{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:33:02Z","timestamp":1777523582757,"version":"3.51.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T00:00:00Z","timestamp":1604102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>An 86-year-old female presented to the Emergency Department (ED) in respiratory distress after choking on a sandwich at home. Her family had noticed that she had had difficulty during and coughing after swallowing for several months. Her initial chest x-ray showed diffuse alveolar infiltrates in both lungs and blood tests showed normal white cells and C-Reactive Protein (CRP). She was started on intravenous antibiotics for presumed aspiration pneumonia and received 15\u00a0L of oxygen. However, the infiltration had dramatically improved, both radiologically and clinically, within 24\u00a0hours. She was diagnosed with negative pressure pulmonary oedema (NPPE) type 1 and made a rapid recovery. The Speech and Language Team diagnosed an impaired swallow and advised soft or bite-sized suitable foods. We discussed the ongoing risk of aspiration and long-term feeding options with the patient\u2019s family. We agreed on a conservative plan for \u2018risk feeding\u2019, given her frailty and co-morbidities, and began discussions on ceilings of care. This case aims to raise awareness of NPPE so that it can be diagnosed, investigated and treated promptly. Although seen most commonly by intensivists and anaesthetists, it is relevant to those on the acute medical take and geriatricians managing patients with swallowing difficulties.<\/jats:p>","DOI":"10.1093\/ageing\/afaa217","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T19:13:08Z","timestamp":1600888388000},"page":"592-594","source":"Crossref","is-referenced-by-count":3,"title":["Choking as a cause of negative pressure pulmonary oedema (NPPE) in an older adult"],"prefix":"10.1093","volume":"50","author":[{"given":"Bradley","family":"Lonergan","sequence":"first","affiliation":[{"name":"Department of Geriatrics, West Middlesex University Hospital NHS Trust, West Middlesex Hospital, London SW10 9NH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cerys","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, West Middlesex University Hospital NHS Trust, West Middlesex Hospital, London SW10 9NH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasser","family":"Al-Raweshidy","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, West Middlesex University Hospital NHS Trust, West Middlesex Hospital, London SW10 9NH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravneeta","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, West Middlesex University Hospital NHS Trust, West Middlesex Hospital, London SW10 9NH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,31]]},"reference":[{"key":"2021031314593449200_ref1","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1177\/0884533609332005","article-title":"Senescent swallowing: impact, strategies and interventions","volume":"24","author":"Ney","year":"2009","journal-title":"Nutr Clin Pract"},{"key":"2021031314593449200_ref2","first-page":"159","article-title":"Obstructions of the upper airway in children as reflected on the chest radiograph","volume":"107","author":"Capitanio","year":"1973","journal-title":"Pediatr Radiol"},{"key":"2021031314593449200_ref3","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/j.chest.2016.03.043","article-title":"Negative-pressure pulmonary edema","volume":"150","author":"Bhattacharya","year":"2016","journal-title":"Chest"},{"key":"2021031314593449200_ref4","first-page":"429","article-title":"Rapid onset acute epiglottitis leading to negative pressure pulmonary edema","volume":"51","author":"Saraswat","year":"2007","journal-title":"Indian J Anaethesia"},{"key":"2021031314593449200_ref5","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1177\/014107680209500809","article-title":"Pulmonary oedema induced by a piece of chicken","volume":"95","author":"Ranta","year":"2002","journal-title":"J R Soc Med"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ageing\/article-pdf\/50\/2\/592\/36533124\/afaa217.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ageing\/article-pdf\/50\/2\/592\/36533124\/afaa217.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,13]],"date-time":"2021-03-13T14:59:42Z","timestamp":1615647582000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/50\/2\/592\/5946162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,31]]},"references-count":5,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,10,31]]},"published-print":{"date-parts":[[2021,2,26]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afaa217","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,3]]},"published":{"date-parts":[[2020,10,31]]}}}