-question questionnaire, assesses the impact of voice problems, with scores above 11 indicating a significant impact. The V-RQOL questionnaire gauges the burden of these issues. Our findings are crucial for identifying predictive factors, enabling early intervention strategies like check-ups, speech therapies, and psychological support for those with voice issues, significantly improving their well-being.
Eligibility
Plain Language Summary
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Interventions
Our study focuses on how mechanical ventilation with endotracheal intubation for over 48 hours affects the voice in adult ICU patients. Utilizing the vocal handicap index (VHI-10) and voice-related quality of life (V-RQOL), we measure the impact on voice and overall well-being. The VHI-10, a 10-question questionnaire, assesses the impact of voice problems, with scores above 11 indicating a significant impact. The V-RQOL questionnaire gauges the burden of these issues. Both these Questionnaires will be given to patients at 8 weeks after liberation from mechanical ventilation. Each questionnaire contains 10 items and it takes approximately 3-4 minutes to complete each questionnaire and 8 minutes in total to complete these self assessment forms.
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ACTRN12625000118404