Evidence map›Paper›PMID 35871347›Full record

ArticleJournal of Alzheimer's disease : JAD2022

Dysphagia Profiles Among Inpatients with Dementia Referred for Swallow Evaluation.

Steven Wang, Sara Gustafson, Celia Deckelman, Emmanuel Sampene, Sarah Daggett, Julia Loosen, Raele Robison, Michael S Pulia, Molly Knigge, Susan Thibeault and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.5field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  9. Acute Antipsychotic Use and Presence of Dysphagia Among Older Veterans with Heart Failure.Journal of the American Medical Directors Association · 2023
    Article
  10. Article
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

13 authors at 2 institutions in 1 country.

Steven WangDepartment of Otolaryngology, Tulane University, New Orleans, LA, USA.
Sara GustafsonDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Celia DeckelmanDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Emmanuel SampeneSchool of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Sarah DaggettSchool of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Julia LoosenSchool of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Raele RobisonDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Michael S PuliaDepartment of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Molly KniggeDepartment of Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Susan ThibeaultDepartment of Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Andrea Gilmore-BykovskyiDepartment of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Amy KindDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Nicole Rogus-PuliaDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
University of Wisconsin–Madison · USTulane University · US

Funding

Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Jeffrey John Nirschl · 2019 to 2026
$34.5M
Impact of Novel Rehabilitative Approaches FOR Dysphagia in Patients with Alzheimer's Disease and Related DementiasK76AG068590 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI ROGUS-PULIA, NICOLE M · 2020 to 2023
$1.3M
NIA NIH HHS K76 AG068590NIA NIH HHS P30 AG062715
6 · The paper itself

Abstract

backgroundAlzheimer's disease and related dementias (ADRD) patients who are hospitalized often develop oropharyngeal dysphagia, increasing risk for adverse outcomes, such as aspiration pneumonia. However, prevalence estimates of dysphagia are highly variable and often based on patient report or clinical testing rather than visualization of the swallow.

objectiveThe aims of this study were to determine prevalence and severity of dysphagia among inpatients with ADRD referred for swallowing evaluation.

methodsElectronic health record (EHR) abstraction of ADRD diagnosis and presence and severity of clinically-determined dysphagia on bedside swallow evaluation (BSE) and videofluoroscopic swallow study (VFSS).

results16% (n = 268) had an ADRD diagnosis or were taking dementia-specific medication based on the EHR. 75% (n = 202) were diagnosed with dysphagia on the BSE. 60% subsequently underwent VFSS (n = 122) with dysphagia confirmation in 92% (n = 112). ADRD inpatients were significantly more likely to be diagnosed with dysphagia based on the BSE (p < 0.0001) than those without ADRD. Additionally, dysphagia on the VFSS was more severe in the ADRD group (p < 0.03). DISCUSSION: ADRD individuals may be vulnerable to developing or worsening dysphagia during hospitalization. Results underscore the importance of evaluating swallowing function in hospitalized patients with ADRD in order to facilitate targeted intervention.

Indexed as

Alzheimer DiseaseDeglutition DisordersDeglutitionHospitalizationHumansInpatientsAlzheimer’s disease and related dementiasoropharyngeal dysphagiaswallowvideofluoroscopic

Identifiers

PMID35871347
PMCPMC9484116
OpenAlexW4286562698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.