Evidence map›Paper›PMID 33849085›Full record

ArticleAnnals of rehabilitation medicine2021

Predictors of Aspiration Pneumonia in the Elderly With Swallowing Dysfunction: Videofluoroscopic Swallowing Study.

Joo Young Ko, Dae Youp Shin, Tae Uk Kim, Seo Young Kim, Jung Keun Hyun, Seong Jae Lee

Open access · goldAbstract read
In one paragraph

Article in Annals of rehabilitation medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

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  10. Is Percutaneous Endoscopic Gastrostomy A Solution for Aspiration Pneumonia, or Just An Illusion?The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
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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

6 authors at 2 institutions in 1 country.

Joo Young KoDepartment of Rehabilitation Medicine, Dankook University Hospital, Cheonan, Korea.
Dae Youp ShinDepartment of Rehabilitation Medicine, Dankook University Hospital, Cheonan, Korea.
Tae Uk KimDepartment of Rehabilitation Medicine, Dankook University College of Medicine, Cheonan, Korea.
Seo Young KimDepartment of Rehabilitation Medicine, Dankook University Hospital, Cheonan, Korea.
Jung Keun HyunDepartment of Rehabilitation Medicine, Dankook University College of Medicine, Cheonan, Korea.
Seong Jae LeeDepartment of Rehabilitation Medicine, Dankook University College of Medicine, Cheonan, Korea.
Dankook University · KRDankook University Hospital · KR

Funding

Ministry of EducationNational Research Foundation of Korea 2018R1D1A3B07049300
6 · The paper itself

Abstract

objectiveTo identify the variables of videofluoroscopic swallowing study (VFSS) that are useful for predicting the risk of aspiration pneumonia in elderly patients with dysphagia.

methodsA total of 251 patients (aged 65 years or more) were included and divided into a pneumonia group (n=133) and a non-pneumonia group (n=118). The pneumonia group included patients who had been diagnosed with aspiration pneumonia, and individuals in the non-pneumonia group did not have pneumonia but were referred for VFSS. The medical records and results of VFSS were reviewed and compared between the groups retrospectively.

resultsThe pneumonia group exhibited a male preponderance and a higher 8-point Penetration-Aspiration Scale (8PPAS) score. The mean values of 8PPAS score for swallowing thick liquid and rice porridge was significantly higher in the pneumonia group. The pharyngeal delay time (PDT) and pharyngeal transit time (PTT) were significantly longer in the pneumonia group. The amounts of vallecular and pyriform sinus residue were increased in the pneumonia group. The delay in swallowing reflex and the decrease in laryngeal elevation were more frequently observed in the pneumonia group. Among those variables, PDT and PTT were identified as significant predictors of aspiration pneumonia based on logistic regression analysis.

conclusionThe present study delineated the findings of VFSS, suggesting an increased risk of aspiration pneumonia in elderly patients with dysphagia. The results demonstrate that prolonged PDT and PTT are significant predictors of aspiration pneumonia.

Indexed as

AgedAspiration pneumoniaDeglutition disordersFluoroscopy

Identifiers

PMID33849085
PMCPMC8137380
OpenAlexW3152715492

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.