Evidence map›Paper›PMID 39962618›Full record

ArticleEuropean journal of medical research2025

Impacts of long-term nasogastric tube feeding and tracheostomy on pharyngeal and laryngeal structure in ABI patients: an FEES study.

Tingwei Wang, Jiahui Tai, Ruiping Hu, Qun Zhang, Yiwen Shen, Yulian Zhu, Yi Wu, Junfa Wu

Abstract read
In one paragraph

Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
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  3. 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

8 authors.

Tingwei Wang *Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Road, Xuhui District, Shanghai, 200040, China.
Jiahui Tai *Department of Rehabilitation Medicine, Shanghai Sixth People's Hospital, Shanghai, China.
Ruiping HuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Road, Xuhui District, Shanghai, 200040, China.
Qun ZhangDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Road, Xuhui District, Shanghai, 200040, China.
Yiwen ShenDepartment of Rehabilitation Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Yulian ZhuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Road, Xuhui District, Shanghai, 200040, China.
Yi WuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Road, Xuhui District, Shanghai, 200040, China.
Junfa WuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Road, Xuhui District, Shanghai, 200040, China. junfawu2002@aliyun.com.

Funding

General Program of National Natural Science Foundation of China 81972140National Key Research and Development Program of China 2018YFC2001700National Key Research and Development Program of China 2022YFC3601204Project of Shanghai Commission of Science and Technology of China 19411968700
6 · The paper itself

Abstract

objectivesTo investigate the characteristics of pharyngeal and laryngeal structure in patients with acquired brain injury (ABI), who were long time wearing nasogastric tube (NGT) with or without tracheostomy.

methods103 ABI patients with NGT indwelled for more than 1 month were retrospectively studied and divided into two groups by whether or not undergoing tracheostomy. Age, gender, types of brain injury, course of the disease, disorders of consciousness, activities of daily living (ADL) and fiberoptic endoscopic examination of swallowing (FEES) were evaluated. The structure and function of pharyngeal and laryngeal were assessed by FEES, focusing on the morphology of the arytenoid cartilage, epiglottis, vocal folds, tongue base, and pharyngeal cavity.

resultsProlonged indwelling nasogastric tubes and tracheostomy tubes might lead to abnormal alterations of the structure and function in the arytenoid cartilage, epiglottis, tongue base, and pharyngeal cavity. Epiglottis shape abnormality, glossoptosis and pharyngeal stenosis were present in a larger proportion of the NGT-TRACH (nasogastric tube with tracheostomy) group than the NGT group (p < 0.05).

conclusionsThis study highlights potential physiological changes associated with prolonged placement of nasogastric tubes and tracheostomy tubes, which could impede the recovery of swallowing function and decannulation. We hope to provide valuable evidence to develop effective management strategies for ABI patients with NGT or tracheostomy.

Indexed as

Enteral NutritionIntubation, GastrointestinalLarynxPharynxTracheostomyAdultAgedDeglutitionFemaleHumansMaleMiddle AgedRetrospective StudiesAcquired brain injuryNasogastric feedingRehabilitationTracheostomy

Identifiers

PMID39962618
PMCPMC11834495

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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.