| Title: |
Gastrostomy in Hospitalized Patients with Acute Stroke: NoroTek Turkey Point Prevalence Study Subgroup Analysis |
| Authors: |
Degirmenci, Eylem; Aydin, Isa; Cetiner, Mustafa; Aslan, Yildiz; Genc, Hamit; Akyol, Sener; Milanoğlu, Aysel; Gökçe, Mustafa; Bavli, Songül; Cabalar, Murat; Yayla, Vildan; Erdogan, Haci Ali; Ozkul, Ayca; Gunes, Aygul; Keskin, Onur; Sirinocak, Pinar Bekdik; Baydemir, Recep; Akcakoyunlu, Merve; Ozturk, Serefnur; Ozel, Tugba; Unal, Ali; Dora, Babur; Yilmaz, Zahide; Yurekli, Vedat Ali; Kisabay, Aysin; Arlier, Zulfikar; Eren, Alper; Yilmaz, Ayse; Acar, Bilgehan; Bastan, Birgul; Acar, Zeynep; Sener, Ufuk; Niflioglu, Buket; Guven, Bulent; Kaya, Dilaver; Afsar, Nazire; Yazici, Duran; Toplutas, Eren; Aytac, Emrah; Yaka, Erdem; Bas, Demet Funda; Topcuoğlu, Mehmet Akif; Ince, Fatma Birsen; Buyukserbetci, Gulseren; Sen, Mustafa; Turgut, Nilda; Kale, Nilufer; Ekizoglu, Esme; Coban, Eda; Yesilot, Nilufer; Eskut, Neslihan; Kizek, Ozgu; Birgili, Ozlem; Yevgi, Recep; Unsal, Yaprak Ozum; Kunt, Refik; Giray, Semih; Akkas, Sinem Yazici; Can, Ufuk; Yoldas, Tahir; Cinar, Bilge Piri; Asil, Talip; Demir, Tulin; Duman, Taskin; Atasoy, Tugrul; Degirmenci, Bahar; Aluclu, Ufuk; Kozak, Hasan Huseyin; Gungor, Levent; Erdogan, Mucahid; Acar, Zeynep Ozdemir; Özdemir, Atilla Özcan; Kablan,Yüksel; Caglayan, Hale Batur; Yilmaz, Arda; Nazliel, Bijen; Gencer, Elif Sarionder; Ay, Halil; Demirbas, Hayri; Akdogan, Ozlem; Emre, Ufuk; Yildiz, Ozlem Kayim; Bolayir, Asli; Demir, Turgay; Akpinar, Cetin Kursad; Tanriverdi, Zeynep; Tekan, Ulgen Yalaz; Arsava, Ethem Murat; Ozkan, Esra; Ilik, Faik; Sirin, Hadiye; Guler, A.; Onder, Halil; Bektas, Hesna; Ocek, Levent; Bakar, Mustafa; Aykac, Özlem; Isikay, Canan Togay; Krespi, Yakup; Alioglu, Zekeriya; Aslanbaba, Eda; Sorgun, Mine; Gurkas, Erdem; Midi, Ipek; Karadeli, Hasan Hüseyin; Bilgic, Adnan Burak; Epceliden, M. Tuncay; Atmaca, Murat Mert; Kursun, Oguzhan; Bozdogan, Zehra; Ongun, Nedim; Cenikli, Utku |
| Publisher Information: |
Galenos Publ House |
| Publication Year: |
2022 |
| Collection: |
Pamukkale University Repository / Pamukkale Üniversitesi Açık Erişim Arşivi |
| Subject Terms: |
Stroke; intracerebral hemorrhage; malnutrition; dysphagia; flash mob; Percutaneous Endoscopic Gastrostomy; Tube Placement; Guidelines; Predictors; Trial; Food |
| Description: |
Objective: 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 Şense to use the point prevalence method. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
Turkish Journal of Neurology; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://doi.org/10.4274/tnd.2022.52460; https://hdl.handle.net/11499/50484; 28; 134; 141; WOS:000916443200002 |
| DOI: |
10.4274/tnd.2022.52460 |
| Availability: |
https://hdl.handle.net/11499/50484; https://doi.org/10.4274/tnd.2022.52460 |
| Rights: |
open |
| Accession Number: |
edsbas.D657299D |
| Database: |
BASE |