Evidence map›Paper›PMID 37147335›Full record

ArticleScientific reports2023

Feasibility study of the Nox-T3 device to detect swallowing and respiration pattern in neurologically impaired patients in the acute phase.

Fanny Theytaz, Aline Vuistiner, Valérie Schweizer, Adélie Crépin, Kishore Sandu, Aziz Chaouch, Lise Piquilloud, Gianpaolo Lecciso, Kay Coombes, Karin Diserens

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

10 authors at 2 institutions in 1 country.

Fanny Theytaz *University of Lausanne, 1015, Lausanne, Switzerland. fanny.theytaz@bluewin.ch.
Aline Vuistiner *Phoniatrics and Speech Therapy Unit, Lausanne University Hospital (CHUV), Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
Valérie SchweizerPhoniatrics and Speech Therapy Unit, Lausanne University Hospital (CHUV), Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
Adélie CrépinPhoniatrics and Speech Therapy Unit, Lausanne University Hospital (CHUV), Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
Kishore SanduAirway Unit, Department of Otorhino-Laryngology and Head and Neck Surgery, Lausanne University Hospital (CHUV), Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
Aziz ChaouchDivision of Biostatistics, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Lise PiquilloudAdult Intensive Care Unit, Lausanne University Hospital (CHUV), Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
Gianpaolo LeccisoCentre d'investigation et de Recherche sur le Sommeil, Rue du Bugnon 46, 1011, Lausanne, Switzerland.
Kay CoombesARCOS, Malvern Centre, Hatherton Lodge, Avenue Road, Malvern Worcestershire, WR14 3AG, UK.
Karin DiserensAcute Neurorehabilitation Unit, Neurology Service, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV), Rue du Bugnon, 46, 1011, Lausanne, Switzerland.
University of Lausanne · CHUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysphagia is a frequent complication in neurologically impaired patients, which can lead to aspiration pneumonia and thus prolonged hospitalization or even death. It is essential therefore, to detect and assess dysphagia early for best patient care. Fiberoptic endoscopic and Videofluoroscopy evaluation of swallowing are the gold standard exams in swallowing studies but neither are perfectly suitable for patients with disorders of consciousness (DOC). In this study, we aimed to find the sensitivity and specificity of the Nox-T3 sleep monitor for detection of swallowing. A combination of submental and peri-laryngeal surface electromyography, nasal cannulas and respiratory inductance plethysmography belts connected to Nox-T 3 allows recording swallowing events and their coordination with breathing, providing time-coordinated patterns of muscular and respiratory activity. We compared Nox-T3 swallowing capture to manual swallowing detection on fourteen DOC patients. The Nox-T3 method identified swallow events with a sensitivity of 95% and a specificity of 99%. In addition, Nox-T3 has qualitative contributions, such as visualization of the swallowing apnea in the respiratory cycle which provide additional information on the swallowing act that is useful to clinicians in the management and rehabilitation of the patient. These results suggest that Nox-T3 could be used for swallowing detection in DOC patients and support its continued clinical use for swallowing disorder investigation.

Indexed as

DeglutitionDeglutition DisordersApneaFeasibility StudiesHumansRespiration

Identifiers

PMID37147335
PMCPMC10163003
OpenAlexW4372334312

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.