ArticleJACC. Asia2022
Impact of Frailty on Postoperative Dysphagia in Patients Undergoing Elective Cardiovascular Surgery.
Article in JACC. Asia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Article
- Article
- The clinical impact of the tongue pressure measurement and the novel preoperative training program with the tongue strength training device.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Incidence and Risk Factors of Dysphagia After Cardiac Surgery: A Scoping Review.Journal of clinical medicine · 2025Review
- A pre- and post-operative protocol for assessment of voice and swallowing function in patients undergoing heart or lung transplantation.JHLT open · 2025Article
- Differential impact of frailty on surgical and non-surgical site complications in patients with gastric cancer undergoing gastrectomy.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025Article
- Impact of maximum phonation time on postoperative dysphagia and prognosis after cardiac surgery.JTCVS open · 2024Article
- Development of predictive score for postoperative dysphagia after emergency abdominal surgery in patients of advanced age.Annals of gastroenterological surgery · 2024Article
- "Dysphagia" the Most Common But Most Undervalued Complication.JACC. Asia · 2022Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Postextubation dysphagia (PED) is a serious postoperative complication following cardiovascular surgery that can lead to a worse prognosis. On the other hand, frailty is a prognostic factor in patients who undergo cardiac surgery. Objectives: This study investigated the effect of frailty status on PED and impact of PED on postoperative complications. Methods: This single-center retrospective cohort study included 644 consecutive patients who underwent elective cardiovascular surgery between May 1, 2014, and December 31, 2020; they were assigned to the PED or non-PED group based on postoperative swallowing status, and postoperative complications were investigated. Frailty status and physical functions, including walking speed, grip strength, Short Physical Performance Battery, and 6-minute walking distance, were preoperatively assessed; the frailty-status cutoff for predicting PED was determined from the receiver-operating characteristic curve. Results: In this study cohort (mean age 67.7 years), the overall PED prevalence was 14.8%; preoperative frailty had a significantly higher prevalence in the PED group (50.0%) than in the non-PED group (20.3%; Conclusions: PED occurred commonly after cardiovascular surgery and increased the risk of postoperative complications. Preoperative frailty was independently associated with PED. The 6-minute walking distance was the most powerful predictor of PED. Evaluation of preoperative frailty status is important for risk stratification and prevention of postoperative morbidity in patients undergoing surgery.
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