Evidence map›Paper›PMID 23998999›Full record

ArticleRespiratory physiology & neurobiology2013

Coordination of cough and swallow: a meta-behavioral response to aspiration.

Teresa Pitts, Melanie J Rose, Ashley N Mortensen, Ivan Poliacek, Christine M Sapienza, Bruce G Lindsey, Kendall F Morris, Paul W Davenport, Donald C Bolser

Abstract read
In one paragraph

Article in Respiratory physiology & neurobiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Voice Meets Swallowing: A Scoping Review of Therapeutic Connections.American journal of speech-language pathology · 2025
    Article
  6. Peripheral antitussives affect temporal features of tracheobronchial coughing in cats.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Article
  7. Effects of baclofen on swallow motor pattern.Frontiers in neurology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Serotonin therapies for opioid-induced disordered swallow and respiratory depression.Journal of applied physiology (Bethesda, Md. : 1985) · 2024
    Article
  12. Article
  13. Deglutition and the Regulation of the Swallow Motor Pattern.Physiology (Bethesda, Md.) · 2023 · on this map
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Teresa PittsDepartment of Physiological Sciences, University of Florida, Gainesville, FL, United States. Electronic address: tepitts@ufl.edu.
Melanie J Rose
Ashley N Mortensen
Ivan Poliacek
Christine M Sapienza
Bruce G Lindsey
Kendall F Morris
Paul W Davenport
Donald C Bolser

Funding

Mechanisms of Swallow Control of BreathingR01HL109025 · NHLBI · UNIVERSITY OF FLORIDA · PI DAVENPORT, PAUL W, MORRIS, KENDALL FRANCIS · 2012 to 2015
$2.9M
Central Mechanisms of Airway ProtectionR01HL103415 · NHLBI · UNIVERSITY OF FLORIDA · PI BOLSER, DONALD C, DAVENPORT, PAUL W · 2010 to 2013
$2.2M
Neurogenesis of CoughR33HL089104 · NHLBI · UNIVERSITY OF FLORIDA · PI BOLSER, DONALD C · 2008 to 2010
$1.6M
Regulation of Airway Protective BehaviorsK99HL111215 · NHLBI · UNIVERSITY OF FLORIDA · PI PITTS, TERESA G · 2013 to 2014
$267k
NHLBI NIH HHS HL103415NHLBI NIH HHS HL107745NHLBI NIH HHS HL109025NHLBI NIH HHS HL89104NHLBI NIH HHS K99 HL111215NHLBI NIH HHS R01 HL103415NHLBI NIH HHS R01 HL109025NHLBI NIH HHS R33 HL089104
6 · The paper itself

Abstract

Airway protections is the prevention and/or removal of material by behaviors such as cough and swallow. We hypothesized these behaviors are coordinated to respond to aspiration. Anesthetized animals were challenged with simulated aspiration that induced both coughing and swallowing. Electromyograms of upper airway and respiratory muscles together with esophageal pressure were recorded to identify and evaluate cough and swallow. During simulated aspiration, both cough and swallow intensity increased and swallow duration decreased consistent with rapid pharyngeal clearance. Phase restriction between cough and swallow was observed; swallow was restricted to the E2 phase of cough. These results support three main conclusions: 1) the cough and swallow pattern generators are tightly coordinated so as to generate a protective meta-behavior; 2) the trachea provides feedback on swallow quality, informing the brainstem about aspiration incidences; and 3) the larynx and upper esophageal sphincter act as two separate valves controlling the direction of positive and negative pressures from the upper airway into the thorax.

Indexed as

AnimalsCatsCoughDeglutitionElectromyographyMalePhysical StimulationRespiratory MusclesRespiratory SystemAirway protectionDysphagiaDystussiaEMGPharyngeal clearancePharynx

Identifiers

PMID23998999
PMCPMC3882902

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.