Evidence map›Paper›PMID 34371923›Full record

Observational studyNutrients2021

Assessment of Swallowing Disorders, Nutritional and Hydration Status, and Oral Hygiene in Students with Severe Neurological Disabilities Including Cerebral Palsy.

Alicia Costa, Alberto Martin, Viridiana Arreola, Stephanie A Riera, Ana Pizarro, Cristina Carol, Laia Serras, Pere Clavé

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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  12. Awareness, Knowledge and Practice Patterns of Oral Health and Hygiene among Speech-Language Pathologists in India.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
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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

8 authors at 4 institutions in 1 country.

Alicia CostaUnitat d'Exploracions Funcionals Digestives CSdM-UAB, Hospital de Mataró, 08304 Mataró, Spain.
Alberto MartinUnitat d'Exploracions Funcionals Digestives CSdM-UAB, Hospital de Mataró, 08304 Mataró, Spain.
Viridiana ArreolaUnitat d'Exploracions Funcionals Digestives CSdM-UAB, Hospital de Mataró, 08304 Mataró, Spain.
Stephanie A RieraUnitat d'Exploracions Funcionals Digestives CSdM-UAB, Hospital de Mataró, 08304 Mataró, Spain.
Ana PizarroDepartament de Periodòncia, Facultat d'Odontologia de Barcelona UIC, 08195 Sant Cugat del Vallès, Spain.
Cristina CarolEscola l'Arboç, Fundació El Maresme, 08301 Mataró, Spain.
Laia SerrasUnitat de Suport Tècnic, Fundació El Maresme, 08301 Mataró, Spain.
Pere ClavéUnitat d'Exploracions Funcionals Digestives CSdM-UAB, Hospital de Mataró, 08304 Mataró, Spain.ORCID 0000-0002-0696-8560
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESHospital de Mataró · ESMaresme Health Consortium · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpecial needs schools (SNS) educate children and young people with major neurological disabilities who are at high risk of oropharyngeal dysphagia (OD) and malnutrition (MN). We aimed to assess the prevalence of OD, MN, dehydration (DH), and oral health (OH) in students at an SNS.

methodsA cross-sectional observational study was conducted at SNS L'Arboç, Catalonia, Spain. We assessed (a) demographics, health status, comorbidities, and gross motor function classification system (GMFCS), (b) swallowing function, oral-motor evaluation, masticatory capacity, and EDACS classification for eating and drinking abilities, (c) nutritional and DH status (anthropometry, bioimpedance and dietary records), and (d) OH (Oral Hygiene Index Simplified).

resultsA total of 33 students (mean age 13.3 years; 39.4% level V of GMFCS) were included. Main diagnosis was cerebral palsy at 57.6%. All students presented OD, 90.6% had impaired safety, 68.7% were at levels II-III of EDACS, and 31.3% required PEG; furthermore, 89.3% had chronic MN, 21.4% had acute MN, 70% presented intracellular DH, and 83.9% presented impaired OH.

conclusionMN, DH, OD, and poor OH are highly prevalent conditions in students with cerebral palsy and other neurological disabilities and must be specifically managed through nutritional and educational strategies. The multidisciplinary team at SNS should include healthcare professionals specifically trained in these conditions.

Indexed as

Children with DisabilitiesDeglutitionNutritional StatusOral HygieneOrganism Hydration StatusAdolescentAdolescent DevelopmentAdolescent Nutritional Physiological PhenomenaAge FactorsCerebral PalsyChildChild DevelopmentCross-Sectional StudiesDeglutition DisordersFeeding BehaviorFemalecerebral palsydehydrationdietary intakesdysphagiafeeding difficultiesmalnutritionneurological disabilityoral healthswallowing disorders

Identifiers

PMID34371923
PMCPMC8308512
OpenAlexW3180010969

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.