Evidence map›Paper›PMID 30068326›Full record

SynthesisBMC health services research2018

Impact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: a systematic review.

Stacie Attrill, Sarahlouise White, Joanne Murray, Sue Hammond, Sebastian Doeltgen

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 13 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

104 citing papers in PubMed, 13 syntheses or guidelines pooled it.

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  9. Dosages of swallowing exercises in stroke rehabilitation: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
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44 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.

Stacie AttrillSpeech Pathology, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA, 5000, Australia. Stacie.Attrill@flinders.edu.au.ORCID 0000-0001-6194-8987
Sarahlouise WhiteSpeech Pathology, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA, 5000, Australia.
Joanne MurraySpeech Pathology, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA, 5000, Australia.
Sue HammondLibrary Services, Flinders University, Adelaide, Australia.
Sebastian DoeltgenSpeech Pathology, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA, 5000, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare systems internationally are under an ever-increasing demand for services that must be delivered in an efficient, effective and affordable manner. Several patient-related and organisational factors influence health-care expenditure and utilisation, including oropharyngeal dysphagia. Here, we present a systematic review of the literature and meta-analyses investigating how oropharyngeal dysphagia influences healthcare utilisation through length of stay (LOS) and cost.

methodsUsing a standardised approach, eight databases were systematically searched for relevant articles reporting on oropharyngeal dysphagia attributable inpatient LOS and healthcare costs through June 2016. Study methodologies were critically appraised and where appropriate, extracted LOS data were analysed in an overall summary statistic.

resultsEleven studies reported on cost data, and 23 studies were included reporting on LOS data. Descriptively, the presence of dysphagia added 40.36% to health care costs across studies. Meta-analysis of all-cause admission data from 13 cohort studies revealed an increased LOS of 2.99 days (95% CI, 2.7, 3.3). A subgroup analysis revealed that admission for stroke resulted in higher and more variable LOS of 4.73 days (95% CI, 2.7, 7.2). Presence of dysphagia across all causes was also statistically significantly different regardless of geographical location: Europe (8.42 days; 95% CI, 4.3; 12.5), North America (3.91 days; 95% CI, 3.3, 4.5). No studies included in meta-analysis were conducted in Asia.

conclusionsThis systematic review demonstrated that the presence of oropharyngeal dysphagia significantly increases healthcare utilisation and cost, highlighting the need to recognise oropharyngeal dysphagia as an important contributor to pressure on healthcare systems.

Indexed as

Databases, FactualDeglutition DisordersEconomics, HospitalEuropeHealth Care CostsHospital CostsHospitalizationHumansInpatientsLength of StayNorth AmericaCostsExpenditureFinancialMeta-analysisSwallowing

Identifiers

PMID30068326
PMCPMC6090960

What OpenQuestion holds

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LicenceCC BY
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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.