Evidence map›Paper›PMID 39587615›Full record

ArticleTrials2024

Care bundles to improve enteral nutrition management in stroke patients: study protocol for a stepped wedge cluster randomised trial.

Cong Wang, Shanshan Liu, Shiqi Jia, Cai Yan, Xue Zhang, Yuan Liu, Liang Du, Yan Jiang

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Cong WangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Shanshan LiuEvidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China.
Shiqi JiaDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Cai YanEvidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China.
Xue ZhangSchool of Nursing, Sichuan University, Chengdu, China.
Yuan LiuSchool of Nursing, Sichuan University, Chengdu, China.
Liang DuChinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China.
Yan JiangEvidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China. hxhljy2018@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnteral nutrition for stroke patients in China presents major shortcomings. This aspect of care involves multiple components, and poor implementation of any one of them may affect the patients' enteral nutrition. Most current studies only confirm the effectiveness of the application of single interventions and lack any scientific evaluation of the overall ensemble of enteral nutrition interventions in stroke patients. This study focuses on evaluating the overall effectiveness of a care bundles for the management of enteral nutrition in stroke patients by targeting multiple simultaneous interventions.

methodsThis study is to be conducted over 10 periods in the stroke patient wards of eight hospitals across China. As the trial progresses, each hospital begins by receiving the control group care and then shifts to the intervention group care. The point at which each hospital shifts care is randomised. During this time, the control group implements its usual care, while the intervention group implements an evidence-based care bundles for enteral nutrition management in stroke patients. The primary indicator in this study is feeding intolerance; indicators for the evaluation of nutritional status, gastrointestinal complications, and disease prognosis are also included. DISCUSSION: We anticipate that the care bundles developed by pooling this evidence will be manifestly more beneficial than harmful and will be worthy of replication. Hence, we chose a stepped wedge cluster randomised trial to validate the application of these interventions. This study will provide experience and reference on how to promote the clinical translation of evidence-based evidence and standardise enteral nutrition care management in stroke patients.

trial registrationChiCTR2300067930. Registered on January 31, 2023.

Indexed as

Enteral NutritionMulticenter Studies as TopicPatient Care BundlesRandomized Controlled Trials as TopicStrokeChinaHumansNutritional StatusTreatment OutcomeEnteral nutritionFeeding intolerancePatient care bundlesStepped wedge cluster randomised trialStroke

Identifiers

PMID39587615
PMCPMC11587749

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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.