Evidence map›Paper›PMID 42903223›Full record

Observational studyFrontiers in neurology2026

Specific interventions as part of a quality improvement collaborative enhance care for ischemic stroke patients.

Charlotte Lens, Ellen Coeckelberghs, Deborah Seys, Kris Vanhaecht, Kim Bekelaar, Roel Blondia, Tom Bogaert, Laura Boutens, Joke Caudron, Romina Demontis and 19 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Frontiers in neurology, 2026. 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

29 authors.

Charlotte LensDepartment of Public Health, Leuven Institute for Healthcare Policy, KU Leuven-University of Leuven, Leuven, Belgium.
Ellen CoeckelberghsDepartment of Public Health, Leuven Institute for Healthcare Policy, KU Leuven-University of Leuven, Leuven, Belgium.
Deborah SeysDepartment of Public Health, Leuven Institute for Healthcare Policy, KU Leuven-University of Leuven, Leuven, Belgium.
Kris VanhaechtDepartment of Public Health, Leuven Institute for Healthcare Policy, KU Leuven-University of Leuven, Leuven, Belgium.
Kim BekelaarDepartment of Neurology, Ziekenhuis Oost Limburg, Genk, Belgium.
Roel BlondiaDepartment of Neurology, AZ Alma, Eeklo, Belgium.
Tom BogaertDepartment of IT and Care, Jan Yperman Hospital, Ypres, Belgium.
Laura BoutensDepartment of Quality Management, AZ Glorieux, Ronse, Belgium.
Joke CaudronDepartment of Neurology, AZ Sint Blasius, Dendermonde, Belgium.
Romina DemontisDepartment of Neurology, Jessa Hospital, Hasselt, Belgium.
Sylvie De RaedtDepartment of Neurology, University Hospital Brussel (UZ Brussel), Brussels, Belgium.
Laurens DobbelsDepartment of Neurology, Imelda Hospital, Bonheiden, Belgium.
Anneke GovaertsDepartment of Neurology, RZ Heilig Hart, Tienen, Belgium.
Dimitri HemelsoetDepartment of Neurology, Ghent University Hospital, Ghent, Belgium.
Marijke HuskensDepartment of Neurology, AZ Maria Middelares, Ghent, Belgium.
Petra OlislaegersDepartment of Nursing and Paramedics, AZ Sint Maarten, Mechelen, Belgium.
Jean Francois PomaDepartment of Neurology, Kliniek Sint Jan, Brussels, Belgium.
Leen SinnaeveDepartment of Neurology, AZ Sint-Lucas, Bruges, Belgium.
Charlotte SwinnenDepartment of Neurology, AZ Mol, Mol, Belgium.
Annelies TerwecorenDepartment of Neurology, AZ Oostend, Ostend, Belgium.
Peter VanackerDepartment of Neurology, AZ Groeninge, Kortrijk, Belgium.
Noa VandevenneDepartment of Quality Management, Sint-Franciscus Ziekenhuis, Heusden-Zolder, Belgium.
Wendy Van DaeleDepartment of Neurology, ZAS Middelheim, Antwerp, Belgium.
Jens Van ElsuëDepartment of Nursing and Paramedics, AZ Sint Elisabeth, Zottegem, Belgium.
Jan VynckierDepartment of Neurology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium.
Laetitia YperzeeleNeurovascular Center and Stroke Unit, Department of Neurology, Antwerp University Hospital, Antwerp (Edegem), Belgium.
Jelle DemeestereDepartment of Neurosciences, Experimental Neurology, KU Leuven-University of Leuven, Leuven, Belgium.
Caroline WeltensDepartment of Radiation Oncology, University Hospitals Leuven, Leuven, Belgium.
Robin LemmensDepartment of Neurosciences, Experimental Neurology, KU Leuven-University of Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Adherence to guidelines for stroke care varies, despite evidence that managing fever, glycemia (sugar), and conducting swallowing screening (FeSS) reduces mortality and disability. We established a quality improvement collaborative to improve care processes for ischemic stroke, with a focus on these three recommendations. We then added two additional care process activities: screening for activities of daily living (ADL) and depression, collectively defined as FeSS Methods: In this multicenter intervention study ( Results: Data were collected from 580 patients during MP1 and 588 patients during MP2. E-learning tools were delivered to teams at 18 hospitals (75%). Adherence improved for temperature measurement (18 to 25%, Discussion: We observed improvements in measuring temperature and swallowing screening after receiving feedback. The dissemination of the e-learning tool was associated with increased adherence to glycemic measurement, swallowing screening, and depression screening, underscoring the role of specific interventions. However, overall adherence remained low, highlighting the need for continued quality improvement.

Indexed as

Guideline AdherenceIschemic StrokeQuality ImprovementActivities of Daily LivingAdherence InterventionsAgedAged, 80 and overDepressionFemaleHumansMaleMiddle AgedRetrospective Studiesadherencecare pathwaysguidelinesischemic strokequality improvement collaborative

Identifiers

PMID42903223
PMCPMC13680235

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.