Evidence map›Paper›PMID 25229025›Full record

ArticleAnnals of rehabilitation medicine2014

Predictors of recovery of functional swallow after gastrostomy tube placement for Dysphagia in stroke patients after inpatient rehabilitation: a pilot study.

Diana Crisan, Amir Shaban, Amelia Boehme, Perry Dubin, Jenifer Juengling, Laurie A Schluter, Karen C Albright, T Mark Beasley, Sheryl Martin-Schild

Open access · goldAbstract read
In one paragraph

Article in Annals of rehabilitation medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
6.9field-weighted citation impact, top 4% of its field
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

13 citing papers in PubMed, 33 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Improving the Accuracy of Scores to Predict Gastrostomy after Intracerebral Hemorrhage with Machine Learning.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2018
    Article
  11. Article
  12. Article
  13. Review
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 at 2 institutions in 1 country.

Diana CrisanDepartment of Neurology, Tulane University School of Medicine, New Orleans, LA, USA.
Amir ShabanDepartment of Neurology, Tulane University School of Medicine, New Orleans, LA, USA.
Amelia BoehmeDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA. ; Department of Neurology, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.
Perry DubinDepartment of Neurology, Tulane University School of Medicine, New Orleans, LA, USA.
Jenifer JuenglingDepartment of Neurology, Tulane University School of Medicine, New Orleans, LA, USA.
Laurie A SchluterDepartment of Neurology, Tulane University School of Medicine, New Orleans, LA, USA.
Karen C AlbrightDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA. ; Department of Neurology, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA. ; Health Services and Outcomes Research, Center for Outcome and Effectiveness Research and Education (COERE), University of Alabama at Birmingham, Birmingham, AL, USA. ; Center of Excellence in Comparative Effectiveness Research for Eliminating Disparities (CERED) Minority Health & Health Disparities Research Center (MHRC), University of Alabama at Birmingham, Birmingham, AL, USA.
T Mark BeasleyDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Sheryl Martin-SchildDepartment of Neurology, Tulane University School of Medicine, New Orleans, LA, USA. ; Stroke Program, Department of Neurology, Tulane University School of Medicine, New Orleans, LA, USA.
Tulane University · USUniversity of Alabama at Birmingham · US

Funding

RESEARCH TRAINING COREP60MD000502 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N. · 2003 to 2016
$16.2M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
AHRQ HHS T32 HS013852NIMHD NIH HHS P60 MD000502
6 · The paper itself

Abstract

objectiveTo determine predictors of early recovery of functional swallow in patients who had gastrostomy (percutaneous endoscopic gastrostomy [PEG]) placement for dysphagia and were discharged to inpatient rehabilitation (IPR) after stroke.

methodsA retrospective study of prospectively identified patients with acute ischemic and hemorrhagic stroke from July 2008 to August 2012 was conducted. Patients who had PEG during stroke admission and were discharged to IPR, were studied. We compared demographics, stroke characteristics, severity of dysphagia, stroke admission events and medications in patients who remained PEG-dependent after IPR with those who recovered functional swallow.

resultsPatients who remained PEG dependent were significantly older (73 vs. 54 years, p=0.009). Recovery of swallow was more frequent for hemorrhagic stroke patients (80% vs. 47%, p=0.079). Age, adjusting for side of stroke (odds ratio [OR], 0.89; 95% confidence interval [CI], 0.82-0.98; p=0.016) and left-sided strokes, adjusting for age (OR, 15.15; 95% CI, 1.32-173.34; p=0.028) were significant predictors of swallow recovery. Patients who recovered swallowing by discharge from IPR were more likely to be discharged home compared to those who remained PEG-dependent (90% vs. 42%, p=0.009).

conclusionYounger age and left-sided stroke may be predictive factors of early recovery of functional swallow in patients who received PEG. Prospective validation is important as avoidance of unnecessary procedures could reduce morbidity and healthcare costs.

Indexed as

Acute ischemic strokeDysphagiaGastrostomyRehabilitation

Identifiers

PMID25229025
PMCPMC4163586
OpenAlexW2072931066

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.