Evidence map›Paper›PMID 34269936›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022

The role of the Sapienza GLObal Bedside Evaluation of Swallowing after Stroke (GLOBE-3S) in the prevention of stroke-associated pneumonia (SAP).

T B Jannini, M Ruggiero, A Viganò, A Comanducci, I Maestrini, G Giuliani, E Vicenzini, F Fattapposta, F Pauri, G Ruoppolo and 2 more

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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
4.7field-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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 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

12 authors at 4 institutions in 1 country.

T B JanniniDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy. t.jannini@med.uniroma2.it.ORCID http://orcid.org/0000-0003-2936-4150
M RuggieroDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-4894-9456
A ViganòIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. avigano@dongnocchi.it.ORCID http://orcid.org/0000-0002-8079-5354
A ComanducciIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
I MaestriniDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0003-4996-7506
G GiulianiDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0001-5910-6043
E VicenziniDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-6754-5887
F FattappostaDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
F PauriDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-0863-0280
G RuoppoloDepartment of Sense Organs, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-9311-8600
M ToscanoDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-0120-1782
V Di PieroDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0002-2631-7562
Sapienza University of Rome · ITDon Carlo Gnocchi Foundation · ITFatebenefratelli Hospital · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeStroke-associated pneumonia (SAP) affects 10 to 38% of patients in the acute phase of stroke. Stroke patients diagnosed with dysphagia have an 11-fold higher risk of developing SAP. Thus, identifying dysphagic patients through a highly accurate screening tool might be crucial in reducing the incidence of SAP. We present a case-control study designed to evaluate efficacy in reducing the risk of SAP between two swallowing screening tools, the classic water swallow test (WST) and a recently validated tool such as the GLOBE-3S (the Sapienza GLObal Bedside Evaluation of Swallowing after Stroke), which is a highly sensitive swallowing screening tool particularly accurate in detecting silent aspiration as well.

methodsWe analyzed the occurrence of dysphagia in 100 acute stroke patients distributed in two groups: half were screened with WST and the other half with GLOBE-3S.

resultsDysphagia was diagnosed in 28 patients. The main result is that, among patients who passed the dysphagia screenings, none of those screened with the GLOBE-3S method developed pneumonia compared to 31.82% in the WST group. Discriminant function analysis (DFA) showed that NIH Stroke Scale (NIHSS) score and the dysphagia screening method (i.e., GLOBE-3S vs. WST) were the two main factors in the SAP's predicting model and the only significant ones per se.

conclusionsThe new GLOBE-3S screening test can reduce the risk of SAP compared to WST.

Indexed as

Deglutition DisordersPneumoniaStrokeDeglutitionHumansMass ScreeningAcute strokeDysphagiaGLOBE-3SSilent aspirationStroke-associated pneumonia

Identifiers

PMID34269936
PMCPMC8789723
OpenAlexW3178394234

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.