Evidence map›Paper›PMID 29263657›Full record

ArticleClinical interventions in aging2017

Impact of the number of aspiration risk factors on mortality and recurrence in community-onset pneumonia.

Shingo Noguchi, Kazuhiro Yatera, Tatsuji Kato, Yasuo Chojin, Yoshihisa Fujino, Kentaro Akata, Toshinori Kawanami, Noriho Sakamoto, Hiroshi Mukae

Abstract read
In one paragraph

Article in Clinical interventions in aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

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

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

  1. Factors driving outcome variability in aspiration and community-acquired pneumonia: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025
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  8. Severe aspiration pneumonia in the elderly.Journal of intensive medicine · 2024
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  14. In-hospital mortality for aspiration pneumonia in a tertiary teaching hospital: A retrospective cohort review from 2008 to 2018.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
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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.

Shingo NoguchiDepartment of Respiratory Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Kazuhiro YateraDepartment of Respiratory Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Tatsuji KatoDepartment of Respiratory Medicine, Tobata Kyoritsu Hospital, Kitakyushu, Japan.
Yasuo ChojinDepartment of Respiratory Medicine, Tobata Kyoritsu Hospital, Kitakyushu, Japan.
Yoshihisa FujinoDepartment of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Kentaro AkataDepartment of Respiratory Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Toshinori KawanamiDepartment of Respiratory Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Noriho SakamotoDepartment of Respiratory Medicine, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Hiroshi MukaeDepartment of Respiratory Medicine, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe clinical significance of the number of aspiration risk factors in patients with pneumonia is unknown as yet. In the present study, we clarify the significance of the number of aspiration risk factors for mortality and recurrence in pneumonia patients.

methodsThis study included 322 patients hospitalized with pneumonia between December 2014 and June 2016. We investigated associations between the number of aspiration risk factors present (orientation disturbance, bedridden, chronic cerebrovascular disease, dementia, sleeping medications and gastroesophageal disease) and 30-day and 6-month mortality, and pneumonia recurrence within 30 days.

resultsPatients were categorized by number of risk factors present into groups of 0-1, 2, 3, and 4 or more. Of a total of 322 patients, 93 (28.9%) had 0-1 risk factors, 112 (34.8%) had 2, 88 (27.3%) had 3, and 29 (9.0%) had 4 or more risk factors. The percentages of patients with recurrence of pneumonia were 13.0%, 33.0%, 43.2%, and 54.2% in the 0-1, 2, 3, and 4 or more risk factor groups, respectively. The percentages of patients with 30-day mortality were 2.2%, 5.4%, 11.4%, and 24.1%, and those of patients with 6-month mortality were 6.6%, 24.5%, 30.7%, and 50.0%, in the 0-1, 2, 3, and 4 or more risk factor groups, respectively.

conclusionsThe number of aspiration risk factors was associated with increases in both mortality and recurrence in pneumonia patients. Therefore, in clinical practice, physicians should consider not only the presence of aspiration risks but also the number of aspiration risk factors in these patients.

Indexed as

AgedAged, 80 and overCerebrovascular DisordersCommunity-Acquired InfectionsDementiaFemaleGastroesophageal RefluxHumansHypnotics and SedativesMalePhysiciansPneumoniaRecurrenceRespiratory AspirationRetrospective StudiesRisk FactorsHypnotics and Sedativesaspiration pneumoniabedriddendementiamortalityrecurrence of pneumoniasleeping medications

Identifiers

PMID29263657
PMCPMC5724415

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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.