Observational studyNeurology2014
Current practices in feeding tube placement for US acute ischemic stroke inpatients.
Observational study in Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Guidelines for Neuroprognostication in Critically ill Adults with Acute Ischemic Stroke.Neurocritical care · 2026Guideline
- Trial
- Early gastrostomy is associated with more efficient healthcare resource utilization in nontraumatic intracerebral hemorrhage patients.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026Article
- Use of End-of-Life Care Pathways in Hospitalized Stroke Patients: A Retrospective Study of the AMBER Care and Dying Adults in the Last Days of Life Approaches.Healthcare (Basel, Switzerland) · 2025Article
- Culturally Centered Palliative Care: A Framework for Equitable Neurocritical Care.Neurocritical care · 2024Review
- Quality Improvement Initiative Using Predictive Swallowing Score to Guide Nutritional Support for Patients With Post-Stroke Dysphagia.Neurology. Clinical practice · 2024Article
- Factors associated with oropharyngeal dysphagia and unsuccessful nasogastric tube removal after endovascular thrombectomy for anterior circulation stroke.European geriatric medicine · 2024Article
- Outcomes and Experiences of Patients and Their Caregivers After Severe Stroke Requiring Tube Feeding in Peru.Journal of pain and symptom management · 2024Article
- An Update on Palliative Care in Neurocritical Care: Providing Goal‑Concordant Care in the Face of Prognostic Uncertainty.Current treatment options in neurology · 2023Article
- Timing and Outcomes of Percutaneous Endoscopic Gastrostomy After Ischemic Stroke.Gastroenterology research · 2023Article
- A Simple Nomogram for Predicting Stroke-Associated Pneumonia in Patients with Acute Ischemic Stroke.Healthcare (Basel, Switzerland) · 2023Article
- Complications and outcomes of hospitalizations for patients with and without Parkinson disease.Frontiers in aging neuroscience · 2023Article
- The Demographics of Patients Presenting for Laryngological Care at an Academic Medical Center.The Laryngoscope · 2022Article
- Decade-Long Nationwide Trends and Disparities in Use of Comfort Care Interventions for Patients With Ischemic Stroke.Journal of the American Heart Association · 2021Article
- Appraisal of Health States Worse Than Death in Patients With Acute Stroke.Neurology. Clinical practice · 2021Article
- End-of-Life Care Decision-Making in Stroke.Frontiers in neurology · 2021Review
- Factors Influencing Oral Intake Improvement and Feeding Tube Dependency in Patients with Poststroke Dysphagia.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2019Observational
- Tracheostomy After Severe Acute Brain Injury: Trends and Variability in the USA.Neurocritical care · 2019Article
- Development and Validation of a Prognostic Model of Swallowing Recovery and Enteral Tube Feeding After Ischemic Stroke.JAMA neurology · 2019Observational
- Variability in Palliative Care Use after Intracerebral Hemorrhage at US Hospitals: A Multilevel Analysis.Neuroepidemiology · 2019Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveWe sought to identify current US hospital practices for feeding tube placement in ischemic stroke.
methodsIn a retrospective observational study, we examined the frequency of feeding tube placement among hospitals in the Nationwide Inpatient Sample with ≥30 adult ischemic stroke admissions annually with length of stay greater than 3 days. We examined trends from 2004 to 2011 and predictors using data from more recent years (2008-2011). We used multilevel multivariable regression models accounting for a hospital random effect, adjusted for patient-level and hospital-level factors to predict feeding tube placement.
resultsFeeding tube insertion rates did not change from 2004 to 2011 (8.1 vs 8.4 per 100 admissions; p trend = 0.11). Among 1,540 hospitals with 164,408 stroke hospitalizations from 2008 to 2011, a feeding tube was placed 8.8% of the time (n = 14,480). Variation in the rate of feeding tube placement was high, from 0% to 26% between hospitals (interquartile range 4.8%-11.2%). In the subset with available race/ethnicity data (n = 88,385), after controlling for patient demographics, socioeconomics, and comorbidities, hospital factors associated with feeding tube placement included stroke volume (odds ratio [OR] 1.28 highest vs lowest quartile; 95% confidence interval [CI] 1.10-1.49), for-profit status (OR 1.13 vs nonprofit; 95% CI 1.01-1.25), and intubation use (OR 1.66 highest vs lowest quartile; 95% CI 1.47-1.87). In addition, hospitals with higher rates of black/Hispanic stroke admissions had increased risk of feeding tube placement (OR 1.28 highest vs lowest quartile; 95% CI 1.14-1.44).
conclusionsVariation in feeding tube insertion rates across hospitals is large. Differences across hospitals may be partly explained by external factors beyond the patient-centered decision to insert a feeding tube.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.