Gastrostomy in hospitalized patients with acute stroke: norotek Turkey point prevalence study subgroup analysis

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dc.authoridYakup Krespi / 0000-0001-5246-5908en_US
dc.authorscopusidYakup Krespi / 7005049488en_US
dc.contributor.authorTopçuoğlu,Mehmet Akif
dc.contributor.authorÖzdemir, Atilla Özcan
dc.contributor.authorAykaç, Özlem
dc.contributor.authorMilanoğlu, Aysel
dc.contributor.authorGökçe, Mustafa
dc.contributor.authorKrespi, Yakup
dc.date.accessioned2023-08-31T10:46:09Z
dc.date.available2023-08-31T10:46:09Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
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.en_US
dc.identifier.citationTopçuoğlu, M. A., Özdemir, A. Ö., Aykaç, Ö., Milanoğlu, A., Gökçe, M., Bavli, S., ... & Arsava, E. M. (2022). Gastrostomy in hospitalized patients with acute stroke:" NoroTek" Turkey point prevalence study subgroup analysis. Turkish Journal Of Neurology.en_US
dc.identifier.doi10.4274/tnd.2022.52460en_US
dc.identifier.endpage141en_US
dc.identifier.issn1301-062Xen_US
dc.identifier.issn1309-2545en_US
dc.identifier.issue3en_US
dc.identifier.startpage134en_US
dc.identifier.urihttp://dx.doi.org/10.4274/tnd.2022.52460
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3959
dc.identifier.volume28en_US
dc.identifier.wosWOS:000916443200002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorKrespi, Yakup
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofTurkish Journal of Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectStrokeen_US
dc.subjectIntracerebral Hemorrhageen_US
dc.subjectMalnutritionen_US
dc.subjectDysphagiaen_US
dc.subjectFlash Moben_US
dc.titleGastrostomy in hospitalized patients with acute stroke: norotek Turkey point prevalence study subgroup analysisen_US
dc.typeArticleen_US

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