Evidence map›Paper›PMID 35562660›Full record

SynthesisBMC geriatrics2022

Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients: a meta-analysis.

Kondwani Joseph Banda, Hsin Chu, Xiao Linda Kang, Doresses Liu, Li-Chung Pien, Hsiu-Ju Jen, Shu-Tai Shen Hsiao, Kuei-Ru Chou

2 registry-linked trialsOpen access · goldAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 144 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 18 pooled it
49.1field-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.

NCT06887855 narecruitingnot on this mapstarted 2024, after this paper: background citation

Enhancing Post-Stroke Dysphagia Rehabilitation Via the Synergistic Effects of Neuromuscular Electrical Stimulation, Neuromuscular Taping, and Swallowing Exercises: a Randomized Controlled Trial

TypeinterventionalSponsorHamad Medical CorporationRan2024 to 2025Enrolled10ConditionsDysphagia After StrokeArmsNeuromuscular Electrical Stimulation, Neuromuscular Taping, Swallowing exercise (Expiratory Muscle Strength Training), Swallowing exercise (Chin Tuck Against Resistance)
NCT07331714 nacompletednot on this mapstarted 2025, after this paper: background citation

Comparative Effects of Proprioceptive Neuromuscular Facilitation and Modified Constraint Induced Movement Therapy on Lower Limb Function in Patient With Stroke

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled54ConditionsStrokeArmsPNF, mCIMT
3 · Its place in the literature

Who cites it

144 citing papers in PubMed, 18 syntheses or guidelines pooled it, 192 citations in OpenAlex.

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84 more citing papers are in PubMed but not listed here.

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 5 institutions in 3 countries.

Kondwani Joseph BandaSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Hsin ChuInstitute of Aerospace and Undersea Medicine, School of Medicine, National Defense Medical Center, Taipei, Taiwan.
Xiao Linda KangSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Doresses LiuSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Li-Chung PienPost-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Hsiu-Ju JenSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Shu-Tai Shen HsiaoSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
Kuei-Ru ChouSchool of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan. kueiru@tmu.edu.tw.
Taipei Medical University · TWNational Yang Ming Chiao Tung University · TWTri-Service General Hospital · TWUniversity of Pennsylvania · USWan Fang Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-stroke dysphagia (PSD) has been associated with high risk of aspiration pneumonia and mortality. However, limited evidence on pooled prevalence of post-stroke dysphagia and influence of individual, disease and methodological factors reveals knowledge gap. Therefore, to extend previous evidence from systematic reviews, we performed the first meta-analysis to examine the pooled prevalence, risk of pneumonia and mortality and influence of prognostic factors for PSD in acute stroke.

methodsOur search was conducted in CINAHL, Cochrane Library, EMBASE, Ovid-Medline, PubMed, and Web of Science an initial search in October 2020 and a follow-up search in May 2021. Data synthesis was conducted using the Freeman-Tukey double-arcsine transformation model for the pooled prevalence rate and the DerSimonian-Lard random-effects model for prognostic factors and outcomes of PSD.

resultsThe pooled prevalence of PSD was 42% in 42 studies with 26,366 participants. PSD was associated with higher pooled odds ratio (OR) for risk of pneumonia 4.08 (95% CI, 2.13-7.79) and mortality 4.07 (95% CI, 2.17-7.63). Haemorrhagic stroke 1.52 (95% CI, 1.13-2.07), previous stroke 1.40 (95% CI, 1.18-1.67), severe stroke 1.38 (95% CI, 1.17-1.61), females 1.25 (95% CI, 1.09-1.43), and diabetes mellitus 1.24 (95% CI, 1.02-1.51) were associated with higher risk of PSD. Males 0.82 (95% CI, 0.70-0.95) and ischaemic stroke 0.54 (95% CI, 0.46-0.65) were associated with lower risk of PSD. Haemorrhagic stroke, use of instrumental assessment method, and high quality studies demonstrated to have higher prevalence of PSD in the moderator analysis.

conclusionsAssessment of PSD in acute stroke with standardized valid and reliable instruments should take into account stroke type, previous stroke, severe stroke, diabetes mellitus and gender to aid in prevention and management of pneumonia and thereby, reduce the mortality rate.

trial registrationhttps://osf.io/58bjk/?view_only=26c7c8df8b55418d9a414f6d6df68bdb .

Indexed as

Brain IschemiaDeglutition DisordersHemorrhagic StrokePneumoniaStrokeFemaleHumansMalePrevalenceAcute StrokeDysphagiaMortalityPneumoniaPrevalence

Identifiers

PMID35562660
PMCPMC9103417
OpenAlexW4280494304

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.