Evidence map›Paper›PMID 31893384›Full record

ArticleAging clinical and experimental research2021

Pneumonia prevention in the elderly patients: the other sides.

Najla Chebib, Clémence Cuvelier, Astrid Malézieux-Picard, Thibault Parent, Xavier Roux, Thomas Fassier, Frauke Müller, Virginie Prendki

Erratum issuedOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Aging clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
21.1field-weighted citation impact, top 1% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Fixing geriatric ankle fractures: fibular nail versus locking plate in a prospective multicenter study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Trial
  3. Article
  4. Article
  5. Article
  6. Care of the bedridden patient.Singapore medical journal · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Severe aspiration pneumonia in the elderly.Journal of intensive medicine · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Najla ChebibDivision of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
Clémence CuvelierDivision of Internal Medicine of the Aged, Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.
Astrid Malézieux-PicardDivision of Internal Medicine of the Aged, Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.
Thibault ParentDivision of Internal Medicine of the Aged, Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.
Xavier RouxDivision of Internal Medicine of the Aged, Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.
Thomas FassierDivision of Internal Medicine of the Aged, Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.
Frauke MüllerDivision of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
Virginie PrendkiDivision of Internal Medicine of the Aged, Department of Internal Medicine, Rehabilitation and Geriatrics, Geneva University Hospitals, University of Geneva, Geneva, Switzerland. virginie.prendki@hcuge.ch.
University of Geneva · CH

Funding

Ligue Pulmonaire Genevoise a non-profit association involved in the care of patients with respiratory diseasesResearch & Development Grant HUGResearch & Development Grant Medical DirectorateResearch Fund of the Department of Internal Medicine the Faculty of Medicine of GenevaResearch Fund of the Department of Internal Medicine University Hospital
6 · The paper itself

Abstract

Pneumonia is one of the leading causes of morbidity and mortality from infection in elderly patients. The increased frequency of pneumonia among elderly subjects can be explained by the physiological changes linked to the progressive aging of the respiratory tree and the diminished immunological response. A spiral of event leads to frailty, infection and possible death; preventing pneumonia consists of controlling the risk factors. Dysphagia, which is associated with malnutrition and dehydration, is recognized as one of the major pathophysiological mechanism leading to pneumonia and its screening is crucial for the pneumonia risk assessment. The impairment in the oropharyngeal reflexes results in stagnation of foreign material in the lateral cavities of the pharynx which may then get aspirated repeatedly in the lungs and cause pneumonia. Pneumonia prevention starts with lifestyle modifications such as alcohol and tobacco cessation. A careful review of the risk-benefit of the prescribed medication is critical and adaptation may be required in elders with multiple morbidities. Respiratory physiotherapy and mobilization improve the functional status and hence may help reduce the risk of pneumonia. Maintaining teeth and masticatory efficiency is important if malnutrition and its consequences are to be avoided. Daily oral hygiene and regular professional removal of oral biofilm can prevent the onset of periodontitis and can avoid an oral environment favoring the colonization of respiratory pathogens than can then be aspirated into the lungs.

Indexed as

Deglutition DisordersPneumoniaAgedAgingHumansRisk FactorsAged over 80DysphagiaNutritionOral hygienePneumoniaPrevention

Identifiers

PMID31893384
OpenAlexW2997372842

What Socratic holds

Textmetadata
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 Socratic graph.