scholarly journals Scoping review protocol: effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months after discharge

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e032615
Author(s):  
Kari Ingstad ◽  
Lisbeth Uhrenfeldt ◽  
Ingjerd Gåre Kymre ◽  
Conni Skrubbeltrang ◽  
Preben Ulrich Pedersen
Keyword(s):  
Scoping Review ◽  
Transitional Care ◽  
Meta Analysis ◽  
Relevant Literature ◽  
Loss Of Function ◽  
Nutritional Care ◽  
Care Plans ◽  
Materials Research ◽  
Medical Librarian ◽  
Review Protocol

IntroductionMore than 20% of patients are malnourished after hospitalisation. Malnutrition may negatively impact patients’ outcomes as it increases the risk of complications, morbidity, mortality and loss of function. However, hospital-initiated transitional care can improve some outcomes in hospitalised adult patients. The objective of this scoping review is to map the literature that assesses the effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and for the first 3 months after discharge.Methods and analysisThis protocol is based on the framework outlined by Arksey and O’Malley. The search strategy was developed by a medical librarian. We will search for relevant literature from the following databases: MEDLINE via PubMed, Cumulative Index to Nursing and Allied Health Literature, and Embase. We will also search the reference lists of included studies. Two independent reviewers will screen abstracts and full articles in parallel, from the included studies using specific inclusion and exclusion criteria. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols checklist facilitated the preparation of this research protocol. The scoping review will provide a narrative account of the findings from the existing literature through thematic content analysis of the extracted literature.Ethics and disseminationSince all data will be obtained from publicly available materials, research ethics approval is not required for this scoping review. The research findings will be submitted for publication in a relevant open-access peer-reviewed journal and presented at relevant conferences.

scholarly journals Development of a Systematic Review Protocol and a Scoping Review of Ultrasound-Induced Immune Effects in Peripheral Tumors

2021 ◽  
Author(s):  
Anne Rix ◽  
Renée Girbig ◽  
Céline Porte ◽  
Wiltrud Lederle ◽  
Cathalijn Leenaars ◽  
...  
Keyword(s):  
Systematic Review ◽  
Scoping Review ◽  
Meta Analysis ◽  
Research Question ◽  
Relevant Literature ◽  
Selection Strategy ◽  
Tumor Type ◽  
Systematic Review Protocol ◽  
Study Characteristics ◽  
Review Protocol

Abstract Purpose Publication numbers reporting that ultrasound can stimulate immune reactions in tumors steadily increase. However, the presented data are partially conflicting, and mechanisms are difficult to identify from single publications. These shortcomings can be addressed by a systematic review and meta-analysis of current literature. As a first step, we here present the methodology and protocol for a systematic review to answer the following research question: Does ultrasound alter the immune reaction of peripheral solid tumors in humans and animals compared to control conditions without ultrasound? Procedures We designed a protocol to perform a systematic review and meta-analysis. The suitability of the protocol to detect and sort relevant literature was tested using a subset of publications. We extracted study characteristics, ultrasound parameters, and study outcomes to pre-evaluate the differences between publications and present the data as a scoping review. Results From 6532 publications detected by our preliminary literature search, 320 were selected for testing our systematic review protocol. Of the latter, 15 publications were eligible for data extraction. There, we found large differences between study characteristics (e.g., tumor type, age) and ultrasound settings (e.g., wavelength 0.5–9.5 MHz, acoustic pressure 0.0001–15,000 W/cm2). Finally, study outcomes included reports on cells of the innate (e.g., dendritic cells, macrophages) and adaptive immune system (e.g., CD8-/CD4-positive T cells). Conclusion We designed a protocol to identify relevant literature and perform a systematic review and meta-analysis. The differences between extracted features between publications show the necessity for a comprehensive search and selection strategy in the systematic review to get a complete overview of the literature. Meta-analyses of the extracted outcomes can then enable evidence-based conclusions.

scholarly journals Trajectory research in children on the autism spectrum: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e053443
Author(s):  
Stephen Gentles ◽  
Eric Duku ◽  
Connor Kerns ◽  
Alana J McVey ◽  
Michelle C Hunsche ◽  
...  
Keyword(s):  
Scoping Review ◽  
Data Extraction ◽  
Meta Analysis ◽  
A Priori ◽  
Autism Spectrum ◽  
Medical Librarian ◽  
Review Protocol ◽  
Analytical Approaches ◽  
Trajectory Methods ◽  
Full Text Screening

IntroductionLongitudinal trajectory methods, featuring outcome assessments at three or more time points, are increasingly being used as appropriate approaches to understand developmental pathways of people on the autism spectrum across the lifespan. Understanding the scope of this rapidly expanding body of research can help inform future trajectory studies and identify areas for potential meta-analysis as well as key evidence gaps. We present the protocol for a scoping review whose objective is to identify and summarise the scope of research that uses a longitudinal trajectory study design to examine development in children diagnosed with autism. Specifically, we will identify outcome domains and age intervals that have been well characterised, areas where further research is needed and the historical use of various longitudinal trajectory analytical approaches.Methods and analysisWe outline the methods for the proposed scoping review according to the framework outlined by Arksey and O’Malley, with subsequent clarifications and enhancements by other authors. Using a search strategy developed by a medical librarian, we will search six databases for relevant publications. Titles and abstracts will be screened in duplicate, followed by full-text screening. Data extraction fields developed predominantly a priori from a set of guiding subquestions will be used to chart relevant data. The findings will include quantitative aggregate summaries, narrative summaries, and appraisal of trajectory studies according to our methodological subquestions. We will consult autistic self-advocate and parent–caregiver stakeholders to facilitate interpretation of the findings.Ethics and disseminationResearch ethics approval is not required for this scoping review. The results will be presented to researcher, care professional, policy-maker and stakeholder audiences at local and international conferences, other dissemination activities and published in a peer-reviewed journal.

scholarly journals Effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and up to 3 months post-discharge: a systematic scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040439
Author(s):  
Kari Ingstad ◽  
Lisbeth Uhrenfeldt ◽  
Ingjerd Gåre Kymre ◽  
Conni Skrubbeltrang ◽  
Preben Pedersen
Keyword(s):  
Nutritional Status ◽  
Scoping Review ◽  
Controlled Trial ◽  
Adverse Outcomes ◽  
Care Plan ◽  
Loss Of Function ◽  
Post Discharge ◽  
Nutritional Care ◽  
Care Plans ◽  
Randomised Controlled

ObjectivesThe prevalence of malnutrition after hospitalisation is reported to be 20%–45%, which may lead to adverse outcomes, as malnutrition increases the risk of complications, morbidity, mortality and loss of function. Improving the quality of nutritional treatment in hospitals and post-discharge is necessary, as hospital stays tend to be short. We aimed to identify and map studies that assess the effectiveness of individualised nutritional care plans to reduce malnutrition during hospitalisation and for the first 3 months post-discharge.DesignThis was a systematic scoping review.MethodsWe systematically searched for all types of studies in the following databases: EMBASE, MEDLINE via PubMed, and the Cumulative Index to Nursing and Allied Health Literature, with no restriction on data or publication language. We also reviewed the reference lists of the included studies. The abstracts and full articles were simultaneously screened by two independent reviewers. Differences of opinion were discussed among the two investigators, and a third reviewer assisted with the discussion until consensus was reached. Studies in which the patients received an individual nutritional care plan related to their hospital stay and were followed up post-discharge were included. We then conducted a thematic content analysis of the extracted literature.ResultsNine randomised controlled trial studies met the inclusion criteria: six were conducted in Scandinavian countries. All studies were mainly conducted among elderly patients (mean ages varied from 75 to 88 years). The review studies measured 10 different outcomes; the most common outcomes were nutritional status and readmission. Six studies reported one or more significant positive intervention effect. Inconsistent results were identified for four outcome variables.ConclusionsIndividualised nutritional care plans and follow-up home visits might improve patients’ nutritional status. However, there is need for a systematic review that assesses study quality and extends the time to 6 months post-discharge.

scholarly journals Potential of natural astaxanthin in alleviating the risk of cytokine storm and improve health in COVID-19: A scoping review

2020 ◽  
Author(s):  
Jayanta Talukdar ◽  
Bhaskar Bhadra ◽  
Santanu Dasgupta ◽  
Vinod Nagle
Keyword(s):  
Clinical Trials ◽  
Inflammatory Cytokines ◽  
Scoping Review ◽  
Meta Analysis ◽  
Relevant Literature ◽  
Elevated Serum ◽  
Cytokine Release ◽  
Prisma Statement ◽  
Anti Oxidant ◽  
Anti Inflammatory

Abstract Background: Natural astaxanthin as a potent anti-oxidant and broad-spectrum anti-inflammatory bioactive molecule plays important role in modulating the immune response, speculated to be a potential supplement to alleviate cytokine release storm in COVID-19. Objective: Review of published literature to summarize the rationale for possible benefits of natural astaxanthin to support COVID-19 patients. Methods: Retrieved relevant literature from electronic databases including Google scholar, PubMed, Scopus, etc. and reviewed following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Statement. We adapted the article as scoping review. Results: Cytokine release syndrome (CRS) is reported as a common feature in COVID-19, which can lead to potentially fatal, hyper-inflammatory acute respiratory distress condition, diagnosed with elevated serum level of pro-inflammatory cytokines like IL-6, CRP, etc. that positively correlated with disease severity. Anti-inflammatory drug, like tocilizumab, etc. are under clinical trials as anti-CRS therapy. Astaxanthin can potentially alleviate CRS by regulating inflammatory cytokines by inhibiting the activities of NF-kB, TNF-α, JAK/STAT-3, etc. Available pre-clinical and clinical trials data support its excellent safety, and potential therapeutic and health benefits. Conclusions: Natural astaxanthin has tremendous potential as co-adjunctive supplement, desiring necessary clinical supports on its efficacy and beneficial against COVID-19.

scholarly journals Mapping Evidence on Global Perceptions of Environmental Sustainability amidst the COVID-19 Pandemic: A Systematic Review Protocol

2021 ◽  
Author(s):  
PETER ANSU-MENSAH ◽  
Monica Ansu-Mensah ◽  
Desmond Kuupiel
Keyword(s):  
Scoping Review ◽  
Environmental Sustainability ◽  
Data Extraction ◽  
Meta Analysis ◽  
World Health ◽  
Future Research ◽  
Regulatory Bodies ◽  
Review Protocol ◽  
Government Websites ◽  
Health Organization

Abstract Background: Identifying and addressing research gaps on environmental sustainability in this striving time of COVID-19, it is imperative to ensure proper waste management disposal, efficient use of energy as well as judicious use of transport in order to achieve the SDGs 2030.Aim: The proposed scoping review is aimed at mapping evidence on global perceptions of environmental sustainability amidst COVID-19 pandemic. Methods: The proposed study will be guided by the enhanced version of Arksey and O’Malley’s scoping review framework, and Levac et al. 2010 recommendations together with the 2015 Joanna Briggs Institute guidelines. A comprehensive keywords search for relevant studies presenting evidence of environmental sustainability during COVID-19 pandemic will be conducted with the following databases: SCOPUS, Google Scholar, EBSCOhost, and PubMed. Literature from university repositories and international organization such as the World Health Organization (WHO) and government websites relevant to the proposed study will also be retrieved. The proposed review will use the Preferred Reporting Items for Systematic Reviews and Meta-analysis: Extension for Scoping Review (PRISMA-ScR) to present the results of the study. For data extraction in a content thematic manner of analysis, NVivo version 11 software package will be used. A mixed methods appraisal tool (MMAT) version 2018 will be employed to appraise the quality of all the included studies. Discussion: We are hopeful that the results of the proposed study will inform future research and unveil evidence-based information to report potential environmental sustainability issues that may arise in this new phase of COVID-19 pandemic. It also anticipated that the proposed study will enable policy and regulatory bodies to implement new strategies to achieve the SDGs inclusive of COVID-19 pandemic.

scholarly journals Understanding transitional care programmes for older adults who experience delayed discharge: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032149
Author(s):  
Katherine S McGilton ◽  
Shirin Vellani ◽  
Jessica Babineau ◽  
Jennifer Bethell ◽  
Susan E Bronskill ◽  
...  
Keyword(s):  
Older Adults ◽  
Narrative Analysis ◽  
Scoping Review ◽  
Transitional Care ◽  
Community Dwelling ◽  
Term Care ◽  
Delayed Discharge ◽  
Review Protocol ◽  
Delayed Discharges ◽  
Community Dwelling Older Adults

IntroductionMany hospitalised older adults experience delayed discharges due to increased postacute health and social support needs. Transitional care programmes (TCPs) provide short-term care to these patients to prepare them for transfer to nursing homes or back to the community with supports. There are knowledge gaps related to the development, implementation and evaluation of TCPs. The aims of this scoping review (ScR) are to identify the characteristics of older patients served by TCPs; criteria for transfer, components and services provided by TCPs; and outcomes used to evaluate TCPs.Methods and analysisThe study involves six-step ScR and is informed by a collaborative/participatory approach whereby stakeholders engage in the development of the research questions, identification of literature, data abstraction and synthesis; and participation in consultation workshop. The search for scientific literature will be done in the Medline, PsychINFO, Emcare and CINAHL databases; as well, policies and reports that examined models of transitional care and the outcomes used to evaluate them will be reviewed. Records will be selected if they involve community dwelling older adults aged 65 years or older, or indigenous persons 45 years or older; and presented in English, French, Dutch and German languages. Records will be screened, reviewed and abstracted by two independent reviewers. Extracted data will be analysed using descriptive statistics and a narrative analysis, and organised according to Donabedian’s model of structure (characteristics of older adults experiencing delayed discharge and served by TCPs), process (TCP components and services) and outcome.Ethics and disseminationThis ScR does not require ethics approval. Dissemination activities include integrated knowledge translation (KT) (consultation with stakeholders throughout the study) and end-of-grant KT strategies (presentations at national and international conferences; and publication in peer-reviewed interdisciplinary journal).

scholarly journals Effect of diet, exercise and sleep on tic severity: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e024653 ◽  
Author(s):  
Elaheh Nosratmirshekarlou ◽  
Samreen Shafiq ◽  
Zahra S Goodarzi ◽  
Davide Martino ◽  
Tamara Pringsheim
Keyword(s):  
Physical Exercise ◽  
Scoping Review ◽  
Reference Lists ◽  
Grey Literature ◽  
Relevant Literature ◽  
Secondary Analysis ◽  
Dietary Factors ◽  
Childhood Onset ◽  
Tic Severity ◽  
Review Protocol

IntroductionTourette syndrome is a common childhood-onset neuropsychiatric disorder, with tics that wax and wane in frequency and severity over time. The purpose of the proposed scoping review is to map the types of evidence available pertaining to the effect of diet, sleep and exercise on tic severity and identify key concepts and gaps in research.MethodsOur scoping review will use the six-step framework recommended by Arksey and O’Malley, with enhancements from Levacet aland Joanna Briggs Institute. We will attempt to identify all the relevant literature regardless of study design. We will search six electronic databases, the reference lists of all selected studies and the grey literature for studies examining an association between dietary factors, sleep or physical exercise and tics, or studies of interventions targeting diet, sleep or exercise to reduce tics. Our analysis plan includes description of the reported associations among dietary factors, sleep and physical exercise and tics, the effects of interventions, the research methodologies and how outcomes are measured.Ethics and disseminationAn approval from a recognised committee is not required to conduct the proposed review, as the study entails secondary analysis of the literature available publicly. For dissemination of the study, the results will be submitted for publication to peer-reviewed scientific journals and presented at relevant public forums and conferences.

A nursing minimum dataset for documenting nutritional care for adults in primary healthcare: a scoping review protocol

2015 ◽  
Vol 13 (8) ◽  
pp. 92-100 ◽  
Author(s):  
Sasja Jul Håkonsen ◽  
Preben Ulrich Pedersen ◽  
Merete Bjerrum ◽  
Ann Bygholm ◽  
Micah D J Peters
Keyword(s):  
Scoping Review ◽  
Primary Healthcare ◽  
Nutritional Care ◽  
Review Protocol ◽  
Minimum Dataset

Continuous infusion ketamine as analgesia or sedation in mechanically ventilated adults in the intensive care unit: a scoping review

2021 ◽  
Author(s):  
Nicholas David Richards ◽  
Simon Howell ◽  
Mark Bellamy ◽  
Ruben Mujica-Mota
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuous Infusion ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Flow Diagram ◽  
Mechanically Ventilated ◽  
Scoping Reviews ◽  
Review Protocol

Abstract IntroductionMechanical ventilation (MV) is a common and often live-saving intervention on the Intensive Care Unit (ICU). In order to facilitate this intervention, the majority of patients require medical sedation. Optimising sedation is one of the fundamentals of ICU care, and inadequate sedation (predominantly too deep) has consistently been associated with worse outcomes for patients.This article presents the protocol for a scoping review of published literature on the use of ketamine as a sedative to facilitate MV on ICU.The scoping review has been designed to answer the question ‘What is known about the use of ketamine as a continuous infusion to provide sedation in mechanically ventilated adults in the intensive care unit, and what gaps in the evidence exist?’ MethodsThe scoping review protocol has been designed using the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for Scoping Reviews (PRISMA-ScR) checklist and the JBI manual for evidence synthesis. Data will be extracted using a dedicated form, and reviewed by 2 reviewers.Results Results will be tabulated and presented along side descriptive summaries. A PRISMA flow diagram will also be generated.Ethics and DisseminationThis scoping review is designed to map out the literature using existing published articles and does not require ethical approval.Results will be submitted for publication in relevant peer-reviewed journals and to international meetings as well as disseminated to relevant professional groups.

Healthcare professionals’ experiences and perspectives on using telehealth for home-based palliative care: a scoping review protocol (Preprint)

2021 ◽  
Author(s):  
Elias David Lundereng ◽  
Andrea Aparecida Goncalves Nes ◽  
Heidi Holmen ◽  
Anette Winger ◽  
Hilde Thygesen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Meta Analysis ◽  
Eligibility Criteria ◽  
Hand Search ◽  
Home Based ◽  
Review Protocol ◽  
Analysis Protocol

BACKGROUND Telehealth seems feasible for use in home-based palliative care. However, acceptance among healthcare professionals is essential for the successful delivery of telehealth in practice. No scoping review has mapped the experiences and perspectives of healthcare professionals on the use of telehealth for home-based palliative care. OBJECTIVE To systematically map published studies on healthcare professionals’ experiences and perspectives on the use of telehealth in home-based palliative care. METHODS The proposed scoping review will employ the methodology of Arksey and O’Malley. This protocol is guided by the Preferred Reporting Items for Systematic review and Meta-Analysis Protocol (PRISMA-P). A systematic search was performed in Medical Literature Analysis and Retrieval System Online (MEDLINE), PsycINFO, Excerpta Medica Database (EMBASE), Cumulative Index to Nursing and Allied Health (CINAHL), Allied and Complementary Medicine (AMED) and Web of Science (WoS) for studies published between January 2000 to July 5, 2021. We will also hand search the reference lists of included papers to identify additional studies of relevance. The search will be updated in 2022. Pairs of authors will independently assess eligibility of studies and extract data. The two first stages of thematic synthesis will be used to thematically organize the data material. Since the scoping review methodology consists of reviewing and collecting data from publicly available materials, this study does not require ethics approval. RESULTS The database searches were performed on July 5, 2021 and the eligibility criteria were tested in July-August 2021. After removal of 2364 duplicates, the search yielded 2420 citations.We will screen titles, abstracts and full-text papers by fall 2021. Results are anticipated by September 2022. CONCLUSIONS A mapping of studies could identify research gaps regarding healthcare professionals’ experiences and perspectives on the use of telehealth in home-based palliative care and may determine the value and feasibility of conducting a full systematic review.

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