ArticleFrontiers in nutrition2026
Association of an evidence-informed nasogastric enteral nutrition nursing pathway with gastrointestinal recovery and nutritional status in neurosurgical critical care: a retrospective quasi-experimental cohort study.
Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Critically ill neurosurgical patients frequently require nasogastric enteral nutrition (EN), yet impaired consciousness, dysphagia, ventilation, and gastrointestinal dysmotility predispose to underfeeding and intolerance. We evaluated whether implementation of an evidence-informed nasogastric EN nursing pathway was associated with improved gastrointestinal recovery and nutritional status in routine neurosurgical critical care. Methods: This single-center retrospective quasi-experimental cohort study reviewed consecutive adults requiring nasogastric EN in a neurosurgical intensive care unit between January 2022 and January 2024. Patients managed before pathway implementation formed the usual-care cohort ( Results: Baseline characteristics were balanced. Compared with usual care, the pathway cohort had shorter time to initial EN tolerance (mean difference, -1.30 days; 95% CI, -1.88 to -0.72), first documented flatus (-1.60 days; 95% CI, -1.88 to -1.32), and first defecation (-1.60 days; 95% CI, -2.04 to -1.16; all Conclusion: The evidence-informed nasogastric EN nursing pathway was associated with faster documented gastrointestinal recovery, higher feeding compliance, fewer intolerance events, and more favorable nutritional biomarker trajectories. Because the design was nonrandomized, findings are associative and warrant prospective multicenter confirmation.
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