Observational studyJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2016
Practice Patterns of Percutaneous Endoscopic Gastrostomy Tube Placement in Acute Stroke: Are the Guidelines Achievable?
Observational study in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed, 26 citations in OpenAlex.
- Post-Stroke Dysphagia: Moving Toward Evidence-Based, Recovery-Oriented Systems of Care.Current neurology and neuroscience reports · 2026Review
- Timing and Outcomes of Percutaneous Endoscopic Gastrostomy After Ischemic Stroke.Gastroenterology research · 2023Article
- Practice Patterns and Attitudes Among Speech-Language Pathologists Treating Stroke Patients with Dysphagia: A Nationwide Survey.Dysphagia · 2022Article
- Speech-language pathology approaches to neurorehabilitation in acute care during COVID-19: Capitalizing on neuroplasticity.PM & R : the journal of injury, function, and rehabilitation · 2022Article
- Age-Specific and Sex-Specific Trends in Life-Sustaining Care After Acute Stroke.Journal of the American Heart Association · 2021Article
- Cortical and Subcortical Control of Swallowing-Can We Use Information From Lesion Locations to Improve Diagnosis and Treatment for Patients With Stroke?American journal of speech-language pathology · 2020Article
- Physician opinions on decision making for percutaneous endoscopic gastrostomy (PEG) feeding tube placement.Surgical endoscopy · 2019Article
- 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
- Mapping acute lesion locations to physiological swallow impairments after stroke.NeuroImage. Clinical · 2019Article
- Outcomes among patients with direct enteral vs nasogastric tube placement after acute stroke.Neurology · 2018Article
- Minority race and male sex as risk factors for non-beneficial gastrostomy tube placements after stroke.PloS one · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesOur objectives were to evaluate trends in percutaneous endoscopic gastrostomy (PEG) tube placement rate and timing in acute stroke patients. We hypothesized that noncompliance with clinical practice guidelines for timing of tube placement and an increase in placement occurred because of a decrease in length of hospital stay.
methodsWe conducted a retrospective observational study of archival hospital billing data from the Florida state inpatient healthcare cost and utilization project database from 2001 to 2012 for patients with a primary diagnosis of stroke. Outcome measures were timing of PEG tube placements by year (2006-2012), rate of placements by year (2001-2012), and length of hospital stay. Univariate analyses and simple and multivariable logistic regression analyses were conducted.
resultsThe timing of gastrostomy tube placement remained stable with a median of 7 days post admission from 2006 through 2012. The proportion of tubes that were placed at or after 14 days and thereby met the guideline recommendations varied from 14.09% in 2006 to 13.41% in 2012. The rate of tube placement in stroke patients during the acute hospital stay decreased significantly by 25% from 6.94% in 2001 to 5.22% in 2012 (P < .0001). The length of hospital stay for all stroke patients decreased over the study period (P < .0001).
conclusionsThe vast majority of PEG tube placements happen earlier than clinical practice guidelines recommend. Over the study period, the rate of tubes placed in stroke patients decreased during the acute hospital stay despite an overall reduced length of stay.
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