Evidence map›Paper›PMID 37876599›Full record

ArticleCritical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine2023

Swallowing biomechanics in tracheostomised critically ill patients compared to age- and gender-matched healthy controls.

Sanith S Cheriyan, Mistyka S Schar, Charmaine M Woods, Shailesh Bihari, Charles Cock, Theodore Athanasiadis, Taher I Omari, Eng H Ooi

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Sanith S CheriyanDepartment of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Bedford Park, SA, Australia.
Mistyka S ScharFlinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia.
Charmaine M WoodsDepartment of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Bedford Park, SA, Australia.
Shailesh BihariFlinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia.
Charles CockDepartment of Gastroenterology & Hepatology, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
Theodore AthanasiadisDepartment of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Bedford Park, SA, Australia.
Taher I OmariFlinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia.
Eng H OoiDepartment of Otolaryngology, Head and Neck Surgery, Flinders Medical Centre, Bedford Park, SA, Australia.
Flinders University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The mechanistic effects of a tracheostomy on swallowing are unclear. Pharyngeal high-resolution manometry with impedance (P-HRM-I) is a novel swallow assessment tool providing quantifiable metrics. This study aimed to characterise swallowing biomechanics in tracheostomised critically ill (non-neurological) patients. Design: Cohort study. Setting: Australian tertiary hospital intensive care unit. Participants: Tracheostomised adults, planned for decannulation. Main outcome measures: Swallowing assessment using P-HRM-I, compared to healthy age- and gender-matched controls. Results: In this tracheostomised cohort (n = 10), the Swallow Risk Index, a global measure of swallow function, was significantly elevated ( Conclusion: In a critically ill tracheostomised cohort, UOS dysfunction was the prevalent biomechanical feature, with elevated pharyngeal pressures. Pharyngeal weakness is not contributing to dysphagia in this cohort. Instead, elevated pharyngeal pressures may represent a compensatory mechanism to overcome the UOS dysfunction. Further studies to extend these findings may inform the development of timely and targeted rehabilitation.

Indexed as

Deglutition disordersIntensive care unitManometryTracheostomy

Identifiers

PMID37876599
PMCPMC10581277
OpenAlexW4382395529

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.