Evidence map›Paper›PMID 27076964›Full record

ArticleJournal of thoracic disease2016

Dysphagia, dystussia, and aspiration pneumonia in elderly people.

Satoru Ebihara, Hideki Sekiya, Midori Miyagi, Takae Ebihara, Tatsuma Okazaki

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
26.8field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 161 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  8. Review
  9. Frailty, periinterventional complications and outcome in patients undergoing percutaneous mitral and tricuspid valve repair.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  10. Article
  11. AI-boosted and motion-corrected, wireless near-infrared sensing system for continuously monitoring laryngeal muscles.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. A simple nomogram for predicting aspiration associated with dysphagia in hospitalized patients after stroke.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
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  18. Review
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7 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Satoru Ebihara1 Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Tokyo, Japan ; 2 Department of Oral Surgery, Toho University Faculty of Medicine, Tokyo, Japan ; 3 Department of Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan ; 4 Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Hideki Sekiya1 Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Tokyo, Japan ; 2 Department of Oral Surgery, Toho University Faculty of Medicine, Tokyo, Japan ; 3 Department of Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan ; 4 Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Midori Miyagi1 Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Tokyo, Japan ; 2 Department of Oral Surgery, Toho University Faculty of Medicine, Tokyo, Japan ; 3 Department of Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan ; 4 Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Takae Ebihara1 Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Tokyo, Japan ; 2 Department of Oral Surgery, Toho University Faculty of Medicine, Tokyo, Japan ; 3 Department of Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan ; 4 Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Tatsuma Okazaki1 Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Tokyo, Japan ; 2 Department of Oral Surgery, Toho University Faculty of Medicine, Tokyo, Japan ; 3 Department of Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan ; 4 Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Tohoku University · JPKyorin University · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the development and wide distribution of guidelines for pneumonia, death from pneumonia is increasing due to population aging. Conventionally, aspiration pneumonia was mainly thought to be one of the infectious diseases. However, we have proven that chronic repeated aspiration of a small amount of sterile material can cause the usual type of aspiration pneumonia in mouse lung. Moreover, chronic repeated aspiration of small amounts induced chronic inflammation in both frail elderly people and mouse lung. These observations suggest the need for a paradigm shift of the treatment for pneumonia in the elderly. Since aspiration pneumonia is fundamentally based on dysphagia, we should shift the therapy for aspiration pneumonia from pathogen-oriented therapy to function-oriented therapy. Function-oriented therapy in aspiration pneumonia means therapy focusing on slowing or reversing the functional decline that occurs as part of the aging process, such as "dementia → dysphagia → dystussia → atussia → silent aspiration". Atussia is ultimate dysfunction of cough physiology, and aspiration with atussia is called silent aspiration, which leads to the development of life-threatening aspiration pneumonia. Research pursuing effective strategies to restore function in the elderly is warranted in order to decrease pneumonia deaths in elderly people.

Indexed as

aspiration pneumoniaDysphagiadystussia

Identifiers

PMID27076964
PMCPMC4805832
OpenAlexW2292234512

What OpenQuestion holds

Textmetadata
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.