Evidence map›Paper›PMID 32991632›Full record

ArticlePloS one2020

Simplified cough test can predict the risk for pneumonia in patients with acute stroke.

Masahiro Nakamori, Eiji Imamura, Miyu Kuwabara, Tomoko Ayukawa, Keisuke Tachiyama, Teppei Kamimura, Yuki Hayashi, Hayato Matsushima, Mika Funai, Tatsuya Mizoue and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.1field-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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Clinical utility of voluntary cough peak expiratory flow outcomes to screen aspiration status in head and neck cancer survivors.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 · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Association between motor symptoms of Parkinson's disease and swallowing disorders.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
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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

11 authors at 2 institutions in 1 country.

Masahiro NakamoriDepartment of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan.ORCID 0000-0002-0944-5538
Eiji ImamuraDepartment of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Miyu KuwabaraDepartment of Nursing, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Tomoko AyukawaDepartment of Rehabilitation, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Keisuke TachiyamaDepartment of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Teppei KamimuraDepartment of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Yuki HayashiDepartment of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Hayato MatsushimaDepartment of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Mika FunaiDepartment of Nursing, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Tatsuya MizoueDepartment of Neurosurgery, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Shinichi WakabayashiDepartment of Neurosurgery, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Hiroshima University · JPAsahikawa Kosei Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the association between the results of a simplified cough test and pneumonia onset in 226 patients with acute stroke admitted to Suiseikai Kajikawa Hospital from April to December, 2018. For the simplified cough test, performed on admission, patients orally inhaled a mist of 1% citric acid-physiological saline using a portable mesh nebulizer. When the first cough was evoked or if it remained absent for 30 seconds (indicating an abnormal result), the test was ended. Patients also completed the repetitive saliva swallowing test (RSST) and modified water swallowing test. We monitored patients for pneumonia signs for 30 days post-admission. Eighteen patients exhibited an abnormal simplified cough test result. On multivariate analysis, an abnormal RSST result was independently associated with an abnormal simplified cough test result. Seventeen patients developed pneumonia. The adjusted Cox proportional hazard model for pneumonia onset revealed that the simplified cough test had predictive power for pneumonia onset (hazard ratio, 10.52; 95% confidence interval, 3.72-29.72). The simplified cough test is a strong indicator for predicting the pneumonia development in patients with acute stroke; it should be added to existing bedside screening tests for predicting pneumonia risk, allowing appropriate and timely intervention.

Indexed as

AgedCoughDeglutitionFemaleHumansMalePatient AdmissionPneumoniaStroke

Identifiers

PMID32991632
PMCPMC7523950
OpenAlexW3091758192

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.