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Impact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: a systematic review

Overview of attention for article published in BMC Health Services Research, August 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (97th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Mentioned by

news
2 news outlets
blogs
1 blog
twitter
133 X users
facebook
6 Facebook pages

Citations

dimensions_citation
154 Dimensions

Readers on

mendeley
280 Mendeley
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Title
Impact of oropharyngeal dysphagia on healthcare cost and length of stay in hospital: a systematic review
Published in
BMC Health Services Research, August 2018
DOI 10.1186/s12913-018-3376-3
Pubmed ID
Authors

Stacie Attrill, Sarahlouise White, Joanne Murray, Sue Hammond, Sebastian Doeltgen

Abstract

Healthcare systems internationally are under an ever-increasing demand for services that must be delivered in an efficient, effective and affordable manner. Several patient-related and organisational factors influence health-care expenditure and utilisation, including oropharyngeal dysphagia. Here, we present a systematic review of the literature and meta-analyses investigating how oropharyngeal dysphagia influences healthcare utilisation through length of stay (LOS) and cost. Using a standardised approach, eight databases were systematically searched for relevant articles reporting on oropharyngeal dysphagia attributable inpatient LOS and healthcare costs through June 2016. Study methodologies were critically appraised and where appropriate, extracted LOS data were analysed in an overall summary statistic. Eleven studies reported on cost data, and 23 studies were included reporting on LOS data. Descriptively, the presence of dysphagia added 40.36% to health care costs across studies. Meta-analysis of all-cause admission data from 13 cohort studies revealed an increased LOS of 2.99 days (95% CI, 2.7, 3.3). A subgroup analysis revealed that admission for stroke resulted in higher and more variable LOS of 4.73 days (95% CI, 2.7, 7.2). Presence of dysphagia across all causes was also statistically significantly different regardless of geographical location: Europe (8.42 days; 95% CI, 4.3; 12.5), North America (3.91 days; 95% CI, 3.3, 4.5). No studies included in meta-analysis were conducted in Asia. This systematic review demonstrated that the presence of oropharyngeal dysphagia significantly increases healthcare utilisation and cost, highlighting the need to recognise oropharyngeal dysphagia as an important contributor to pressure on healthcare systems.

X Demographics

X Demographics

The data shown below were collected from the profiles of 133 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 280 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 280 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 40 14%
Other 27 10%
Student > Ph. D. Student 27 10%
Student > Bachelor 21 8%
Researcher 16 6%
Other 48 17%
Unknown 101 36%
Readers by discipline Count As %
Nursing and Health Professions 64 23%
Medicine and Dentistry 55 20%
Engineering 8 3%
Neuroscience 8 3%
Linguistics 6 2%
Other 26 9%
Unknown 113 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 121. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 July 2020.
All research outputs
#345,601
of 25,388,177 outputs
Outputs from BMC Health Services Research
#52
of 8,639 outputs
Outputs of similar age
#7,412
of 341,745 outputs
Outputs of similar age from BMC Health Services Research
#2
of 205 outputs
Altmetric has tracked 25,388,177 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,639 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.2. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 341,745 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 97% of its contemporaries.
We're also able to compare this research output to 205 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.