Evidence map›Paper›PMID 39185102›Full record

ArticleNeurology. Clinical practice2024

Quality Improvement Initiative Using Predictive Swallowing Score to Guide Nutritional Support for Patients With Post-Stroke Dysphagia.

Amr Jijakli, Katelyn Skeels, Devin Zebelean, Krista Swanson, Ashley LaChance, Brigid Dwyer, Ariel Savitz, Emiliya Melkumova, Lester Y Leung

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2024. 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

9 authors.

Amr JijakliDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0000-0002-3927-9091
Katelyn SkeelsDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0009-0000-4952-0726
Devin ZebeleanDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0009-0005-8735-6687
Krista SwansonDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.
Ashley LaChanceDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0009-0005-6551-8315
Brigid DwyerDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0000-0002-6446-8054
Ariel SavitzDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0009-0002-6425-0204
Emiliya MelkumovaDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0009-0008-7429-6525
Lester Y LeungDivision of Stroke and Cerebrovascular Diseases (AJ, K. Skeels, DZ, AL, EM, LYL), Department of Neurology; Department of Speech Language Pathology (K. Swanson), Tufts Medical Center; Department of Neurology (BD), Boston Medical Center, MA; Department of Rehabilitation Medicine (AS), Tufts Medical Center, Boston; and Encompass Health Rehabilitation Hospitals (BD, AS), MA.ORCID https://orcid.org/0000-0002-5027-7740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Decisions on enteral nutrition for patients with dysphagia after acute ischemic stroke (AIS) are often not evidence based. We sought to determine whether development of a nutritional support algorithm leveraging the Predictive Swallowing Score (PRESS) could improve process times without placement of unnecessary gastrostomies. Methods: This is a quality improvement study conducted at an academic medical center comparing a 6-month cohort of adults with AIS and dysphagia prepathway (PRE, July 1, 2019-December 31, 2019) and a 6-month cohort postpathway (POST, January 1, 2020-June 30, 2020). Gastrostomy recommendation, time to gastrostomy decision (TTD), discharge with gastrostomy, discharge with a nasogastric tube (NGT), and length of stay (LOS) were compared between groups. Results: Among 121 patients with AIS and dysphagia, 58 (48%) were hospitalized prealgorithm and 63 (52%) postalgorithm. PRE TTD was longer than POST TTD (4.5 vs 1.5 days, Discussion: Development of a structured nutritional support algorithm incorporating PRESS may help facilitate sooner gastrostomy placement without increasing gastrostomy placement frequency and encourage more discharges to inpatient rehabilitation facilities with NGTs.

Identifiers

PMID39185102
PMCPMC11341003

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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.