Universidad del Desarrollo

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Speech-Language Therapist Staffing for the Rehabilitation of Adult and Paediatric In/Outpatients in Chilean Public Hospitals
(Fundacion Universitaria Maria Cano, 2025-06-18)
Felipe Gonzalo Rosales Lillo
;
Castro, Patricia
;
Antonia Villalón Barrionuevo
;
Haranni Antonella Aguilera Soto
;
Teresita Bravo Andrade
<jats:p>Introduction. Speech and language therapists are key in health teams; health institutions must have enough staff for quality care. Objective. To determine the professional provision of speech and language therapy staffing required for in-and-outpatient care of adult and paediatric patients in public hospitals of the Chilean healthcare network. Method. An observational, descriptive, cross-sectional study was carried out, which included clinical beds of Chilean public hospitals. The calculation was performed according to the Chilean Ministry of Health guidance for estimating the rehabilitation human resources required for in-and-outpatient care, according to the number and type of clinical beds (basic, medium and critical care) available in each public health institutions. Results. 189 hospitals were included, with 23,677 clinical beds analysed. 81% and 19% of them were for adult and paediatric patient care respectively. 28,950 hours per week of speech and language therapy staffing in public hospitals for in-and-outpatient care is required: 85% for adult patients and 15% for paediatric ones. The Magallanes and Ñuble Regions require the highest percentage of hours —92 and 91%, respectively— for adult patients. The Tarapacá, Metropolitana, and Aysén regions need 18% of hours for paediatric patients. The Metropolitana Region needs almost 35% of the total national hours, followed by Biobío (10.29%) and Valparaíso (9.87%) regions. Conclusion. Hospitals should review these results to ensure a correct planning of professionals, and consider the proposal for non-working days for the care of hospitalised patients, to optimise their clinical results and quality of life, and the management results of each centre. It is necessary to continue generating evidence in favour of patient care, resource optimisation, and the well-being of clinical professionals.</jats:p>
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Reinforced falsetto to increase the glottic closure in patients diagnosed with unilateral vocal cord paralysis
(Universidad Complutense de Madrid (UCM), 2025-01-08)
Patricio Orellana Marambio
;
Felipe Gonzalo Rosales Lillo
;
Giovanna Monichi Montenegro
There is favourable evidence in speech therapy for the rehabilitation of vocal cord paralysis. Nonetheless, contemporaneous studies that apply reinforced falsetto were not found. The aim of this study is to determine the results of speech therapy using reinforced falsetto for complete glottic closure in patients diagnosed with unilateral vocal cord paralysis, who were treated at the Laboratory of Voice at the ‘Universidad del Desarrollo’ in Chile between 2015 and 2023. A descriptive, observational and retrospective study was performed on 10 adult participants. Before therapy, dysphonia was severe in 90% of the participants, whilst moderate in the remaining 10%. Incomplete glottic closure was observed in 100% of the participants. After the therapy, dysphonia was diagnosed as being mild in 60% of the cases, and normal in the remaining 40% of participants. All the participants recovered their glottic closure. Significant differences were observed pre-intervention and post-intervention in: fundamental frequency (p .028); sound intensity (p .006); harmonics (p .000); maximum phonation time (p .000); glottic closure (p .002); and dysphonia severity (p .004). In conclusion, the reinforced falsetto technique was favourable for the glottic closure in the sample of participants studied. Further, there was clinical improvement in all the analysed variables. Speech therapy using reinforced falsetto could therefore be useful for the rehabilitation of unilateral vocal cord paralysis. It is suggested that extra research is performed, including a representative sample, in order to generalise the results and make them applicable to the general population.
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Técnicas y manejo de la presión del cuff en pacientes adultos con vía aérea artificial por fonoaudiólogos en Chile
(2022)
Felipe Gonzalo Rosales Lillo
;
Giovanna Monichi Valdenegro
;
Francisca Miranda Llanos
;
Fabiola Marín Garrido
<jats:p>Estudio descriptivo, observacional y transversal que tiene como objetivo describir el manejo de las presiones y las técnicas de insuflación del cuff empleadas por fonoaudiólogos en Chile en pacientes adultos con vía aérea artificial. La población fue de profesionales con experiencia en la atención de pacientes adultos con vía aérea artificial en instituciones de salud en Chile, mientras que la muestra fue a conveniencia. Se aplicó un cuestionario en línea sobre manejo de presión del cuff en usuarios adultos con vía aérea artificial que contenía variables numéricas y categóricas. Se realizó análisis de datos mediante estadística descriptiva y analítica. El estudio fue aprobado por el Comité Ético Científico de la Universidad del Desarrollo. El 98% de los participantes utiliza técnica objetiva. El 46% usa técnicas subjetivas siendo la más utilizada la de palpación digital. El 54% utiliza técnicas simultáneamente durante la atención de los usuarios. La mediana de la presión mínima usada fue de 25 centímetros de agua y la máxima de 32 centímetros de agua. Hubo diferencia significativa entre las presiones mínimas usadas por los participantes de hospitales públicos tipo 1 versus los de clínicas privadas. Se concluye que los valores mínimos y máximos de presión del cuff reportados por los participantes en Chile podrían ser poco seguros durante la atención de pacientes adultos con vía aérea artificial. Se suma a ello la utilización de técnicas subjetivas. Se sugiere seguimiento de literatura reciente, actualización de protocolos, desarrollo de guía nacional y revisión de protocolos institucionales en otros países.</jats:p>
32Scopus© Citations 1

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