Gastrostomy in Hospitalized Patients with Acute Stroke: NoroTek Turkey Point Prevalence Study Subgroup Analysis

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dc.authoridozel, tugba/0000-0003-0396-6460
dc.authoridBekdik, Pinar/0000-0002-4644-6572
dc.authoridOzkan, Esra/0000-0001-6503-8665
dc.authoridToplutas, Eren/0000-0001-6365-7702
dc.authoridErdogan, Mucahid/0000-0002-4919-602X
dc.authoridGULER, AYSE/0000-0003-4465-3743
dc.authoridAtmaca, Murat Mert/0000-0003-2048-4930
dc.contributor.authorTopcuoglu, Mehmet Akif
dc.contributor.authorOzdemir, Atilla Ozcan
dc.contributor.authorAykac, Ozlem
dc.contributor.authorMilanoglu, Aysel
dc.contributor.authorGokce, Mustafa
dc.contributor.authorBavli, Songul
dc.contributor.authorCabalar, Murat
dc.date.accessioned2024-10-26T18:11:51Z
dc.date.available2024-10-26T18:11:51Z
dc.date.issued2022
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjective: Nutritional status assessment, dysphagia evaluation and enteral feeding decision are important determinants of prognosis in acute neurovascular diseases. Materials and Methods: NoroTek is a point prevalence study conducted with the participation of 87 hospitals spread across all health sub regions of Turkey conducted on 10-May-2018 (World Stroke Awareness Day). A total of 972 hospitalized neurovascular patients [female: 53%, age: 69 +/- 14; acute ischemic stroke in 845; intracerebral hematoma (ICH) in 119 and post-resuscitation encephalopathy (PRE) in 8] with complete data were included in this sub-study. Results: Gastrostomy was inserted in 10.7% of the patients with ischemic stroke, 10.1% of the patients with ICH and in 50% of the patients with PRE. Independent predictors of percutaneous endoscopic gastrostomy (PEG) administration were The National Institutes of Health Stroke Scale score at admission [exp (ss): 1.09 95% confidence interval (CI): 1.05-1.14, per point] in ischemic stroke; and mechanical ventilation in ischemic [exp (ss): 6.18 (95% CI: 3.16-12.09)] and hemorrhagic strokes [exp (ss): 26.48 (95% CI: 1.36-515.8)]. PEG was found to be a significant negative indicator of favorable (modified Rankin's scale score 0-2) functional outcome [exp (ss): 0.032 (95% CI: 0.004-0.251)] but not of in-hospital mortality [exp (ss): 1.731 (95% CI: 0.785-3.829)]. Nutritional and swallowing assessments were performed in approximately two-thirds of patients. Of the nutritional assessments 69% and 76% of dysphagia assessments were completed within the first 2 days. Tube feeding was performed in 39% of the patients. In 83.5% of them, tube was inserted in the first 2 days; 28% of the patients with feeding tube had PEG later. Conclusion: The NoroTek study provided the first reliable and large-scale data on key quality metrics of nutrition practice in acute stroke in Turkey. In terms of being economical and accurate it makes sense to use the point prevalence method.
dc.identifier.doi10.4274/tnd.2022.52460
dc.identifier.endpage141
dc.identifier.issn1301-062X
dc.identifier.issn1309-2545
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85175739003
dc.identifier.scopusqualityQ4
dc.identifier.startpage134
dc.identifier.urihttps://doi.org/10.4274/tnd.2022.52460
dc.identifier.urihttps://hdl.handle.net/20.500.12418/30858
dc.identifier.volume28
dc.identifier.wosWOS:000916443200002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofTurkish Journal of Neurology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectStroke
dc.subjectintracerebral hemorrhage
dc.subjectmalnutrition
dc.subjectdysphagia
dc.subjectflash mob
dc.titleGastrostomy in Hospitalized Patients with Acute Stroke: NoroTek Turkey Point Prevalence Study Subgroup Analysis
dc.typeArticle

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