A Decision Guide for Assessing the Recently Extubated Patient's Readiness for Safe Oral Intake.

Background: Postextubation dysphagia is a known consequence of endotracheal intubation. Several risk factors for postextubation dysphagia have been identified that could be used to help determine which patients should undergo swallowing assessment by an appropriate professional.

Local Problem: At the authors' institution, critical care nurses, health care providers, and speech-language pathology professionals lacked a clear process for referring patients for swallowing assessment after extubation, resulting in inefficiency and confusion.

Predicting the risk of acute care readmissions among rehabilitation inpatients: A machine learning approach.

Introduction: Readmission from inpatient rehabilitation facilities to acute care hospitals is a serious problem. This study aims to develop a predictive model based on machine learning algorithms to identify patients at high risk of readmission.

Methods: A retrospective dataset (2001-2017) including 16,902 patients admitted into a large inpatient rehabilitation facility in North Carolina was collected in 2017.

Maternal sensitivity throughout infancy: continuity and relation to attachment security.

Relations among different measures of maternal sensitivity were assessed longitudinally by examining maternal behavior when infants were 4 months, 15 months, and 2.5 years. At each time period, two measures of maternal sensitivity were scored (4 months: maternal vocal and smiling contingency in face-to-face interactions; 15 months: maternal scaffolding and following of infants' play within joint attention; 2.