Gastrostomy in Hospitalized Patients with Acute Stroke: “NöroTek” Turkey Point Prevalence Study Subgroup Analysis; [Hastanede Yatan Akut İnmeli Hastalarda Gastrostomi: “NöroTek” Türkiye Nokta Prevalans Çalışması Alt Grup Analizi]
dc.contributor.author | Topçuoğlu M.A. | |
dc.contributor.author | Özdemir A.Ö. | |
dc.contributor.author | Aykaç Ö. | |
dc.contributor.author | Milanoğlu A. | |
dc.contributor.author | Gökçe M. | |
dc.contributor.author | Bavli S. | |
dc.contributor.author | Çabalar M. | |
dc.contributor.author | Yayla V. | |
dc.contributor.author | Erdoğan H.A. | |
dc.contributor.author | Özkul A. | |
dc.contributor.author | Güneş A. | |
dc.contributor.author | Değirmenci B. | |
dc.contributor.author | Aluçlu U. | |
dc.contributor.author | Kozak H.H. | |
dc.contributor.author | Güngör L. | |
dc.contributor.author | Erdoğan M. | |
dc.contributor.author | Acar Z.Ö. | |
dc.contributor.author | Cenikli U. | |
dc.contributor.author | Kablan Y. | |
dc.contributor.author | Yılmaz A. | |
dc.contributor.author | Genç H. | |
dc.contributor.author | Nazliel B. | |
dc.contributor.author | Çağlayan H.B. | |
dc.contributor.author | Gencer E.S. | |
dc.contributor.author | Ay H. | |
dc.contributor.author | Demirbaş H. | |
dc.contributor.author | Akdoğan Ö. | |
dc.contributor.author | Emre U. | |
dc.contributor.author | Yıldız Ö.K. | |
dc.contributor.author | Bolayır A. | |
dc.contributor.author | Demir T. | |
dc.contributor.author | Tanrıverdi Z. | |
dc.contributor.author | Tekan Ü.Y. | |
dc.contributor.author | Akpınar Ç.K. | |
dc.contributor.author | Özkan E. | |
dc.contributor.author | İlik F. | |
dc.contributor.author | Şirin H. | |
dc.contributor.author | Güler A. | |
dc.contributor.author | Önder H. | |
dc.contributor.author | Bektaş H. | |
dc.contributor.author | Öcek L. | |
dc.contributor.author | Bakar M. | |
dc.contributor.author | Ongun N. | |
dc.contributor.author | Krespi Y. | |
dc.contributor.author | Işıkay C.T. | |
dc.contributor.author | Aslanbaba E. | |
dc.contributor.author | Sorgun M. | |
dc.contributor.author | Gürkaş E. | |
dc.contributor.author | Karadeli H.H. | |
dc.contributor.author | Midi İ. | |
dc.contributor.author | İlgezdi İ. | |
dc.contributor.author | Bilgiç A.B. | |
dc.contributor.author | Akyol Ş. | |
dc.contributor.author | Epçeliden M.T. | |
dc.contributor.author | Atmaca M.M. | |
dc.contributor.author | Kurşun O. | |
dc.contributor.author | Keskin O. | |
dc.contributor.author | Şirinocak P.B. | |
dc.contributor.author | Baydemir R. | |
dc.contributor.author | Akçakoyunlu M. | |
dc.contributor.author | Öztürk Ş. | |
dc.contributor.author | Özel T. | |
dc.contributor.author | Ünal A. | |
dc.contributor.author | Dora B. | |
dc.contributor.author | Yürekli V.A. | |
dc.contributor.author | Arlıer Z. | |
dc.contributor.author | Eren A. | |
dc.contributor.author | Yılmaz A. | |
dc.contributor.author | Kısabay A. | |
dc.contributor.author | Acar B. | |
dc.contributor.author | Baştan B. | |
dc.contributor.author | Niflioğlu B. | |
dc.contributor.author | Güven B. | |
dc.contributor.author | Kaya D. | |
dc.contributor.author | Afşar N. | |
dc.contributor.author | Yazıcı D. | |
dc.contributor.author | Aytaç E. | |
dc.contributor.author | Yaka E. | |
dc.contributor.author | Toplutaş E. | |
dc.contributor.author | Değirmenci E. | |
dc.contributor.author | İnce F.B. | |
dc.contributor.author | Büyükşerbetçi G. | |
dc.contributor.author | Aydın İ. | |
dc.contributor.author | Çetiner M. | |
dc.contributor.author | Şen M. | |
dc.contributor.author | Turgut N. | |
dc.contributor.author | Kale N. | |
dc.contributor.author | Çoban E. | |
dc.contributor.author | Yeşilot N. | |
dc.contributor.author | Ekizoğlu E. | |
dc.contributor.author | Kizek Ö. | |
dc.contributor.author | Birgili Ö. | |
dc.contributor.author | Yevgi R. | |
dc.contributor.author | Kunt R. | |
dc.contributor.author | Giray S. | |
dc.contributor.author | Akkaş S.Y. | |
dc.contributor.author | Şenadım S. | |
dc.contributor.author | Yoldaş T. | |
dc.contributor.author | Asil T. | |
dc.contributor.author | Duman T. | |
dc.contributor.author | Atasoy T. | |
dc.contributor.author | Çınar B.P. | |
dc.contributor.author | Demir T. | |
dc.contributor.author | Can U. | |
dc.contributor.author | Ünsal Y.Ö. | |
dc.contributor.author | Eşkut N. | |
dc.contributor.author | Aslan Y. | |
dc.contributor.author | Baş D.F. | |
dc.contributor.author | Şener U. | |
dc.contributor.author | Yılmaz Z. | |
dc.contributor.author | Bozdoğan Z. | |
dc.contributor.author | Alioğlu Z. | |
dc.contributor.author | Arsava E.M. | |
dc.date.accessioned | 2025-04-10T11:04:50Z | |
dc.date.available | 2025-04-10T11:04:50Z | |
dc.date.issued | 2022 | |
dc.description.abstract | 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. © 2022 by Turkish Neurological Society. | |
dc.identifier.DOI-ID | 10.4274/tnd.2022.52460 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14701/45651 | |
dc.publisher | Turkish Neurosurgical Society | |
dc.title | Gastrostomy in Hospitalized Patients with Acute Stroke: “NöroTek” Turkey Point Prevalence Study Subgroup Analysis; [Hastanede Yatan Akut İnmeli Hastalarda Gastrostomi: “NöroTek” Türkiye Nokta Prevalans Çalışması Alt Grup Analizi] | |
dc.type | Article |