Gastrostomy in Hospitalized Patients with Acute Stroke: “NöroTek” Turkey Point Prevalence Study Subgroup Analysis
Özet
Objective: Nutritional status assessment, dysphagia evaluation and enteral feeding decision are important determinants of prognosis in acute neurovascular diseases.
Materials and Methods: NöroTek 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 (β): 1.09 95% confidence interval (CI): 1.05-1.14, per point] in ischemic stroke; and mechanical ventilation in ischemic [exp (β): 6.18 (95% CI: 3.16-12.09)] and hemorrhagic strokes [exp (β): 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 (β): 0.032 (95% CI: 0.004-0.251)] but not of in-hospital mortality [exp (β): 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 NöroTek 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.
Keywords: Stroke, intracerebral hemorrhage, malnutrition, dysphagia, flash mob
Anahtar kelimeler
Sürdürülebilir Kalkınma Amaçları
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SKA 2: Açlığa Son
Atıf için künye
Topçuoğlu, M. A., Özdemir, A. Ö., Aykaç, Ö., Milanoğlu, A., Gökçe, M., Bavli, S., Çabalar, M., Yayla, V., Erdoğan, H. A., Özkul, A., Güneş, A., Değirmenci, B., Aluçlu, U., Kozak, H. H., Güngör, L., Erdoğan, M., Özdemir Acar, Z., Cenikli, U., Kablan, Y., … Arsava, E. M. (2022). Gastrostomy in Hospitalized Patients with Acute Stroke: “NöroTek” Turkey Point Prevalence Study Subgroup Analysis. TURKISH JOURNAL OF NEUROLOGY, 28(3), 134–141. https://doi.org/10.4274/tnd.2022.52460
BibTeX
@article{topcuoglu2022-243071,
author = {Topçuoğlu, Mehmet Akif and Özdemir, Atilla Özcan and Aykaç, Özlem and Milanoğlu, Aysel and Gökçe, Mustafa and Bavli, Songül and Çabalar, Murat and Yayla, Vildan and Erdoğan, Hacı Ali and Özkul, Ayça and Güneş, Aygül and Değirmenci, Bahar and Aluçlu, Ufuk and Kozak, Hasan Hüseyin and Güngör, Levent and Erdoğan, Mücahid and Özdemir Acar, Zeynep and Cenikli, Utku and Kablan, Yüksel and Yılmaz, Arda and Genç, Hamit and Nazliel, Bijen and Batur Çağlayan, Hale and Sarıönder Gencer, Elif and Ay, Halil and Demirbaş, Hayri and Akdoğan, Özlem and Emre, Ufuk and Kayım Yıldız, Özlem and Bolayır, Aslı and Demir, Turgay and Tanrıverdi, Zeynep and Yalaz Tekan, Ülgen and Akpınar, Çetin Kürşad and Özkan, Esra and İlik, Faik and Şirin, Hadiye and Güler, Ayşe and Önder, Halil and Bektaş, Hesna and Öcek, Levent and Bakar, Mustafa and Ongun, Nedim and Krespi, Yakup and Togay Işıkay, Canan and Aslanbaba, Eda and Sorgun, Mine and Gürkaş, Erdem and Karadereli, Hasan Hüseyin and Midi, İpek and İlgezdi, İrem and Bilgiç, Adnan Burak and Akyol, Şener and Epçeliden, M. Tuncay and Atmaca, Murat Mert and Kurşun, Oğuzhan and Keskin, Onur and Bekdik Şirinocak, Pınar and Baydemir, Recep and Akçakoyunlu, Merve and Öztürk, Şerefnur and Özel, Tuğba and Ünal, Ali and Dora, Babür and Yürekli, Vedat Ali and Arlıer, Zülfikar and Eren, Alper and Yılmaz, Ayşe and Kısabay, Ayşin and Acar, Bilgehan and Baştan, Birgül and Acar, Zeynep and Niflioğlu, Buket and Güven, Bülent and Kaya, Dilaver and Afşar, Nazire and Yazıcı, Duran and Aytaç, Emrah and Yaka, Erdem and Toplutaş, Eren and Değirmenci, Eylem and İnce, Fatma Birsen and Büyükşerbetçi, Gülseren and Aydın, İsa and Çetiner, Mustafa and Şen, Mustafa and Turgut, Nilda and Kale, Nilüfer and Çoban, Eda and Yeşilot, Nilüfer and Ekizoğlu, Esme and Kizek, Özgü and Birgili, Özlem and Yevgi, Recep and Kunt, Refik and Giray, Semih and Yazıcı Akkaş, Sinem and Şenadım, Songül and Yoldaş, Tahir and Asil, Talip and Duman, Taşkın and Atasoy, Tuğrul and Piri Çınar, Bilge and Demir, Tülin and Can, Ufuk and Özüm Ünsal, Yaprak and Eşkut, Neslihan and Aslan, Yıldız and Baş, Demet Funda and Şener, Ufuk and Yılmaz, Zahide and Bozdoğan, Zehra and Alioğlu, Zekeriya and Arsava, Ethem Murat},
title = {Gastrostomy in Hospitalized Patients with Acute Stroke: “NöroTek” Turkey Point Prevalence Study Subgroup Analysis},
journal = {TURKISH JOURNAL OF NEUROLOGY},
year = {2022},
volume = {28},
number = {3},
pages = {134--141},
issn = {1301-062X},
doi = {10.4274/tnd.2022.52460},
url = {https://akademik.atauni.edu.tr/yayinlar/243071-gastrostomy-in-hospitalized-patients-with-acute-stroke-norotek-turkey-point}
}