Evidence map›Paper›PMID 40956144›Full record

Observational studyAustralasian journal on ageing2025

Swallow screening of older adults at hospital admission.

Anna Miles, Amanda Sextus, Becca Hammond, Jacqui Allen

Abstract readObservational Study
In one paragraph

Observational study in Australasian journal on ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Swallow screening of older adults at hospital admission.Australasian journal on ageing · 2025
    Observational
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

4 authors.

Anna MilesSpeech Science, The University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-3260-5824
Amanda SextusSpeech Science, The University of Auckland, Auckland, New Zealand.
Becca HammondTe Whatu Ora Health New Zealand, Takapuna, New Zealand.
Jacqui AllenFaculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.

Funding

Waitemata DHB Contestable Research Grant
6 · The paper itself

Abstract

objectivesThe risk of swallowing difficulties increases in older adults due to a combination of factors such as multiple comorbidities and polypharmacy. Swallowing may be further destabilised by the onset of acute illness. At hospital admission, these factors can be identified and combined with a simple screening tool to select patients for additional assessment and intervention. This prospective observational cross-sectional cohort study aimed to screen hospitalised adults age 75 years or older (older than 65 years for Māori and Pasifika) for swallowing risks, regardless of the reason for admission.

methodsA total of 644 participants were screened with the Eating Assessment Tool (EAT-10) self-report questionnaire from August 2021 to December 2023. Clinical teams were instructed to use the EAT-10 to guide management. Clinical outcomes were monitored for 30 days postdischarge, and the relationship between EAT-10 scores and subsequent clinical management was explored.

resultsAge and ethnicity were not correlated with increased EAT-10 (p > .05), but the number of comorbidities (p < .001) and regular medications on admission were correlated with a higher EAT-10 score (p < .001). Despite the screening process, there were associations between elevated EAT-10 scores and readmission (p < .001), pneumonia (p < .001) and mortality (p < .01).

conclusionsThese results suggest that screening for swallowing difficulties in at-risk older patients is valuable and allows teams to take action to prevent adverse clinical outcomes. Further investigation is required to clarify the timing for screening and to explore optimal clinical pathways for those identified at risk.

Indexed as

DeglutitionDeglutition DisordersGeriatric AssessmentMass ScreeningPatient AdmissionAgedAged, 80 and overAge FactorsComorbidityCross-Sectional StudiesFemaleHumansMaleNew ZealandPredictive Value of TestsProspective Studiesageingdysphagiaemergency departmentscreening

Identifiers

PMID40956144
PMCPMC12439623

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.