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Outcomes among patients with direct enteral vs nasogastric tube placement after acute stroke.

Authors
  • Joundi, Raed A1
  • Saposnik, Gustavo1
  • Martino, Rosemary1
  • Fang, Jiming1
  • Porter, Joan1
  • Kapral, Moira K2
  • 1 From the Division of Neurology (R.A.J.), Department of Medicine, Stroke Outcomes Research Unit, Division of Neurology, Department of Medicine, St. Michael's Hospital (G.S.), Institute of Health Policy, Management and Evaluation (G.S., M.K.K.), Department of Speech-Language Pathology (R.M.), Graduate Department of Rehabilitation Science (R.M.), and Division of General Internal Medicine (M.K.K.), Department of Medicine, University of Toronto; Health Care and Outcomes Research, Krembil Research Institute (R.M.), University Health Network; and Institute for Clinical Evaluative Sciences (ICES) (J.F., J.P., M.K.K., G.S.), Toronto, Canada. , (Canada)
  • 2 From the Division of Neurology (R.A.J.), Department of Medicine, Stroke Outcomes Research Unit, Division of Neurology, Department of Medicine, St. Michael's Hospital (G.S.), Institute of Health Policy, Management and Evaluation (G.S., M.K.K.), Department of Speech-Language Pathology (R.M.), Graduate Department of Rehabilitation Science (R.M.), and Division of General Internal Medicine (M.K.K.), Department of Medicine, University of Toronto; Health Care and Outcomes Research, Krembil Research Institute (R.M.), University Health Network; and Institute for Clinical Evaluative Sciences (ICES) (J.F., J.P., M.K.K., G.S.), Toronto, Canada. [email protected] , (Canada)
Type
Published Article
Journal
Neurology
Publisher
Ovid Technologies (Wolters Kluwer) - American Academy of Neurology
Publication Date
Feb 13, 2018
Volume
90
Issue
7
Identifiers
DOI: 10.1212/WNL.0000000000004962
PMID: 29367443
Source
Medline
License
Unknown

Abstract

Patients with DET placement after acute stroke have more severe disability at discharge compared to those with NGT placement alone, and associated higher rates of institutionalization, medical complications, and long-term mortality. These findings may inform goals of care discussions and decisions regarding long-term tube feeding after acute stroke.

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