Evidence map›Paper›PMID 35226186›Full record

SynthesisDysphagia2022

Pneumonia, Mortality, and Other Outcomes Associated with Unsafe Swallowing Detected via Fiberoptic Endoscopic Evaluation of Swallowing (FEES) in Patients with Functional Oropharyngeal Dysphagia: A Systematic Review and Meta-analysis.

Luis Fernando Giraldo-Cadavid, Alirio Rodrigo Bastidas, Jorge Maldonado-Lancheros, Daniel A Gasca-Zuluaga, Martha Johana Aguilar-Farias, Leonardo Bohorquez-Tibavisco

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Dysphagia, 2022. 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
3.4field-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

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

6 authors at 1 institution in 1 country.

Luis Fernando Giraldo-CadavidDepartments of Epidemiology and Internal Medicine, School of Medicine, Universidad de La Sabana, Campus Puente del Comun, Autonorte de Bogota, Km 7, La Caro, 250001, Chia, Cundinamarca, Colombia. luisgc@unisabana.edu.co.ORCID 0000-0002-7574-7913
Alirio Rodrigo BastidasDepartments of Epidemiology and Internal Medicine, School of Medicine, Universidad de La Sabana, Campus Puente del Comun, Autonorte de Bogota, Km 7, La Caro, 250001, Chia, Cundinamarca, Colombia.
Jorge Maldonado-LancherosDepartments of Epidemiology and Internal Medicine, School of Medicine, Universidad de La Sabana, Campus Puente del Comun, Autonorte de Bogota, Km 7, La Caro, 250001, Chia, Cundinamarca, Colombia.
Daniel A Gasca-ZuluagaDepartments of Epidemiology and Internal Medicine, School of Medicine, Universidad de La Sabana, Campus Puente del Comun, Autonorte de Bogota, Km 7, La Caro, 250001, Chia, Cundinamarca, Colombia.
Martha Johana Aguilar-FariasDepartments of Epidemiology and Internal Medicine, School of Medicine, Universidad de La Sabana, Campus Puente del Comun, Autonorte de Bogota, Km 7, La Caro, 250001, Chia, Cundinamarca, Colombia.
Leonardo Bohorquez-TibaviscoDepartments of Epidemiology and Internal Medicine, School of Medicine, Universidad de La Sabana, Campus Puente del Comun, Autonorte de Bogota, Km 7, La Caro, 250001, Chia, Cundinamarca, Colombia.
Universidad de La Sabana · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between impairments in swallowing safety detected via fiberoptic endoscopic evaluation of swallowing (FEES) and dysphagia complications has been evaluated in small studies that have not allowed obtaining precise estimates of the presence of such an association. The objective of this study was to evaluate the risk of dysphagia complications associated with the detection of premature spillage, residue, penetration, and aspiration via FEES. A systematic review and meta-analysis of the literature were carried out. A search strategy was established using terms of controlled and free vocabulary (free text) in the PubMed, Lilacs, Embase, Medline, and Cochrane databases. The initial search in the databases identified 3545 articles, of which 321 were excluded due to duplication, 3224 were selected for review of titles and abstracts, 45 were selected for full-text review, 37 were excluded for not meeting the selection criteria, and 8 were included for the final analysis, with a total population of 1168 patients. Aspiration increased the risk of pneumonia (OR 2.97, 95% CI 1.52-5.80, P = 0.001). The number of studies that have evaluated the relationship of other FEES findings with dysphagia complications was limited (≤ 3). One study found a higher risk of mortality in patients with aspiration (OR 4.08, 95% CI 1.60-10.27, P = 0.003). Another study that evaluated the risk of mortality in a combined group of penetration and aspiration found no higher risk of mortality. Penetration, residue, and premature spillage were not found to be associated with an increased risk of pneumonia, mortality, or other outcomes. Aspiration demonstrated via FEES was associated with an increased risk of pneumonia and mortality. There is insufficient evidence for the capacity of premature spillage, penetration, and residue to predict dysphagia complications.

Indexed as

Deglutition DisordersPneumoniaDeglutitionEndoscopyFiber Optic TechnologyHumansAdverse outcomesAspiration pneumoniaFiberoptic endoscopic evaluation of swallowing (FEES)Functional swallowing endoscopySwallowingSwallowing disorders

Identifiers

PMID35226186
OpenAlexW4214573062

What OpenQuestion holds

Textmetadata
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.