SynthesisEuropean geriatric medicine2022
The diagnosis of aspiration pneumonia in older persons: a systematic review.
Synthesis in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.
- Factors driving outcome variability in aspiration and community-acquired pneumonia: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2025Pooled it
- Analysis of factors associated with severe disease and construction of a monogram for elderly patients with community-acquired pneumonia complicated by heart failure.Pakistan journal of medical sciences · 2026Article
- Article
- Risk Factors Associated to Aspiration Pneumonia in Adults and Elderly Patients: A Scoping Review.Dysphagia · 2026Article
- Pneumonia Risk in Institutionalized Older Adults With Severe Functional Dependency: An Exploratory Analysis Using Standardized Long-Term Care Assessment Data.Geriatrics & gerontology international · 2026Observational
- Antibiotic prescribing for aspiration pneumonia in the intensive care unit.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2026Article
- Diabetes, Alzheimer's Disease Risk Factors, and the Cafeteria Diet: A Comprehensive Review.Current neuropharmacology · 2026Review
- Prevention of bronchopulmonary aspiration in digestive surgery: the impact of training healthcare professionals.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2026Article
- Article
- Foreign Body-AssociatedInternational medical case reports journal · 2026Article
- Chili pepper aspiration in elderly patients: a case series highlighting diagnostic challenges and the role of cryoextraction.Frontiers in medicine · 2026Article
- Effect of positive end-expiratory pressure on risk of microaspiration and ventilator-associated pneumonia in mechanically ventilated ICU patients: a prospective study.Journal of cardiothoracic surgery · 2025Article
- Utilization of Dysphagia Services Among Older Adults Hospitalized With Pneumonia in a Large Sample of US Hospitals.Journal of the American Geriatrics Society · 2025Article
- Aspiration pneumonia in diabetic ketoacidosis: a decade-long analysis of occurrence , associated risk factors and clinical outcomes in 530,700 US hospitalizations.Diabetology & metabolic syndrome · 2025Article
- Assessing the prevalence and the underdiagnosis of aspiration pneumonia among older hospitalized patients with community-acquired pneumonia using an artificial intelligence algorithm.Pneumonia (Nathan Qld.) · 2025Article
- Risk factors for post-stroke aspiration pneumonia in long-term hospitalized patients: a retrospective study.Journal of thoracic disease · 2025Article
- Article
- Community-acquired pneumonia associated with influenza co-infection caused by fusobacterium necrophorum: a case report and literature review.BMC infectious diseases · 2025Review
- Exploring the role of respiratory virus infections in aspiration pneumonia: a comprehensive analysis of cases with lower respiratory tract infections.BMC pulmonary medicine · 2025Article
- Study on the potential diagnostic value of metabolomics changes in different biological fluids for aspiration pneumonia.BMC pulmonary medicine · 2025Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCommunity-acquired pneumonia (CAP) is highly common across the world. It is reported that over 90% of CAP in older adults may be due to aspiration. However, the diagnostic criteria for aspiration pneumonia (AP) have not been widely agreed. Is there a consensus on how to diagnose AP? What are the clinical features of patients being diagnosed with AP? We conducted a systematic review to answer these questions.
methodsWe performed a literature search in MEDLINE
resultsA total of 10,716 reports were found. Following the removal of duplicates, 7601 were screened, 95 underwent full-text review, and 9 reports were included in the final analysis. Pneumonia was diagnosed using a combination of symptoms, inflammatory markers, and chest imaging findings in most studies. AP was defined as pneumonia with some relation to aspiration or dysphagia. Aspiration was inferred if there was witnessed or prior presumed aspiration, episodes of coughing on food or liquids, relevant underlying conditions, abnormalities on videofluoroscopy or water swallow test, and gravity-dependent distribution of shadows on chest imaging. Patients with AP were older, more frailer, and had more comorbidities than in non-AP.
conclusionThere is a broad consensus on the clinical criteria to diagnose AP. It is a presumptive diagnosis with regards to patients' general frailty rather than in relation to swallowing function itself.
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