Association between nasogastric tubes, pneumonia, and clinical outcomes in acute stroke patients.

ABSTRACT:

Objective

To investigate whether nasogastric tubes (NGTs) increase poststroke pneumonia (PSP), mortality, or poor outcomes in nil-by-mouth acute stroke patients.

Methods

This study analyzed prespecified outcomes of PSP at 14 days and mortality and function measured by the modified Rankin Scale at 90 days in 1,217 nil-by-mouth stroke patients at ≤48 hours of symptom onset in a multicenter randomized controlled trial of preventive antibiotics between April 21, 2008, and May 17, 2014. Generalized mixed models adjusted for age, comorbidities, stroke type and severity, and quality of care were used. No patients were lost to follow-up at 14 days, and 36 (3%) were lost at 90 days.

Results

Patients with NGT (298 of 1,217 [24.4%]) had more severe strokes (median NIH Stroke Sca

SUBMITTER: Kalra L 

PROVIDER: S-EPMC5047037 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature