Journal article
New Model for Predicting Surgical Feeding Tube Placement in Patients With an Acute Stroke Event
Stroke (1970), Vol.44(11), pp.3232-3234
11/01/2013
DOI: 10.1161/STROKEAHA.113.002402
PMCID: PMC3885340
PMID: 23963332
Abstract
Background and Purpose The need for surgical feeding tube placement after acute stroke can be uncertain and associated with further morbidity.
Methods Retrospective data were recorded and compared across patients with acute ischemic stroke and intracerebral hemorrhage. We identified all feeding tubes placed as percutaneous endoscopic gastrostomy (PEG) tubes. A prediction score for PEG tube placement was developed separately for patients with acute ischemic stroke and intracerebral hemorrhage using logistic regression models of variables known by 24 hours from admission.
Results Of 407 patients included, 51 (12.5%) underwent PEG tube placement (25 acute ischemic stroke and 26 intracerebral hemorrhage). The odds of a patient with acute ischemic stroke with PEG score 3 of getting a PEG are greater than those with PEG score <3 (odds ratio, 15.68; 95% confidence interval, 4.55-54.01). The odds of a patient with intracerebral hemorrhage with PEG score 3 of getting a PEG are greater than those with PEG score <3 (odds ratio, 12.49; 95% confidence interval, 1.54-101.29).
Conclusions The PEG score, comprised by variables known within the first day of admission, may be a powerful predictor of PEG placement in patients with acute stroke.
Details
- Title: Subtitle
- New Model for Predicting Surgical Feeding Tube Placement in Patients With an Acute Stroke Event
- Creators
- Perry H. Dubin - Tulane UniversityAmelia K. Boehme - Doris Duke Charitable FoundationJames E. Siegler - University of Alabama at BirminghamAmir Shaban - University of Alabama at BirminghamJenifer Juengling - University of Alabama at BirminghamKaren C. Albright - Univ Alabama Birmingham, Dept Epidemiol, Birmingham, AL USASheryl Martin-Schild
- Resource Type
- Journal article
- Publication Details
- Stroke (1970), Vol.44(11), pp.3232-3234
- DOI
- 10.1161/STROKEAHA.113.002402
- PMID
- 23963332
- PMCID
- PMC3885340
- NLM abbreviation
- Stroke
- ISSN
- 0039-2499
- eISSN
- 1524-4628
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 3
- Grant note
- 3 P60 MD000502-08S1 / National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health (NIH) 13PRE13830003 / American Heart Association P60MD000502 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) T32HS013852 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality 5 T32 HS013852-10 / Agency for Healthcare Research and Quality (AHRQ); United States Department of Health & Human Services; Agency for Healthcare Research & Quality
- Language
- English
- Date published
- 11/01/2013
- Academic Unit
- Neurology
- Record Identifier
- 9984302208302771
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