Evidence map›Paper›PMID 37707775›Full record

ReviewDrugs & aging2023

Crushed Tablet Administration for Patients with Dysphagia and Enteral Feeding: Challenges and Considerations.

Amie Blaszczyk, Nicole Brandt, Jeremy Ashley, Nancy Tuders, Hannah Doles, Richard G Stefanacci

Abstract readReview
In one paragraph

Review in Drugs & aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Tablets before liquids? Rethinking paediatric prescribing in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  14. Investigation of a simple suspension method for orexin receptor antagonist tablets.Journal of pharmaceutical health care and sciences · 2026
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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

6 authors.

Amie BlaszczykDivision of Geriatrics and Pediatrics, Department of Pharmacy Practice, Texas Tech University Health Sciences Center, Dallas, TX, USA.
Nicole BrandtLamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, MD, USA.
Jeremy AshleyFisch College of Pharmacy, University of Texas at Tyler, Tyler, TX, USA.
Nancy TudersNational Association of Directors of Nursing Administration of Long-Term Care, Springdale, OH, USA.
Hannah DolesDivision of Geriatrics and Pediatrics, Department of Pharmacy Practice, Texas Tech University Health Sciences Center, Dallas, TX, USA.
Richard G StefanacciJefferson College of Population Health, Thomas Jefferson University, 901 Walnut Street, 10th Floor, Philadelphia, PA, 19107, USA. richard.stefanacci@jefferson.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysphagia is increasingly common in older adults; it is especially prevalent in long-term care settings. Patients with dysphagia likely require pharmacologic treatment for multiple comorbidities but may find it difficult or impossible to swallow oral medications. Administering crushed medications mixed with a soft food or liquid vehicle, or via a feeding tube, is a common strategy to circumvent swallowing difficulties in patients with dysphagia. However, inappropriate medication use and improper crushing technique can reduce the medication dose a patient receives, alter medication pharmacokinetics and pharmacodynamics, and compromise treatment efficacy and patient safety. Clinical judgment is needed to identify medications that can and cannot be crushed, select a crushing methodology and vehicle for administering crushed medications, and create a strategy for administering multiple medications. A coordinated effort from the entire care team-including physicians, pharmacists, nurses, advanced practice providers, speech therapists, patients, and caregivers-is necessary to develop and implement an individualized plan for administering medications to patients with dysphagia. This review details the current literature regarding the administration of medications that have been altered, such as by crushing tablets or opening capsules, for patients with dysphagia or who are receiving enteral feeding and provides recommendations on best practices.

Indexed as

Deglutition DisordersEnteral NutritionAgedHumansLong-Term CarePatientsPatient Safety

Identifiers

PMID37707775
PMCPMC10511598

What OpenQuestion holds

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LicenceCC BY-NC
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.