{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:27:49Z","timestamp":1790353669744,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T00:00:00Z","timestamp":1754179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with hemorrhagic stroke often have dysphagia and delayed oral feeding after extubation. Fewer than 33% of intensive care units (ICUs) implement swallow screens, with limited evidence\u2010based early oral feeding protocols. We evaluated a nurse\u2010administered \u201cswallow screen and education\u201d (SSE) program on oral feeding status, pneumonia incidence, and weight trajectory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pre\u2010post intervention study with matched historical controls was conducted in a neurosurgical ICU. Twenty\u2010eight consecutive patients with hemorrhagic stroke (aged \u226520 years) received the SSE program 24\u2010h after extubation. Twenty\u2010eight matched controls received the usual care. Outcomes included 24\u2010h and 7\u2010day nothing by mouth (NBM) rates, 30\u2010day pneumonia incidence, and 4\u2010week weight trajectory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The SSE group showed lower 24\u2010h NBM rates vs controls (42.86% vs 78.57%; odds ratio [OR]\u2009=\u20090.21; 95% CI, 0.063\u20130.661;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.006). By day 7, differences persisted but were not statistically significant (28.57% vs 38.46%). The SSE group exhibited lower pneumonia incidence (3.57% vs 17.86%). After adjusting for confounders, SSE independently predicted reduced pneumonia risk (adjusted OR\u2009=\u20090.029; 95% CI, 0.001\u20130.708;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.030). Weight decreased significantly in both groups (week 3: \u22122.681\u2009kg,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001; week 4: \u22122.965\u2009kg,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our preliminary findings suggest that the SSE program was associated with lower 24\u2010h NBM rates after extubation and reduced pneumonia risk without affecting weight trajectories in this small hemorrhagic stroke cohort. This pragmatic intervention demonstrates potential clinical utility and scalability in neurosurgical ICUs. Future research should include larger randomized controlled trials with instrumental swallowing assessments while addressing weight loss in this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.70001","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T03:59:30Z","timestamp":1754279970000},"page":"278-290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Swallow screen and education in patients following endotracheal extubation: A pre\u2010 and postintervention study"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0521-5305","authenticated-orcid":false,"given":"Shih\u2010Yi","family":"Lai","sequence":"first","affiliation":[{"name":"School of Nursing National Taiwan University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Chan","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nursing Asia University Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang\u2010Hsin","family":"Shih","sequence":"additional","affiliation":[{"name":"Taipei Medical University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiao\u2010Chi","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Long\u2010term Care Asia University Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5010-1473","authenticated-orcid":false,"given":"Yu\u2010Chun","family":"Chang","sequence":"additional","affiliation":[{"name":"School of Nursing National Taiwan University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl Chia\u2010Hui","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing National Taiwan University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001440"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2020.05.008"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.51893\/2022.4.OA5"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2023.07.041"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.1024531"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2023.154447"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11162283"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-021-10389-y"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-018-5181-1"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-018-9926-3"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-019-09977-w"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2024.1380287"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2022.12.021"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2024.07.081"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-023-02072-6"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000005004"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2001.01760.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50270.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.55.9.822"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00714599"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-002-0095-y"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-003-0030-x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2023.2221408"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2019.11.042"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-019-1314-6"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10602"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42466-021-00122-3"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/23969873211039721"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40141-014-0061-2"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9758-y"},{"issue":"4","key":"e_1_2_9_32_1","first-page":"208","article-title":"Weaning patients with dysphagia from tube feeding to oral nutrition: a proposed algorithm","volume":"59","author":"Buchholz AC","year":"1998","journal-title":"Can J Diet Pract Res"},{"issue":"1","key":"e_1_2_9_33_1","first-page":"7","article-title":"A comparison of APACHE II and APACHE IV scoring systems in predicting outcome in patients admitted with stroke to an intensive care unit","volume":"15","author":"Ayazoglu T","year":"2011","journal-title":"Anaesth Pain Intensive Care"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.01097"},{"key":"e_1_2_9_35_1","volume-title":"IBM SPSS Statistics for Windows. Version 25.0","year":"2017"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1159\/000540301"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.05.007"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.2267"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-018-9927-2"},{"key":"e_1_2_9_40_1","unstructured":"Cleveland Clinic. Aspiration pneumonia. Updated December 6 2024. Accessed May 20 2025.https:\/\/my.clevelandclinic.org\/health\/diseases\/21954-aspiration-pneumonia"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1044\/2015_AJSLP-14-0069"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.605687"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41983-021-00281-9"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2023.107295"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ncp.70001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T19:46:37Z","timestamp":1767815197000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ncp.70001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,3]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ncp.70001"],"URL":"https:\/\/doi.org\/10.1002\/ncp.70001","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,3]]},"assertion":[{"value":"2024-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}