Int J Lang Commun Disord September 2018 PMID 29845700

Cough response to aspiration in thin and thick fluids during FEES in hospitalized inpatients.

Anna Miles, Mary McFarlane, Samantha Scott, Alexandra Hunting

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Mentions

81
Peak: 58 in Sep 2020
across 3 sources since Jun 2019

Extended reach

82,591
potential audience

Total likes

285

Video views

6,360

Mentions per month

Jun 2019 – Jan 2025

Where it's discussed

  • X / Twitter75 posts
  • YouTube3 videos
  • Facebook3 posts

AI synopsis

What people are saying

The discussions emphasize the significance of the article by describing it as a 'game-changer' and referencing its findings that thick fluids lead to more silent aspiration, which influences clinical decisions. The tone and choice of words, like 'instrumental assessment is key,' show strong engagement with the topic's practical implications and a shared interest in improving patient care based on this research.

AgreementStrong agreement

Most discussions agree that the study highlights the importance of re-evaluating the routine use of thickened fluids, with some explicitly calling it a 'game-changer'.

InterestHigh interest

Discussions indicate high interest, with mentions of clinical practice modifications and questions about applying findings.

EngagementHigh engagement

Posts reflect deep engagement by referencing specific research results, clinical implications, and inviting dialogue among professionals.

ImpactHigh impact

The discussions underscore the potential to significantly influence clinical guidelines and decision-making in dysphagia management.

Abstract in brief

  • A significant relationship was observed between cough response and fluid characteristics, with thicker fluids and larger volumes associated with decreased cough response and increased silent aspiration, especially at 5 ml volumes.
  • Results showed variability among patients, with some coughing when aspirating thin fluids but not thick fluids, indicating that cough response to aspiration is inconsistent and influenced by both the viscosity and volume of the fluid.]

Top posts

Most liked on X and Bluesky
@DrJackieMcRae
@drjackiem · X

This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 142 likes · 59 shares · 4,384 followers View post →
Elly Sampson
@elly_sampson · X

58/#365papers This study found a higher prevalence of silent aspiration for thick fluids than thin fluids, & that some pts aspirate on thick fluids but not thin fluids. Adds to the evidence for thickened fluids not being recommended without objective ax! https://t.co/D7BSjU3Lzn

Sep 24, 2020 · 24 likes · 5 shares · 775 followers View post →
Sarah Banfield
@sarahbanfield · X

Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VFS as a a result of this research by Dr Anna Miles @AucklandUni please share @WSH_SALT @RCSLT https://t.co/R6suTxdxHd.

May 23, 2022 · 7 likes · 6 shares · 195 followers View post →
Lauren Smallwood
@SLT_LaurenS · X

@laura_mellor6 The cough response to thickener? The most recent one I’ve reviewed is Miles et al 2018: https://t.co/0wv5UQGu9m

Jun 10, 2020 · 2 likes · 2,338 followers View post →
Ruvistay Gutiérrez
@ruvistay · X

@GSalgadoMa Cough response to aspiration in thin and thick fluids during FEES in hospitalized inpatients https://t.co/nBhpeuZjw2

Sep 24, 2020 · 1 like · 217 followers View post →
Joanne Ellis
@_joanne_ellis · X

Cough response to aspiration varies across bolus volume and consistencies https://t.co/mHMoC8I7G4

Sep 24, 2020 · 1 like · 48 followers View post →

All mentions

Gylda Nunn
@GyldaNunn · X

RT @sarahbanfield: Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VF…

May 26, 2022 · 6 shares · 499 followers View post →
Emily
@ekmslt · X

RT @sarahbanfield: Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VF…

May 24, 2022 · 6 shares · 400 followers View post →
Elle McWilliam
@slt_elle · X

RT @sarahbanfield: Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VF…

May 24, 2022 · 6 shares · 433 followers View post →
Lisa Anemaat
@AnemaatLisa · X

RT @sarahbanfield: Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VF…

May 23, 2022 · 6 shares · 159 followers View post →
Ines Jobin
@ines_slt · X

RT @sarahbanfield: Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VF…

May 23, 2022 · 6 shares · 298 followers View post →
Jessica (Jess) Campbell
@jesshayc · X

RT @sarahbanfield: Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VF…

May 23, 2022 · 6 shares · 964 followers View post →
Sarah Banfield
@sarahbanfield · X

Has anyone modified their use of thickened fluids at bedside without instrumental ax or increased access to #FEES or #VFS as a a result of this research by Dr Anna Miles @AucklandUni please share @WSH_SALT @RCSLT https://t.co/R6suTxdxHd.

May 23, 2022 · 7 likes · 6 shares · 195 followers View post →
IdahoSHA
@ISHA_Idaho · X

Calling all ISHA (Idaho Speech-Language-Hearing Association) members: Join us on March 23rd, 2022 (7-8 PM) to discuss - “Cough response to aspiration in thin and thick fluids during FEES in hospitalized inpatients.” #idahoslp #idahosha #idahospeechtherapist #medicalslps https://t.co/EYLJopQysP

Mar 15, 2022 View post →
Aidan Osborne
@aidanosborneslp · X

Great paper from Miles, Scott, & Hunting (2018) which found greater rates of silent aspiration with thick vs thin liquids, 4% of patients who aspirated thick liquids w/o thin aspiration, and ... (1/2) https://t.co/wApkiffSUX

Jul 10, 2021 · 1 like · 38 followers View post →
Lauren Smallwood
@SLT_LaurenS · X

@oliviatheSLT And this just as an interesting piece: https://t.co/0wv5UQGu9m

Apr 8, 2021 · 2,338 followers View post →
Speech and Language Therapy BTH
@SLT_BTH · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Oct 15, 2020 · 59 shares · 570 followers View post →
Abbie Camps
@CampsAbbie · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Oct 8, 2020 · 59 shares · 124 followers View post →
Sacha England
@SachaEnglandSLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Oct 7, 2020 · 59 shares · 67 followers View post →
Jacquie Mansfield
@JMansfie_SLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Oct 1, 2020 · 59 shares · 88 followers View post →
Alison Keys
@alisonkeysAHP · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 30, 2020 · 59 shares · 334 followers View post →
jenny
@jennyhides · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 28, 2020 · 59 shares · 64 followers View post →
Tor Spence SLT
@voicefituk · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 26, 2020 · 59 shares · 801 followers View post →
DysphagiaKitchen
@DysphagiaKitchn · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 26, 2020 · 59 shares · 687 followers View post →
Dr Margaret Coffey
@mmcoffeystamp · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 26, 2020 · 59 shares · 3,062 followers View post →
Sarah Edney
@sarahkedney · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 26, 2020 · 59 shares · 1,481 followers View post →
Lee Hughes
@leehughes40 · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 26, 2020 · 59 shares · 833 followers View post →
Harriet Honess
@HarrietHoness · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 26, 2020 · 59 shares · 180 followers View post →
Sinead Stringwell
@sfstringwell · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 26, 2020 · 59 shares · 303 followers View post →
PAH ITU/HDU
@PAH_CriticalCar · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 25, 2020 · 59 shares · 174 followers View post →
Eat, Speak, & Think
@EatSpeakThink · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 25, 2020 · 59 shares · 585 followers View post →
Laura Murray
@LauraAMurraySLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 25, 2020 · 59 shares · 206 followers View post →
tracey murray
@traceym99773251 · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 25, 2020 · 59 shares · 62 followers View post →
Abby Clay (née Gibson)
@abbyclayslt · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 25, 2020 · 59 shares · 321 followers View post →
Anna Caute
@annacaute · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 25, 2020 · 59 shares · 1,181 followers View post →
Dr Mari Viviers
@viviers_mari · X

RT @elly_sampson: 58/#365papers This study found a higher prevalence of silent aspiration for thick fluids than thin fluids, & that some pt…

Sep 25, 2020 · 5 shares · 1,212 followers View post →
Rachel Fullam
@RachelFullam · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 216 followers View post →
Katy Wilson
@KatyWilsonSLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 386 followers View post →
jalfrezi
@jalfrezijamie · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 215 followers View post →
Anna-Liisa Sutt CPSP PhD
@MsAnnaLiisaSutt · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 1,295 followers View post →
Carolyn Greer
@CarolynGreer20 · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 179 followers View post →
MK
@MandieOslund · X

RT @elly_sampson: 58/#365papers This study found a higher prevalence of silent aspiration for thick fluids than thin fluids, & that some pt…

Sep 24, 2020 · 5 shares · 60 followers View post →
Elly Sampson
@elly_sampson · X

58/#365papers This study found a higher prevalence of silent aspiration for thick fluids than thin fluids, & that some pts aspirate on thick fluids but not thin fluids. Adds to the evidence for thickened fluids not being recommended without objective ax! https://t.co/D7BSjU3Lzn

Sep 24, 2020 · 24 likes · 5 shares · 775 followers View post →
Flora Wisdom
@WisdomFlora · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 251 followers View post →
IJLCD
@ijlcd · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 6,312 followers View post →
Adult ID SIG
@AdultIDSIG · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 378 followers View post →
Ann McQ
@AnnPhysio · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 453 followers View post →
Jessica (Jess) Campbell
@jesshayc · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 964 followers View post →
Amy Pundole SLT
@APundole · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 438 followers View post →
Georgina Mackey SLT
@GMackeySLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 34 followers View post →
Joanne Ellis
@_joanne_ellis · X

Cough response to aspiration varies across bolus volume and consistencies https://t.co/mHMoC8I7G4

Sep 24, 2020 · 1 like · 48 followers View post →
Helen M-Poole
@moores_poole · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 1,034 followers View post →
Dr Pippa Hales
@Pippahales · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 1,015 followers View post →
Daisy
@TearneyC · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 805 followers View post →
HabibHeshmati
@HabibHeshmatiBU · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 64 followers View post →
Louise (she/her)
@SLTLoulou · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 1,986 followers View post →
SLT Dementia Network
@DementiaSLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 641 followers View post →
Michelle Treacy
@michelletreacy1 · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 291 followers View post →
Ruvistay Gutiérrez
@ruvistay · X

@GSalgadoMa Cough response to aspiration in thin and thick fluids during FEES in hospitalized inpatients https://t.co/nBhpeuZjw2

Sep 24, 2020 · 1 like · 217 followers View post →
Brenda Carty
@BrendaMcConvil8 · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 586 followers View post →
laura jenions
@mrsbungy · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 503 followers View post →
Eve Ferguson
@slt_eve · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 305 followers View post →
Ruth
@Miller00Ruth · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 121 followers View post →
Fiona Yung
@DrFYung · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 941 followers View post →
Emily SLT (she/her)
@EmilySLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 1,218 followers View post →
Savannah Senior
@savseniorSLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 268 followers View post →
East Mids RCSLT Hub
@RCSLTeastmidhub · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 878 followers View post →
Emma Lewis
@EmmaLSLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 359 followers View post →
Leo Morgan
@LeoRMorgan · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 252 followers View post →
CELIA HARDING
@CELIAHARDING13 · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 1,043 followers View post →
Nicola Wilks
@NicolaWilksSLT · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 273 followers View post →
Lucy Smith
@lucybr_slt · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 993 followers View post →
UKSRG
@UKSRG2 · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 3,498 followers View post →
David
@traboccant · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 226 followers View post →
Katie Monnelly
@KatieMonnelly · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 3,124 followers View post →
Helen Maclean
@helenjmaclean · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 205 followers View post →
Hopkins ICU Rehab
@icurehab · X

RT @drjackiem: This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 59 shares · 12,003 followers View post →
@DrJackieMcRae
@drjackiem · X

This paper is a game-changer to stop routine use of thickened fluids when cough is absent. Instrumental assessment is key!

Sep 24, 2020 · 142 likes · 59 shares · 4,384 followers View post →
Lauren Smallwood
@SLT_LaurenS · X

@laura_mellor6 The cough response to thickener? The most recent one I’ve reviewed is Miles et al 2018: https://t.co/0wv5UQGu9m

Jun 10, 2020 · 2 likes · 2,338 followers View post →
XULA Alumna CCC-SLP
@XULASLP07 · X

#slp #dysphagia thoughts: This study found a higher prevalence of silent #aspiration with thick liquids than thin. Miles A, et al. Int J Lang Commun Disord. 2018 Sep;53(5):909-918. doi: 10.1111/1460-6984.12401

Feb 29, 2020 · 132 followers View post →
BrainInjPapers
@BrainInj_Papers · X

Cough response to aspiration in thin and thick fluids during FEES in hospitalized inpatients. https://t.co/FLpoTy7DIb

Jun 14, 2019 · 26 followers View post →