Evidence map›Paper›PMID 29022113›Full record

ArticleDysphagia2018

A Significant Association of Malnutrition with Dysphagia in Acute Patients.

Tsukasa Saito, Keisuke Hayashi, Hajime Nakazawa, Fumika Yagihashi, Leo O Oikawa, Tetsuo Ota

Abstract read
PubMed Publisher
In one paragraph

Article in Dysphagia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Observational
  7. Article
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  14. Swallowing biomechanics in tracheostomised critically ill patients compared to age- and gender-matched healthy controls.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Incidence of Poststroke Depression in Patients With Poststroke Dysphagia.American journal of speech-language pathology · 2022
    Article
  19. Review
  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

6 authors at 2 institutions in 1 country.

Tsukasa SaitoDepartment of Physical Medicine and Rehabilitation, Asahikawa Medical University Hospital, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan. tsukasa@asahikawa-med.ac.jp.ORCID http://orcid.org/0000-0003-1718-120X
Keisuke HayashiDepartment of Physical Medicine and Rehabilitation, Asahikawa Medical University Hospital, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
Hajime NakazawaDepartment of Physical Medicine and Rehabilitation, Asahikawa Medical University Hospital, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
Fumika YagihashiDepartment of Physical Medicine and Rehabilitation, Asahikawa Medical University Hospital, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
Leo O OikawaDepartment of Physical Medicine and Rehabilitation, Asahikawa Medical University Hospital, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
Tetsuo OtaDepartment of Physical Medicine and Rehabilitation, Asahikawa Medical University Hospital, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.
Asahikawa Medical University · JPAsahikawa Medical College Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysphagia and malnutrition seem to be associated, but little research in detail has been reported. We aimed to clarify the association between dysphagia and malnutrition by adopting accurate diagnosis and mathematical evaluation of dysphagia using videofluorography and nutritional assessment calculated by a well-established nutritional risk index. We conducted a retrospective analysis of 165 enrolled patients who were admitted to our hospital for acute diseases and underwent videofluorography on suspicion of dysphagia in the year 2016. We diagnosed high-risk dysphagia in patients with 8-point penetration-aspiration scale (PAS) score over 4. We used the geriatric nutritional risk index (GNRI) as a nutritional assessment tool. A GNRI score less than 91.2 corresponds to malnutrition. The median age of 165 enrolled patients was 76.0, and the number of female patients was 53. The mean GNRI was 81.2, and 134 patients (81.2%) had malnutrition. The number of the patients with a diagnosis of high-risk dysphagia was 54 (32.7%). The GNRI of patients with high-risk dysphagia was significantly less than that of patients without (mean value 77.7 ± 10.5 vs. 83.0 ± 10.5, P = 0.003). GNRI < 91.2 was independently and significantly associated with high-risk dysphagia (OR 3.094; CI 1.057-9.058; P = 0.039). Based on the current study, the authors propose evaluating nutritional status to predict dysphagia risk of patients in the acute phase.

Indexed as

Nutritional StatusNutrition AssessmentAgedAged, 80 and overDeglutition DisordersFemaleGeriatric AssessmentHumansMaleMalnutritionRetrospective StudiesRisk FactorsDeglutitionDeglutition disordersDysphagiaElderlyGNRIMalnutrition

Identifiers

PMID29022113
OpenAlexW2762192693

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.