{"id":1926,"date":"2025-07-25T11:33:42","date_gmt":"2025-07-25T11:33:42","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjopen\/?p=1926"},"modified":"2025-07-25T11:33:42","modified_gmt":"2025-07-25T11:33:42","slug":"top-10-most-read-in-june-informal-caregiving-following-stroke-timing-of-mechanical-ventilation-and-the-effect-of-nebulised-inhalation-of-antibiotics","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjopen\/2025\/07\/25\/top-10-most-read-in-june-informal-caregiving-following-stroke-timing-of-mechanical-ventilation-and-the-effect-of-nebulised-inhalation-of-antibiotics\/","title":{"rendered":"Top 10 most read in June: Informal caregiving following stroke, timing of mechanical ventilation and the effect of nebulised inhalation of antibiotics"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmjopen\/files\/2025\/07\/5645553229_e38697e98b_b.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1927 size-medium\" src=\"https:\/\/blogs.bmj.com\/bmjopen\/files\/2025\/07\/5645553229_e38697e98b_b-200x300.jpg\" alt=\"&quot;Ventilator&quot; by quinn.anya is licensed under CC BY-SA 2.0.\" width=\"200\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/bmjopen\/files\/2025\/07\/5645553229_e38697e98b_b-200x300.jpg 200w, https:\/\/blogs.bmj.com\/bmjopen\/files\/2025\/07\/5645553229_e38697e98b_b-640x960.jpg 640w, https:\/\/blogs.bmj.com\/bmjopen\/files\/2025\/07\/5645553229_e38697e98b_b.jpg 683w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>In June, six new articles entered our top ten most read list. The Top 10 is compiled based on full text views, including downloads of the full article PDFs.<\/p>\n<p><strong>Informal caregiving following stroke: a qualitative exploration of carer self-identification, care-related language and support experiences<\/strong><\/p>\n<p>Our most read new entry is a qualitative study from Harcourt <em>et al<\/em>. aim to understand the process of how and when informal carers start to see themselves as such, and their preferred terminology and experiences of support in this role. The study involved semi structured interviews with 18 adults who had provided care or support to a friend or family member after a stroke that occurred at least 1 year prior. Their finding outline the factors that facilitate the self-identification process and that the timing of this process is very variable between participants. The authors make several recommendations relating to the accessibility of support for informal carers of stroke survivors.<\/p>\n<p><strong>Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study<\/strong><\/p>\n<p>The next new entry on our list is a multicentre retrospective analysis by Arabi <em>et al<\/em>. which aimed to evaluate the association between the timing of invasive mechanical ventilation (MV) initiation and clinical outcomes in patients with cardiogenic shock secondary to ST-elevation myocardial infarction. The authors observed that increased delay in MV was associated with a higher mortality risk during the first 60\u2009min post-diagnosis, beyond which the risk plateaued. Delayed MV was an independent predictor of in-hospital mortality (OR 2.14, 95%\u2009CI 1.36 to 3.38, p&lt;0.001). The authors argue these findings highlight the importance of timely respiratory support, warranting further investigation in prospective or randomised controlled studies.<\/p>\n<p><strong>Effect of nebulised inhalation of antibiotics on preventing ventilator-associated pneumonia in critically ill patients: a systematic review and meta-analysis<\/strong><\/p>\n<p>The next top-ten most read entry is a systematic review and meta analysis from Yuan <em>et al<\/em>. The authors aimed to investigate whether prophylactic nebulised antibiotic inhalation reduces the incidence of ventilator-associated pneumonia (VAP) in critically ill adults undergoing mechanical ventilation. After screening 2663 studies the authors identified four suitable studies covering 1160 patients. Based on these studies the authors suggest that nebulised prophylactic antibiotics may reduce the incidence of VAP in critically ill patients receiving mechanical ventilation. However secondary outcomes did not differ between the intervention and control groups and the findings should be interpreted with caution due to the small number of included trials and low certainty of evidence.<\/p>\n<table style=\"border-collapse: collapse\" border=\"1\" cellspacing=\"5\" cellpadding=\"5\">\n<caption>*<i>Most read figures are based on pdf downloads and full text views. Abstract views are excluded.<\/i><\/caption>\n<tbody>\n<tr>\n<td><b>Rank* <\/b><\/td>\n<td><b>Author(s) <\/b><\/td>\n<td><b>Title<\/b><\/td>\n<\/tr>\n<tr>\n<td>1<\/td>\n<td>Liu <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/5\/e093946\">Association between herpes simplex virus type 1 and the risk of Alzheimer&#8217;s disease: a retrospective case-control study<\/a><\/td>\n<\/tr>\n<tr>\n<td>2<\/td>\n<td>Rous <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/5\/e086648\">Assessment of the impact of multi-cancer early detection test screening intervals on late-stage cancer at diagnosis and mortality using a state-transition model<\/a><\/td>\n<\/tr>\n<tr>\n<td>3<\/td>\n<td>Harcourt <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/4\/e089582\">Informal caregiving following stroke: a qualitative exploration of carer self-identification, care-related language and support experiences<\/a><\/td>\n<\/tr>\n<tr>\n<td>4<\/td>\n<td>Pradelli <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/3\/e087268\">Healthcare professional perspective on barriers and facilitators of multidisciplinary team working in acute care setting: a systematic review and meta-synthesis<\/a><\/td>\n<\/tr>\n<tr>\n<td>5<\/td>\n<td>Arabi <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/6\/e099208\">Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study<\/a><\/td>\n<\/tr>\n<tr>\n<td>6<\/td>\n<td>Yuan <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/5\/e093868.full\">Effect of nebulised inhalation of antibiotics on preventing ventilator-associated pneumonia in critically ill patients: a systematic review and meta-analysis<\/a><\/td>\n<\/tr>\n<tr>\n<td>7<\/td>\n<td>Naughton-Doe<i> et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/5\/e085669.long\">Exploring perinatal loneliness as a key social determinant of perinatal mental ill health in the UK: findings from a multidisciplinary consensus statement exercise that mapped knowledge about measurement, prevalence, antecedents, impacts and interventions impacts and interventions, and agreed future priorities for research, policy and practice<\/a><\/td>\n<\/tr>\n<tr>\n<td>8<\/td>\n<td>Zhang <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/3\/e091507\">Association of 15 common dietary factors with tinnitus: a systematic review and meta-analysis of observational studies<\/a><\/td>\n<\/tr>\n<tr>\n<td>9<\/td>\n<td>Jiang <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/8\/e077902\">Effectiveness of silver and iodine dressings on wound healing: a systematic review and meta-analysis<\/a><\/td>\n<\/tr>\n<tr>\n<td>10<\/td>\n<td>Jamieson <i>et al<\/i>.<\/td>\n<td><a href=\"https:\/\/bmjopen.bmj.com\/content\/15\/6\/e094760\">Cohort profile: characterisation, determinants, mechanisms and consequences of the long-term effects of COVID-19 &#8211; providing the evidence base for health care services (CONVALESCENCE) in the UK<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In June, six new articles entered our top ten most read list. The Top 10 is compiled based on full text views, including downloads of the full article PDFs. Informal caregiving following stroke: a qualitative exploration of carer self-identification, care-related language and support experiences Our most read new entry is a qualitative study from Harcourt [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2025\/07\/25\/top-10-most-read-in-june-informal-caregiving-following-stroke-timing-of-mechanical-ventilation-and-the-effect-of-nebulised-inhalation-of-antibiotics\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":471,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2471],"tags":[],"class_list":["post-1926","post","type-post","status-publish","format-standard","hentry","category-highly-accessed"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Top 10 most read in June: Informal caregiving following stroke, timing of mechanical ventilation and the effect of nebulised inhalation of antibiotics - BMJ Open<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2025\/07\/25\/top-10-most-read-in-june-informal-caregiving-following-stroke-timing-of-mechanical-ventilation-and-the-effect-of-nebulised-inhalation-of-antibiotics\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Top 10 most read in June: Informal caregiving following stroke, timing of mechanical ventilation and the effect of nebulised inhalation of antibiotics - BMJ Open\" \/>\n<meta property=\"og:description\" content=\"In June, six new articles entered our top ten most read list. 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