Evidence map›Paper›PMID 38217067›Full record

ArticleAnnals of clinical and translational neurology2024

Early flexible endoscopic evaluation of swallowing after mechanical thrombectomy in stroke patients.

João Pinho, Tareq Meyer, Bettina Mall, Bettina Maring, Annalena Döpp, Johanna Becker, Anneke Wehner, Sara Thissen, Beate Schumann-Werner, Omid Nikoubashman and 4 more

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

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 17% 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, 2 citations in OpenAlex.

  1. 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

14 authors at 4 institutions in 1 country.

João PinhoDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.ORCID 0000-0002-3977-7146
Tareq MeyerDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Bettina MallDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Bettina MaringDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Annalena DöppDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Johanna BeckerDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Anneke WehnerDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Sara ThissenDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Beate Schumann-WernerDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Omid NikoubashmanDepartment of Diagnostic and Interventional Neuroradiology, University Hospital, RWTH Aachen University, Aachen, Germany.
Martin WiesmannDepartment of Diagnostic and Interventional Neuroradiology, University Hospital, RWTH Aachen University, Aachen, Germany.
Jörg B SchulzDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.ORCID 0000-0002-8903-0593
Cornelius J WernerDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
Arno ReichDepartment of Neurology, University Hospital, RWTH Aachen University, Aachen, Germany.
RWTH Aachen University · DEJohanniter-Krankenhaus Bonn · DEUniversitätsklinikum Aachen · DEForschungszentrum Jülich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aims of the study were to (1) characterize the findings of flexible endoscopic evaluation of swallowing (FEES) in stroke patients undergoing mechanical thrombectomy (MT); (2) analyse the screening performance of the Standardized Swallowing Assessment (SSA); and (3) study the impact of FEES-defined dysphagia on 3-month outcomes.

methodsThis single-centre study was based on a local registry of consecutive acute ischaemic stroke patients undergoing MT during a 1-year period. Patients received FEES within 5 days of admission regardless of the result of dysphagia screening. We compared baseline demographic and clinical characteristics of patients with and without FEES-defined dysphagia. We collected 3-month modified Rankin Scale (mRS) and individual index values of the European Quality of Life 5 Dimensions (EQ-5D-iv). Using univariable and multivariable regression analyses we predicted 3-month outcomes for presence of dysphagia and for FEES-defined dysphagia severity.

resultsWe included 137 patients with a median age of 74 years, 43.1% were female, median NIHSS was 12 and successful recanalization was achieved in 92.7%. Stroke-associated pneumonia occurred in 8% of patients. FEES-defined dysphagia occurred in 81% of patients. Sensitivity of the SSA as a dysphagia screening was 67%. Presence of dysphagia and increasing severity of dysphagia were independently associated with increasing 3-month mRS score. Increasing dysphagia severity dysphagia was independently associated with lower EQ-5D-iv.

interpretationEarly FEES-defined dysphagia occurs in four in every five patients undergoing MT. SSA has a suboptimal dysphagia screening performance. Presence of dysphagia and increasing dysphagia severity predict worse functional outcome and worse health-related quality-of-life.

Indexed as

Brain IschemiaDeglutition DisordersStrokeAgedDeglutitionFemaleHumansMaleQuality of LifeThrombectomy

Identifiers

PMID38217067
PMCPMC10963283
OpenAlexW4390840299

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.