Evidence map›Paper›PMID 35964106›Full record

ArticleBMC pediatrics2022

Relationship between daily swallowing frequency and pneumonia in patients with severe cerebral palsy.

Nobukazu Tanaka, Kanji Nohara, Chisato Uota, Nami Fujii, Aya Obana, Katsuji Tanaka, Takayoshi Sakai

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  4. Review
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

7 authors at 2 institutions in 1 country.

Nobukazu TanakaDivision of Oral and Facial Disorders, Osaka University Dental Hospital, 1-8, Yamadaoka, Suita, Osaka, 565-0871, Japan. tanaka.nobukazu.dent@osaka-u.ac.jp.ORCID 0000-0002-5877-0214
Kanji NoharaDivision of Functional Oral Neuroscience, Graduate School of Dentistry, Osaka University, 1-8, Yamadaoka, Suita, Osaka, 565-0871, Japan.
Chisato UotaDivision of Functional Oral Neuroscience, Graduate School of Dentistry, Osaka University, 1-8, Yamadaoka, Suita, Osaka, 565-0871, Japan.
Nami FujiiDivision of Oral and Facial Disorders, Osaka University Dental Hospital, 1-8, Yamadaoka, Suita, Osaka, 565-0871, Japan.
Aya ObanaDivision of Oral and Facial Disorders, Osaka University Dental Hospital, 1-8, Yamadaoka, Suita, Osaka, 565-0871, Japan.
Katsuji TanakaNishinomiya-Sunago Medical and Welfare Center for Children with Severe Motor and Intellectual Disabilities, 2-9 Mukogawa, Nishinomiya, Hyogo, 663-8131, Japan.
Takayoshi SakaiDivision of Functional Oral Neuroscience, Graduate School of Dentistry, Osaka University, 1-8, Yamadaoka, Suita, Osaka, 565-0871, Japan.
Osaka University Hospital · JPThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAspiration pneumonia is a major complication that occurs in patients with severe cerebral palsy and is associated with their survival prognosis, necessitating appropriate assessment and response. We focused on swallowing frequency as an index of daily swallowing function due to the difficulty in evaluating the risk of pneumonia. The swallowing motion protects the airway by safely directing the food, saliva, and secretions accumulated in the pharynx into the esophagus to prevent aspiration and entry into the trachea. Thus, swallowing frequency may be correlated with the incidence of pneumonia. In this study, we aimed to investigate the relationship between swallowing frequency and history of pneumonia in patients with severe cerebral palsy.

methodsFifty-seven patients with cerebral palsy were included in this study. Swallowing frequency was measured three times for each patient on separate days, and the reproducibility was examined by calculating the intraclass correlation coefficient. Further, the relationship between swallowing frequency and history of pneumonia was investigated using multivariate logistic regression analysis.

resultsWhile swallowing frequency differed between participants, it was constant within individuals (intraclass correlation coefficient: 0.941). Furthermore, the swallowing frequencies per hour were 12.2 ± 12.2 and 27.0 ± 20.4 in the patient groups with and without a history of pneumonia, respectively (P < 0.001). Swallowing frequency (odds ratio: 10.489, 95% confidence interval: 2.706-40.663, P = 0.001) was significantly associated with the incidence of pneumonia in the previous year.

conclusionsSwallowing frequency could be used as an index for assessing the risk of dysphagia and pneumonia in patients with severe cerebral palsy.

Indexed as

Cerebral PalsyPneumoniaPneumonia, AspirationDeglutitionHumansReproducibility of ResultsAspiration pneumoniaCerebral palsyDysphagiaSwallowing frequencySwallowing function

Identifiers

PMID35964106
PMCPMC9375420
OpenAlexW4291115679

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.