Evidence map›Paper›PMID 31811381›Full record

ArticleDysphagia2020

Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age.

Seth M Cohen, Deborah Lekan, Thomas Risoli, Hui-Jie Lee, Stephanie Misono, Heather E Whitson, Sudha Raman

Open access · greenAbstract read
In one paragraph

Article in Dysphagia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Eating and swallowing care disparities in persons with dementia: A conceptual framework.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  7. Article
  8. Article
  9. Acute Antipsychotic Use and Presence of Dysphagia Among Older Veterans with Heart Failure.Journal of the American Medical Directors Association · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Incidence of Poststroke Depression in Patients With Poststroke Dysphagia.American journal of speech-language pathology · 2022
    Article
  14. Article
  15. Article
  16. 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

7 authors at 4 institutions in 1 country.

Seth M CohenDuke Voice Care Center, Division of Otolaryngology - Head & Neck Surgery, Duke University Medical Center, DUMC, Box 3805, Durham, NC, 27710, USA. seth.cohen@duke.edu.ORCID 0000-0002-7965-604X
Deborah LekanSchool of Nursing, University of North Carolina At Greensboro, Greensboro, NC, USA. dalekan@uncg.edu.
Thomas RisoliDuke CTSI Biostatistics, Epidemiology and Research Design Methods Core, Duke University Medical Center, Durham, NC, USA.
Hui-Jie LeeDuke CTSI Biostatistics, Epidemiology and Research Design Methods Core, Duke University Medical Center, Durham, NC, USA.
Stephanie MisonoLions Voice Clinic, Department of Otolaryngology/Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.
Heather E WhitsonDuke Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA.
Sudha RamanDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Duke Medical Center · USDuke University · USUniversity of Minnesota · USUniversity of North Carolina at Greensboro · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
UNIVERSITY OF MINNESOTA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UMN CTSI)UL1RR033183 · NCRR · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2011 to 2011
$8.9M
Physical Resiliencies: Indicators and Mechanisms in the Elderly CollaborativeUH2AG056925 · NIA · DUKE UNIVERSITY · PI COLON-EMERIC, CATHLEEN S, WHITSON, HEATHER E. · 2017 to 2018
$2.0M
Psychological factors influencing voice outcomes: Technology-based assessment and interventionK23DC016335 · NIDCD · UNIVERSITY OF MINNESOTA · PI MISONO, STEPHANIE · 2017 to 2021
$1.0M
NCATS NIH HHS UL1 TR001117NCATS NIH HHS UL1 TR002553NCRR NIH HHS UL1 RR033183NIA NIH HHS P30 AG028716NIA NIH HHS UH2 AG056925NIDCD NIH HHS K23 DC016335
6 · The paper itself

Abstract

Frail patients may have heightened risk of dysphagia, a potentially modifiable health factor. Our aim is to examine whether the relationship between dysphagia and adverse health outcomes differs by frailty conditions among inpatients ≥ 50 years of age. Medical or surgical hospitalizations among patients ≥ 50 years of age in the Healthcare Cost and Utilization Project's National Inpatient Sample from 2014 through the first three quarters of 2015 were included. Adverse outcomes included length of stay (LOS), hospital costs, in-hospital mortality, discharge status, and medical complications. Dysphagia was determined by ICD-9-CM codes. Frailty was defined as (a) ≥ 1 condition in the10-item Johns Hopkins Adjusted Clinical Groups (ACG) frailty measure and a frailty index for the (b) ACG and (c) a 19-item Frailty Risk Score (FRS) categorized as non-frail, pre-frail, and frail. Weighted generalized linear models for complex survey designs using generalized estimating equations were performed. Of 6,230,114 unweighted hospitalizations, 4.0% had a dysphagia diagnosis. Dysphagia presented in 3.1% and 11.0% of non-frail and frail hospitalizations using the binary ACG (p < 0.001) and in 2.9%, 7.9%, and 16.0% of non-frail, pre-frail, and frail hospitalizations using the indexed FRS (p < 0.001). Dysphagia was associated with greater LOS, higher total costs, increased non-routine discharges, and more medical complications among both frail and non-frail patients using the three frailty definitions. Dysphagia was associated with adverse outcomes in both frail and non-frail medical or surgical hospitalizations. Dysphagia management is an important consideration for providers seeking to reduce risk in vulnerable populations.

Indexed as

Deglutition DisordersFrailtyHealth Care CostsHumansInpatientsPostoperative ComplicationsDeglutitionDeglutition disordersDysphagiaFrailtyInpatientOutcomesSwallowing

Identifiers

PMID31811381
PMCPMC7275917
OpenAlexW2992794925

What OpenQuestion holds

Textmetadata
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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.