Percutaneous endoscopic gastrostomy tube placement in left versus right middle cerebral artery stroke: Effects of laterality.
BACKGROUND: Prolonged dysphagia after middle cerebral artery (MCA) territory strokes may require percutaneous endoscopic gastrostomy (PEG) tube feeding. OBJECTIVE: We examined the predictors of PEG placement among patients with MCA stroke. It was hypothesized that stroke laterality was a predictor....
| Publicado en: | NeuroRehabilitation Vol. 33; no. 2; pp. 201 - 209 |
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| Autores principales: | , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103939455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103939455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: 2013 vid: 33 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 103939455 95897063 10.3233/NRE-130946 NLM23949048 103939455 ppf: 201 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Percutaneous endoscopic gastrostomy tube placement in left versus right middle cerebral artery stroke: Effects of laterality. aug: au: San Luis, Christa O'Hana V. Staff, Ilene Ollenschleger, Martin D. Fortunato, Gilbert J. McCullough, Louise D. sug: subj: Stroke Classification Stroke Complications Deglutition Disorders Risk Factors Gastrostomy Human Prospective Studies Retrospective Design Multivariate Analysis Secondary Analysis T-Tests Wilcoxon Rank Sum Test Aged Logistic Regression Descriptive Statistics Data Analysis Software Young Adult Adult Middle Age Aged, 80 and Over Female Male Multiple Logistic Regression Funding Source Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Aged, 80 & over Female Male ab: BACKGROUND: Prolonged dysphagia after middle cerebral artery (MCA) territory strokes may require percutaneous endoscopic gastrostomy (PEG) tube feeding. OBJECTIVE: We examined the predictors of PEG placement among patients with MCA stroke. It was hypothesized that stroke laterality was a predictor. METHODS: A retrospective cohort study of existing data from Hartford Hospital Stroke Database was done. A total of 157 patients with acute ischemic MCA stroke were included. Patients were divided into the 'PEG' group (n = 24) and 'no PEG' group (n = 133). Existing demographic, clinical and swallowing data were compared between the 2 groups. RESULTS: Demographic data were similar between the groups. The 'PEG' group had a higher admission National Institute of Health Stroke Scale (NIHSS) score, higher proportion of patients who had thrombolytic administration, in- hospital aspiration pneumonia and inability to be assessed on first swallow evaluation. Multivariate analysis revealed that all, except thrombolytic administration may predict PEG placement. CONCLUSION: Admission NIHSS score, in-hospital aspiration pneumonia and inability to undergo first swallow evaluation may predict PEG placement in patients with acute MCA stroke. Stroke laterality was not associated. This knowledge facilitates early identification of patients that may require PEG tube placement for early nutrition provision and discharge to rehabilitation. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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