ArticleCureus2026
Prediction of Total Oral Intake by Videoendoscopic Evaluation in Patients With Acute Stroke.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
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
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPost-stroke dysphagia is common and is linked to adverse clinical outcomes. The Hyodo-Komagane (H-K) score is an endoscopic index of dysphagia severity used during flexible endoscopic evaluation of swallowing (FEES) in Japan. However, its value for predicting oral intake outcome in acute stroke has not been fully established.
objectiveThis study aimed to investigate whether the H-K score assessed during acute stroke is associated with oral diet (OD) at discharge after rehabilitation.
methodsWe retrospectively reviewed 137 patients with acute stroke who underwent FEES between September 2018 and March 2020 at the Hirosaki Stroke and Rehabilitation Center in Hirosaki, Japan. According to oral intake status at discharge, patients were assigned to either an OD group or a tube feeding (TF) group. Multivariable logistic regression was performed to identify factors independently associated with OD at discharge. Predictive ability was also evaluated using receiver operating characteristic analysis for age, National Institutes of Health Stroke Scale (NIHSS) score at admission, and H-K score.
resultsOf the 137 patients, 107 were classified into the OD group and 30 into the TF group. The OD group was younger and showed lower NIHSS and H-K scores than the TF group. In the multivariable analysis, age (odds ratio (OR), 0.94; 95% confidence interval (CI), 0.88-0.99; p = 0.02), NIHSS score at admission (OR, 0.93; 95% CI, 0.88-0.99; p = 0.02), and H-K score (OR, 0.56; 95% CI, 0.41-0.74; p < 0.0001) were independently associated with OD at discharge. The area under the curve was 0.655 for age, 0.666 for NIHSS score, and 0.810 for H-K score. The optimal cutoff value for the H-K score was 5, with 0.64 sensitivity and 0.84 specificity. A model combining age and H-K score showed an area under the curve of 0.835.
conclusionsIn patients with acute stroke and dysphagia who underwent FEES, the H-K score was associated with OD at discharge and showed the best predictive performance among the evaluated variables. Adding age provided only a small incremental improvement. The H-K score may be a useful bedside parameter for estimating OD outcome in acute stroke.
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.