Evidence map›Paper›PMID 26563213›Full record

ArticleBMJ open2015

Associations between chronic diseases and choking deaths among older adults in the USA: a cross-sectional study using multiple cause mortality data from 2009 to 2013.

Wen-Shiann Wu, Kuan-Chin Sung, Tain-Junn Cheng, Tsung-Hsueh Lu

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04279860 (Foreign Body Airway Obstruction, Incidence, Survival EMS-treatment and First Aid Treatment by Laypersons), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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.

NCT04279860 unknown statusnot on this mapstarted 2019, after this paper: background citation

Foreign Body Airway Obstruction, Incidence, Survival EMS-treatment and First Aid Treatment by Laypersons

Typeobservational_patient_registrySponsorEmergency Medical Services, Capital Region, DenmarkRan2019 to 2022Enrolled600ConditionsOut-Of-Hospital Cardiac Arrest, Foreign Body Aspiration, Cardiopulmonary Arrest
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. A brainstem map of orofacial rhythms.bioRxiv : the preprint server for biology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Risk factors and prevention of choking.European journal of translational myology · 2023
    Article
  9. Article
  10. Review
  11. 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

4 authors.

Wen-Shiann WuDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan Department of Pharmacy, Chia Nan University of Pharmacy and Science, Tainan, Taiwan.
Kuan-Chin SungDepartment of Neurosurgery, Chi Mei Medical Center, Tainan, Taiwan.
Tain-Junn ChengDepartment of Neurosurgery, Chi Mei Medical Center, Tainan, Taiwan Department of Neurology, Occupational Medicine, Management in Medical Records and Information, Chi Mei Medical Center, Tainan, Taiwan Department of Occupational Safety/Institute of Industrial Safety and Disaster Prevention, College of Sustainable Environment, Chia Nan University of Pharmacy and Science, Tainan, Taiwan.
Tsung-Hsueh LuNCKU Research Center for Health Data and Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine whether the strengths of the associations between chronic diseases and overall choking differ from those of the associations between chronic diseases and only food-related choking.

designThis cross-sectional study used nationwide multiple cause mortality files.

settingThe USA.

participantsOlder adults aged 65 years or more died between 2009 and 2013.

main outcome measuresMortality ratio (observed/expected) of number of deaths from both causes (chronic diseases and choking) and 95% CIs.

resultsWe identified 76543 deaths for which the death certificates report choking (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) codes W78, W79 and W80 combined) as a cause of death and only 4974 (6.5%) deaths were classified as food-related choking (ICD-10 code W79). Schizophrenia, Parkinson's disease, Alzheimer's disease and oral cancer are four chronic diseases that had significant associations with both overall and food-related choking. Stroke, larynx cancer and mood (affective) disorders had significant associations with overall choking, but not with food-related choking.

conclusionsWe suggest using overall choking instead of only food-related choking to better describe the associations between chronic diseases and choking.

Indexed as

Cause of DeathChronic DiseaseAgedAged, 80 and overAirway ObstructionCross-Sectional StudiesDeath CertificatesEatingFoodHumansInternational Classification of DiseasesMood DisordersNeoplasmsNervous System DiseasesStrokeUnited StatesACCIDENT & EMERGENCY MEDICINEGERIATRIC MEDICINEPUBLIC HEALTHTHORACIC MEDICINE

Identifiers

PMID26563213
PMCPMC4654350

What OpenQuestion holds

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Registered trials

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.