Evidence map›Paper›PMID 42268847›Full record

ArticlePloS one2026

Enhanced collaboration of physicians and speech-language therapists promotes early oral intake in older adults with aspiration pneumonia: A retrospective cohort study.

Akinori Tawaraya, Atsushi Keyaki

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Akinori TawarayaCenter for Rehabilitation, Takatsuki General Hospital, Takatsuki City, Osaka, Japan.ORCID https://orcid.org/0009-0005-9341-8311
Atsushi KeyakiCenter for Rehabilitation, Takatsuki General Hospital, Takatsuki City, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsEarly swallowing assessment and initiation of oral intake are important in the management of aspiration pneumonia in older adults. However, the factors influencing early initiation of oral intake have not been widely studied. We implemented a system of enhanced collaboration between physicians and speech-language therapists (ECPS) as a structured inter-professional clinical pathway to standardize decision-making and facilitate early oral intake. We hypothesized that ECPS would increase the rate of early oral intake within two days of admission.

methodsThis retrospective cohort study included inpatients aged ≥65 years with aspiration pneumonia (ECPS and control groups). Multivariate logistic regression was used to evaluate the associations of ECPS with early oral intake. Secondary outcomes assessed safety in an exploratory analysis, examining whether early oral intake was associated with disadvantages such as longer duration of antibiotic therapy, recurrence of aspiration pneumonia, decline in swallowing function, need for artificial nutrition, change in residence, or longer hospital stay.

resultsThe ECPS group comprised 160 of the 300 eligible patients. ECPS was associated with increased odds of early oral intake success (OR = 3.85, 95% CI: 2.22-6.70, p < 0.001). Furthermore, delayed swallowing assessment was associated with decreased odds of early oral intake success (OR = 0.69, 95% CI: 0.53-0.90, p < 0.01). In exploratory analysis, early oral intake was not associated with any clear increase in disadvantages.

conclusionStructured collaboration between physicians and swallowing specialists regarding early oral intake could represent a factor worth considering in achieving effective management in older adults with aspiration pneumonia.

Indexed as

PhysiciansPneumonia, AspirationAgedAged, 80 and overDeglutitionDeglutition DisordersFemaleHumansMaleRetrospective Studies

Identifiers

PMID42268847
PMCPMC13252771

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.