Evidence map›Paper›PMID 29560323›Full record

ArticleAnnals of rehabilitation medicine2018

Usefulness of Early Videofluoroscopic Swallowing Study in Acute Stroke Patients With Dysphagia.

Sang Beom Kim, Sook Joung Lee, Kyeong Woo Lee, Jong Hwa Lee, Dong Won Kim

Open access · goldAbstract read
In one paragraph

Article in Annals of rehabilitation medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  11. Observational
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 1 institution in 1 country.

Sang Beom KimDepartment of Physical Medicine and Rehabilitation, Dong-A University College of Medicine & Busan-Ulsan Regional Cardiocerebrovascular Center, Busan, Korea.ORCID https://orcid.org/0000-0002-5622-5933
Sook Joung LeeDepartment of Physical Medicine and Rehabilitation, Dong-A University College of Medicine & Busan-Ulsan Regional Cardiocerebrovascular Center, Busan, Korea.ORCID https://orcid.org/0000-0002-6894-445X
Kyeong Woo LeeDepartment of Physical Medicine and Rehabilitation, Dong-A University College of Medicine & Busan-Ulsan Regional Cardiocerebrovascular Center, Busan, Korea.ORCID https://orcid.org/0000-0001-8785-5535
Jong Hwa LeeDepartment of Physical Medicine and Rehabilitation, Dong-A University College of Medicine & Busan-Ulsan Regional Cardiocerebrovascular Center, Busan, Korea.ORCID https://orcid.org/0000-0003-2489-358X
Dong Won KimDepartment of Physical Medicine and Rehabilitation, Dong-A University College of Medicine & Busan-Ulsan Regional Cardiocerebrovascular Center, Busan, Korea.ORCID https://orcid.org/0000-0002-1856-2592
Dong-A University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo demonstrate the usefulness of early videofluoroscopic swallowing study (VFSS) and to investigate change patterns in dietary methods in stroke patients with dysphagia.

methodsThe VFSS was performed within 7 days of stroke onset in neurologically stable patients. The patients were divided into three groups according to type of brain lesion: cortical lesion (CL), subcortical lesion (SCL), and brainstem/cerebellar lesion (BCL). Based on the VFSS results, this study investigated change patterns in feeding method and discrepancies in the aspiration risk predicted by the Water Swallowing Test (WST) and the VFSS. Complications, such as aspiration pneumonia, were also evaluated.

resultsA total of 163 patients met the inclusion criteria and the VFSS was performed within 7 days of stroke. Patients considered at risk for aspiration (Penetration-Aspiration Scale [PAS] scores of 6 to 8) were found in all three groups using the VFSS (47.5% of the CL group, 59.3% of the SCL group, and 47.9% of the BCL group). After early VFSS, 79.7% of the patients were assessed to require restricted feeding methods. A 19.0% discrepancy was found between the WST and VFSS results. At 3-week follow-up after the VFSS, aspiration pneumonia was observed in 12 patients (7.4%) with restricted feeding methods.

conclusionEarly VFSS during the acute period can facilitate determination of the most appropriate feeding method, and support effective dysphagia management for stroke patients.

Indexed as

Acute strokeDiet modificationDysphagiaEarly videofluoroscopic swallowing study

Identifiers

PMID29560323
PMCPMC5852228
OpenAlexW2792003472

What OpenQuestion holds

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Registered trials

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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.