Cochrane · systematic review · CD012520
Interventions for the uptake of evidence‐based recommendations in acute stroke settings
Lynch, EA, Bulto, LN, Cheng, H, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 1 · 14.3%Low 0 · 0%Moderate 4 · 57.1%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings
Population: health professionals providing care to patients with stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Quality of care: adherence to evidence‐based recommendations during hospital admission | RR 1.73 [0.83, 3.61] | 4 studies · 2144 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Quality of care: proportion of patients with ischaemic stroke who receive thrombolysis (first 24 hours of admission) | RR 1.14 [0.94, 1.37] | 2 studies · 1228 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Quality of care: proportion of patients who receive a swallow screen within 24 hours of admission | RR 6.76 [4.44, 10.76] | 1 study · 1804 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Patient outcome: death, disability or dependency at 90 days | RR 0.93 [0.85, 1.02] | 3 studies · 1228 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Hospital length of stay | no estimate extracted | 1 study · 1804 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Resource use or economic outcomes during hospital stay | no estimate extracted | NR | No studies |
Health professional knowledge at 90 d | no estimate extracted | NR | No studies |