Evidence map›Paper›PMID 36625964›Full record

Observational studyDysphagia2023

Evaluation of a Machine Learning-Based Dysphagia Prediction Tool in Clinical Routine: A Prospective Observational Cohort Study.

Stefanie Jauk, Diether Kramer, Sai Pavan Kumar Veeranki, Angelika Siml-Fraissler, Angelika Lenz-Waldbauer, Ewald Tax, Werner Leodolter, Markus Gugatschka

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Dysphagia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.4field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Machine learning-based screening tool for predicting the risk of oropharyngeal dysphagia in patients with ischemic stroke.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Unstructured Electronic Health Records of Dysphagic Patients Analyzed by Large Language Models.IEEE journal of translational engineering in health and medicine · 2025
    Article
  9. Artificial Intelligence for Diagnosis and Treatment of Dysphagia.International archives of otorhinolaryngology · 2025
    Article
  10. Artificial Intelligence in Communication Sciences and Disorders: Introduction to the Forum.Journal of speech, language, and hearing research : JSLHR · 2024
    Article
  11. Clinical evaluation of a machine learning-based dysphagia risk prediction tool.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  12. Article
  13. Review
  14. 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

8 authors at 2 institutions in 1 country.

Stefanie JaukInformation and Process Management, Steiermärkische Krankenanstaltengesellschaft M.B.H. (KAGes), Billrothgasse 18a, 8010, Graz, Austria.
Diether KramerInformation and Process Management, Steiermärkische Krankenanstaltengesellschaft M.B.H. (KAGes), Billrothgasse 18a, 8010, Graz, Austria.
Sai Pavan Kumar VeerankiInformation and Process Management, Steiermärkische Krankenanstaltengesellschaft M.B.H. (KAGes), Billrothgasse 18a, 8010, Graz, Austria.
Angelika Siml-FraisslerSteiermärkische Krankenanstaltengesellschaft M.B.H. (KAGes), LKH Weststeiermark, Conrad-von-Hötzendorf-Straße 31, 8570, Voitsberg, Austria.
Angelika Lenz-WaldbauerSteiermärkische Krankenanstaltengesellschaft M.B.H. (KAGes), LKH Weststeiermark, Conrad-von-Hötzendorf-Straße 31, 8570, Voitsberg, Austria.
Ewald TaxSteiermärkische Krankenanstaltengesellschaft M.B.H. (KAGes), LKH Weststeiermark, Conrad-von-Hötzendorf-Straße 31, 8570, Voitsberg, Austria.
Werner LeodolterInformation and Process Management, Steiermärkische Krankenanstaltengesellschaft M.B.H. (KAGes), Billrothgasse 18a, 8010, Graz, Austria.
Markus GugatschkaDivision of Phoniatrics, Department of Otorhinolaryngology, Medical University of Graz, Auenbruggerplatz 26, 8036, Graz, Austria. markus.gugatschka@medunigraz.at.ORCID 0000-0001-8091-8812
LKH Hochsteiermark · ATMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Based on a large number of pre-existing documented electronic health records (EHR), we developed a machine learning (ML) algorithm for detection of dysphagia and aspiration pneumonia. The aim of our study was to prospectively apply this algorithm in two large patient cohorts. The tool was integrated in the hospital information system of a secondary care hospital in Austria. Based on existing data such as diagnoses, laboratory, and medication, dysphagia risk was predicted automatically, and patients were stratified into three risk groups. Patients' risk groups and risk factors were visualized in a web application. Prospective predictions of 1270 admissions to geriatric or internal medicine departments were compared with the occurrence of dysphagia or aspiration pneumonia of routinely documented events. The discriminative performance for internal medicine patients (n = 885) was excellent with an AUROC of 0.841, a sensitivity of 74.2%, and a specificity of 84.1%. For the smaller geriatric cohort (n = 221), the AUROC was 0.758, sensitivity 44.4%, and specificity 93.0%. For both cohorts, calibration plots showed a slight overestimation of the risk. This is the first study to evaluate the performance of a ML-based prediction tool for dysphagia in a prospective clinical setting. Future studies should validate the predictions on data of systematic dysphagia screening by specialists and evaluate user satisfaction and acceptance. The ML-based dysphagia prediction tool achieved an excellent performance in the internal medicine cohort. More data are needed to determine the performance in geriatric patients.

Indexed as

Deglutition DisordersPneumonia, AspirationAgedHospitalizationHumansMachine LearningProspective StudiesRetrospective StudiesClinical decision supportDysphagiaElectronic health recordsMachine learningPredictive modelingRisk assessment

Identifiers

PMID36625964
PMCPMC9831015
OpenAlexW4313909094

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.