ArticleStroke research and treatment2026
The Codesign, Development and Implementation of an Indian Poststroke Swallow and Hydration Care Bundle: A Feasibility Study.
Article in Stroke research and treatment, 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: Stroke is increasing in low- and middle-income countries. Stroke unit care, including evidence-based practice such as swallowing and hydration protocols, is associated with reduced disability and mortality. Objectives: The aim of this study is to codesign a swallowing and hydration care bundle for nurses to use with acute stroke patients, and to implement and evaluate the bundle on three acute stroke units across India. Methods: A multicentre, preimplementation and postimplementation feasibility study was conducted. We codesigned a care bundle (with stakeholders) which included the Global Evaluation of Swallowing and hydration screening and related actions/management. Implementation used clinical champions, education and training, barrier and enabler identification and site support. Participants included consecutively admitted patients, aged ≥ 18 years, with a clinical diagnosis of acute stroke and a persistent neurological deficit on presentation, who were admitted to a study site within 2 weeks of stroke onset. Results: Fifty-three healthcare staff completed the care bundle training. We recruited 183 participants, preimplementation group ( Conclusion: Care bundle implementation was feasible and improved swallowing and hydration management in three sites in India.
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