Evidence map›Paper›PMID 30922363›Full record

ReviewCritical care (London, England)2019

Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management.

Patrick Zuercher, Céline S Moret, Rainer Dziewas, Joerg C Schefold

Registry-linked trialOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04180449 (DYsphagiA in interMedIate Care UnitS - a Retrospective Analysis of Available Data), which is not on this map. Cited by 169 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 12 pooled it
76.2field-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.

NCT04180449 active not recruitingnot on this mapstarted 2020, after this paper: background citation

DYsphagiA in interMedIate Care UnitS - a Retrospective Analysis of Available Data

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2020 to 2024Enrolled1,400ConditionsDysphagiaArmsScreening for dysphagia along clinical routine
3 · Its place in the literature

Who cites it

169 citing papers in PubMed, 12 syntheses or guidelines pooled it, 394 citations in OpenAlex.

  1. Pooled it
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  4. Guideline
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  11. Guideline
  12. ICU-acquired weakness.Intensive care medicine · 2020
    Pooled it
  13. Trial
  14. Treating postextubation dysphagia after stroke with pharyngeal electrical stimulation -insights from a randomized controlled pilot trial.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Trial
  15. Review
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109 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

4 authors at 2 institutions in 2 countries.

Patrick ZuercherDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, CH, Switzerland. patrick.zuercher@insel.ch.ORCID http://orcid.org/0000-0003-0331-4577
Céline S MoretDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, CH, Switzerland.
Rainer DziewasDepartment of Neurology, University Hospital Münster, Münster, Germany.
Joerg C SchefoldDepartment of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, CH, Switzerland.
University of Bern · CHUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysphagia may present in all critically ill patients and large-scale clinical data show that e.g. post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. Recent data demonstrate that dysphagia is mostly persisting and that its presence is independently associated with adverse patient-centered clinical outcomes. Although several risk factors possibly contributing to dysphagia development were proposed, the underlying exact mechanisms in ICU patients remain incompletely understood and no current consensus exists on how to best approach ICU patients at risk.From a clinical perspective, dysphagia is well-known to be associated with an increased risk of aspiration and aspiration-induced pneumonia, delayed resumption of oral intake/malnutrition, decreased quality of life, prolonged ICU and hospital length of stay, and increased morbidity and mortality. Moreover, the economic burden on public health care systems is high.In light of high mortality rates associated with the presence of dysphagia and the observation that dysphagia is not systematically screened for on most ICUs, this review describes epidemiology, terminology, and potential mechanisms of dysphagia on the ICU. Furthermore, the impact of dysphagia on affected individuals, health care systems, and society is discussed in addition to current and future potential therapeutic approaches.

Indexed as

APACHECritical IllnessDeglutition DisordersDisease ManagementHumansIatrogenic DiseaseIntensive Care UnitsOrgan Dysfunction ScoresRespiration, ArtificialCritical illnessDeglutition disorderICU-acquired swallowing dysfunctionICU-acquired weaknessSepsis

Identifiers

PMID30922363
PMCPMC6438038
OpenAlexW2935347187

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.