Evidence map›Paper›PMID 33532466›Full record

ArticleERJ open research2021

Aspiration and severe exacerbations in COPD: a prospective study.

Lydia Cvejic, Nadine Guiney, Tiffany Nicholson, Kenneth K Lau, Paul Finlay, Kais Hamza, Christian Osadnik, Paul Leong, Martin MacDonald, Paul T King and 1 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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 3 institutions in 1 country.

Lydia CvejicMonash Lung and Sleep, Monash Health, Melbourne, Australia.
Nadine GuineyMonash Lung and Sleep, Monash Health, Melbourne, Australia.
Tiffany NicholsonDiagnostic Imaging, Monash Health, Melbourne, Australia.
Kenneth K LauSchool of Clinical Sciences, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-7424-9947
Paul FinlayMonash Lung and Sleep, Monash Health, Melbourne, Australia.
Kais HamzaSchool of Mathematical Sciences, Monash University, Melbourne, Australia.
Christian OsadnikMonash Lung and Sleep, Monash Health, Melbourne, Australia.ORCID https://orcid.org/0000-0001-9040-8007
Paul LeongMonash Lung and Sleep, Monash Health, Melbourne, Australia.
Martin MacDonaldMonash Lung and Sleep, Monash Health, Melbourne, Australia.
Paul T KingMonash Lung and Sleep, Monash Health, Melbourne, Australia.
Philip G BardinMonash Lung and Sleep, Monash Health, Melbourne, Australia.
Hudson Institute of Medical Research · AUMonash Health · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleSwallow may be compromised in COPD leading to aspiration and adverse respiratory consequences. However, prevalence and consequences of detectable aspiration in stable COPD are not known.

objectivesWe tested the hypothesis that a significant number of patients with stable COPD will have detectable aspiration during swallow (prandial aspiration) and that they would experience more frequent severe acute exacerbations of COPD (AECOPD) over the subsequent 12 months.

methodsPatients (n=151) with verified and stable COPD of all severities were recruited at a tertiary care hospital. Videofluoroscopy was conducted to evaluate aspiration using Rosenbek's scale for penetration-aspiration during 100-mL cup drinking. AECOPD was documented as moderate (antibiotics and/or corticosteroid treatment) or severe (emergency department admission or hospitalisation) over the ensuing 12 months. MEASUREMENTS AND MAIN

resultsAspiration was observed in 30 out of 151 patients (19.9%, 18 males, 12 females; mean age 72.4 years). Patients with aspiration had more overall AECOPD events (3.03

conclusionsPrandial aspiration is detectable in a subset of patients with COPD and was predictive of subsequent severe AECOPD. Studies to examine if the association is causal are essential to direct strategies aimed at prevention of aspiration and AECOPD.

Identifiers

PMID33532466
PMCPMC7836559
OpenAlexW3097933573

What OpenQuestion holds

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LicenceCC BY-NC
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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.