{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:01:25Z","timestamp":1780981285033,"version":"3.54.1"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"In-Hospital Clinical Innovation Project of Jiangjin Center Hospital of Chongqing","award":["2023YJKY011"],"award-info":[{"award-number":["2023YJKY011"]}]},{"name":"Chongqing Municipal Education Commission Scientific Research Project","award":["KJQN202400114"],"award-info":[{"award-number":["KJQN202400114"]}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine whether a SAPIM-based structured clinical nutrition pathway, operationalized in this study as systematic assessment, personalized intervention, and multidisciplinary management, was associated with improved enteral nutrition management and short-term clinical outcomes in patients with intracerebral hemorrhage (ICH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This non-randomized controlled study was conducted in a tertiary hospital in China between January and June 2025. A total of 60 patients with hypertensive intracerebral hemorrhage who required enteral nutrition were included. Patients in the intervention group received care under the SAPIM-based clinical nutrition pathway, while those in the control group received routine nutritional care. The primary outcome was the occurrence of enteral nutrition\u2013related complications during hospitalization. Secondary outcomes included nutritional indicators (NRS-2002, prealbumin, albumin, total protein, and hemoglobin), functional outcomes (ADL, NIHSS, and aspiration risk score), patient satisfaction, and length of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the routine care group, the SAPIM group had a lower rate of enteral nutrition\u2013related complications (30.0% vs. 56.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.037). Patients managed under the SAPIM pathway showed more favorable nutritional and functional trajectories during hospitalization, and their hospital stay was shorter than that of the control group (15.5\u202f\u00b1\u202f4.9 vs. 23.4\u202f\u00b1\u202f8.5\u202fdays,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.0001). In exploratory logistic regression analyses, SAPIM implementation was associated with a lower risk of enteral nutrition\u2013related complications in the unadjusted model and remained consistent in the primary adjusted and BMI-adjusted sensitivity models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The SAPIM-based clinical nutrition pathway was associated with safer and more consistent enteral nutrition management and more favorable short-term clinical profiles in patients with intracerebral hemorrhage. This structured approach may be a practical option for improving nutritional care in neurocritical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1843128","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T04:32:48Z","timestamp":1780979568000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A structured clinical nutrition pathway for enteral nutrition management in patients with intracerebral hemorrhage: a non-randomized controlled study"],"prefix":"10.3389","volume":"13","author":[{"given":"Nian","family":"Liu","sequence":"first","affiliation":[{"name":"Jiangjin Center Hospital of Chongqing","place":["Chongqing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanjiao","family":"Zheng","sequence":"additional","affiliation":[{"name":"Jiangjin Center Hospital of Chongqing","place":["Chongqing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wen","sequence":"additional","affiliation":[{"name":"Jiangjin Center Hospital of Chongqing","place":["Chongqing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1007\/s12028-017-0436-1","article-title":"Malnutrition in stroke patients: risk factors, assessment, and management","volume":"29","author":"Sabbouh","year":"2018","journal-title":"Neurocrit Care"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"167898","DOI":"10.1155\/2011\/167898","article-title":"Malnutrition in patients with acute stroke","volume":"2011","author":"Bouziana","year":"2011","journal-title":"J Nutr Metab"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1016\/j.clnu.2017.09.003","article-title":"ESPEN guideline: clinical 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