Evidence map›Paper›PMID 31136305›Full record

Observational studyAlzheimer disease and associated disorders

Predictors of Discontinuance of Oral Feeding in Patients With Advanced Alzheimer Dementia and Aspiration Pneumonia in Japan: A Single-center, Retrospective Observational Study.

Nobuhiro Akuzawa, Akihiro Yoshii, Akihiro Ono, Tomohito Kuwako, Takashi Osaki, Sho Osawa, Asuka Jingu, Satoru Watanabe, Ryusei Saito

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Alzheimer disease and associated disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Feeding Difficulties and Survival Outcomes in Advanced Dementia:Sultan Qaboos University medical journal · 2025
    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

9 authors at 2 institutions in 2 countries.

Nobuhiro AkuzawaDivisions of General Medicine.
Akihiro YoshiiRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
Akihiro OnoRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
Tomohito KuwakoRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
Takashi OsakiRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
Sho OsawaRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
Asuka JinguRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
Satoru WatanabeRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
Ryusei SaitoRespiratory Medicine, National Hospital Organization Shibukawa Medical Center, Shibukawa, Gunma, Japan.
National Hospital Organization · JPGeneral Department of Preventive Medicine · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifficulty with oral feeding, the most commonly observed complication of Alzheimer disease (AD) in its final stages, occurs in 86% of AD patients and may prevent achievement of oral feeding after aspiration pneumonia. However, no reliable indicators of discontinuance of oral feeding have yet been identified. We therefore aimed to identify predictors of discontinuance of oral feeding in postaspiration pneumonia patients with AD. MATERIALS AND

methodsRelevant clinical and laboratory data of 60 patients with AD admitted to our hospital in Japan for aspiration pneumonia were retrospectively compared between oral feeding and discontinuance groups.

resultsThe study groups differed in interval since diagnosis of AD, CURB-65 score, pneumonia severity index score, and proportion of patients who died (higher in the discontinuance group) and body mass index (BMI), Mini Mental State Examination (MMSE) score, and functional independence measure score (lower in the discontinuance group). According to multivariate logistic regression analysis of all identified independent variables, only CURB-65 and MMSE scores and BMI are significant predictors of discontinuance of oral feeding after aspiration pneumonia in patients with advanced AD.

conclusionsIn patients with advanced AD, discontinuance of oral feeding after aspiration pneumonia may be predicted by CURB-65 and MMSE scores and BMI.

Indexed as

Body Mass IndexAged, 80 and overAlzheimer DiseaseFemaleHospitalizationHumansJapanMaleMental Status and Dementia TestsPneumonia, AspirationRetrospective StudiesRisk Factors

Identifiers

PMID31136305
PMCPMC6882538
OpenAlexW2946244483

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.