Evidence map›Paper›PMID 37021194›Full record

ArticleEuropean stroke journal2023

Costs of post-stroke dysphagia during acute hospitalization from a health-insurance perspective.

Bendix Labeit, Almut Kremer, Paul Muhle, Inga Claus, Tobias Warnecke, Rainer Dziewas, Sonja Suntrup-Krueger

Open access · hybridAbstract read
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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  5. Treating postextubation dysphagia after stroke with pharyngeal electrical stimulation -insights from a randomized controlled pilot trial.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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.

Bendix LabeitDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Germany.ORCID 0000-0001-6094-3869
Almut KremerDRG Research Group, University Hospital Muenster, Germany.
Paul MuhleDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Germany.
Inga ClausDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Germany.
Tobias WarneckeDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrueck - Academic teaching hospital of the WWU Muenster, Germany.
Rainer DziewasDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrueck - Academic teaching hospital of the WWU Muenster, Germany.
Sonja Suntrup-KruegerDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Germany.
University Hospital Münster · DEKlinikum Osnabrück · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Oropharyngeal dysphagia is a common and complication-prone symptom after stroke and is assumed to increase medical expenses. The purpose of this study was therefore to examine acute hospitalization costs associated with post-stroke dysphagia. Method: This retrospective study included patients with acute stroke who had been examined by Flexible Endoscopic Evaluation of Swallowing (FEES). Health insurance expenditures were determined for the patient cases according to the 2021 revenue criteria. Multiple linear regression was used to examine predictors of health insurance spending including age, sex, stroke severity, stroke characteristics, comorbidity, therapeutic interventions, duration of artificial ventilation, length of hospital stay, and severity of dysphagia, as assessed by the Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS), ranging from 1 (best) to 6 (worst). Findings: Six hundred seventy four patients (men/women: 367/307; mean age: 71.1 ± 12.8 years; mean National Institute of Health Stroke Scale: 11.2 ± 6.2; FEDSS 1/2/3/4/5/6: 113/73/144/119/124/101; mean health-insurance costs 11,521.5 ± 12,950.5€) were included in the analysis. Advanced age ( Discussion and conclusion: The results of this study show an association between severe dysphagia and health care costs for acute hospitalization from a health-insurance perspective. Therefore, therapies that target severe dysphagia with impaired secretion management may have the potential to reduce costs.

Indexed as

Deglutition DisordersStrokeAgedAged, 80 and overFemaleHumansInsurance, HealthLength of StayMaleMiddle AgedRetrospective Studiescost analysisdiagnostic related grouporopharyngeal dysphagiaStroke

Identifiers

PMID37021194
PMCPMC10069210
OpenAlexW4313331605

What OpenQuestion holds

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LicenceCC BY-NC
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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.