Evidence map›Paper›PMID 40439929›Full record

ArticlePediatric cardiology2026

Time Course and Predictors of Persistent Postoperative Dysphagia in Patients with Congenital Heart Disease Following Cardiac Surgery.

Susan Willette, Sarah Hahn, Amy Lay, James Schroeder, Inbal Hazkani, Taher Valika, Saied Ghadersohi

Abstract read
In one paragraph

Article in Pediatric cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

Susan WilletteDepartment of Speech Pathology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Sarah HahnDepartment of Speech Pathology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Amy LayDepartment of Pediatric Cardiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
James SchroederDivision of Pediatric Otolaryngology - Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box #25, Chicago, IL, 60611, USA.
Inbal HazkaniDivision of Pediatric Otolaryngology - Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box #25, Chicago, IL, 60611, USA.
Taher ValikaDivision of Pediatric Otolaryngology - Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box #25, Chicago, IL, 60611, USA.
Saied GhadersohiDivision of Pediatric Otolaryngology - Head and Neck Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box #25, Chicago, IL, 60611, USA. sghadersohi@luriechildrens.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Describe the long-term presence, predictors, and time course of postoperative dysphagia in selected congenital heart disease (CHD) patients following cardiac surgery. Retrospective study of selected CHD patients who underwent cardiac surgery that is at high risk for dysphagia and vocal fold mobility impairment (VFMI) and underwent speech pathology assessment from 2019 to 2024. Demographics, clinical history, VFMI, dysphagia severity and feeding modality were assessed. There were 322 mostly infant patients; median age was 0.64 (IQR0.19-6.9) months. Most patients were male (177,55%) and 119 (37%) had single ventricle (SV) disease. A full PO diet was maintained in 105 (32.6%) patients throughout follow-up. One hundred and ten (34.2%) patients improved from tube feeding (TF) at initial discharge to a full PO diet in a median 10.4 months (IQR4.4-23.2), whereas 107 (33.2%) remained on TFs with severe dysphagia at the end of follow-up (median 7.2, IQR1.5-17.3 months). VFMI was present in 83 patients postoperatively. VFMI resolved in 35 (38.8%) patients in a median 4.8 months (IQR2.4-8.2). VFMI and dysphagia recovery were not associated. However, the time to VFMI recovery and time to dysphagia resolution were correlated (r = 0.77, p = 0.0001). Patients with a genetic syndrome, Blalock-Thomas-Taussig shunt and/or ventricular assist device use were more likely to require persistent TF. Patients who had coarctation/aortic arch repair or SV disease were less likely to require TF at the end of follow-up. Dysphagia necessitating tube feeding persists for several months after VFMI resolves. This study will help set prognostic expectations for caregivers.

Indexed as

Cardiac Surgical ProceduresDeglutition DisordersHeart Defects, CongenitalPostoperative ComplicationsChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleRetrospective StudiesRisk FactorsTime FactorsAspirationCardiac surgeryCongenital heart diseaseDysphagiaPediatric feedingVocal fold motion impairment

Identifiers

PMID40439929
PMCPMC12901136

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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.