ArticleBMC geriatrics2025
Effectiveness and safety of oral nutrition in older patients with moderate dysphagia: a real-world cohort study in geriatric inpatients.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04751032 (Chinese Nutritional Risk Screening and Intervention Registration Study in Geriatric Patients), which is not on this map. Not yet cited in PubMed.
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.
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.
Chinese Nutritional Risk Screening and Intervention Registration Study in Geriatric Patients
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors.
Funding
Abstract
backgroundDysphagia and malnutrition increase with age and are correlated with adverse clinical outcomes. Researchers have not fully studied the safety and effectiveness between oral nutrition pathway and tube feeding in dysphagic and malnourished elderly individuals.
methodsElderly individuals > 65 years old with nutrition risk admitted to the department of geriatrics from 58 third-grade hospitals between September 2020 and December 2022 were recruited. The analysis was conducted in patients with moderate dysphagia. Baseline characteristics, including demography, nutrition, swallowing function and body function, were collected per inclusion. Nutritional suggestions were given by geriatricians and nutritionists. Nutritional therapy pathways were recorded, and the body and functional measurements were repeated at discharge and the 90-day follow-up. Adverse outcomes, including new-onset pneumonia, falls, unplanned readmission and all-cause death were recorded.
resultsA total of 1027 hospitalized elderly individuals were included, with 168 (16.4%) having moderate dysphagia. Among the participants receiving oral nutrition or tube feeding, 91 (81.3%) and 45 (80.4%) gained sufficient calories after nutritional intervention and were included in the analysis. The median age was 89 (IQR: 82-92) years, 43 (31.6%) were female, and 128 (94.1%) were malnourished. Ninety-one (66.9%) patients were treated with oral nutrition (oral diet or oral nutritional supplements), and 45 (33.1%) were treated with tube feeding. Among the oral nutrition patients, 11 (12.1%), 3 (3.3%), 14 (16.7%) and 2 (2.6%) had new-onset pneumonia, all-cause death, readmission and falls, respectively. The corresponding events in the tube-feeding group were 5 (11.1%), 1 (2.2%), 7 (16.7%) and 1 (2.5%). No statistically significant difference was observed between nutrition treatment pathways. BMI, grip strength and calf circumference increased similarly between the oral nutrition and tube-feeding groups, whereas the percentage of improved MNA-SF status was greater in the oral nutrition group than in the tube-feeding group (53% vs. 26%, p = 0.004).
conclusionsAmong moderately dysphagic geriatric inpatients with malnutrition or nutritional risk, oral nutritional may demonstrate comparable safety to tube feeding regarding new-onset pneumonia, all-cause death, readmissions, and falls during short term follow-up. Oral nutrition may also demonstrate comparable effectiveness in terms of energy supply and improving function, and oral nutrition may be more effective in improving nutritional status.
trial registrationClinicalTrials.gov: NCT04751032.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.