Evidence map›Paper›PMID 42459856›Full record

ArticleFrontiers in neurology

Risk factors of nasogastric tube removal failure in acute ischemic stroke patients: a 3-months follow-up cohort study at a single institute.

Ya-Chi Chuang, Hsuan-Mei Huang, Po-Lin Chen, Jin-An Huang, Yuan-Yang Cheng, Jimmy Chun-Ming Fu

Abstract read
In one paragraph

Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ya-Chi ChuangDepartment of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan.
Hsuan-Mei HuangDepartment of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan.
Po-Lin ChenDivision of Neurology, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Jin-An HuangDivision of Neurology, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Yuan-Yang ChengDepartment of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan.
Jimmy Chun-Ming FuDepartment of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Post-stroke dysphagia is an important problem affecting patient outcomes, and frequently necessitating immediate nasogastric tube (NGT) placement for enteral nutrition. While initially recommended, the prolonged use of NGT leads to more complications. The study aims to identify risk factors for failure of NGT removal at discharge and 3 months post-discharge in acute ischemic stroke patients. Methods: A retrospective analysis of 290 patients admitted from January 2022 to November 2023 was performed in a single center. All included patients strictly underwent this standardized dysphagia evaluation protocol before any NGT placement or removal decisions were made, ensuring the clinical validity of our outcome measures. Data on demographics, clinical characteristics, stroke-related factors (stroke severity, location, etiology, and functional status) and rehabilitation-related factors (post-discharge rehabilitation setting) were extracted and analyzed using logistic regression. Results: Several factors, including age, pre-existing comorbidities, modified Rankin Scale score, stroke location, stroke etiology (cardioembolic type), severity, consciousness level, hand and lower limb Brunnstrom stage, intensive care unit stay length, post-discharge rehabilitation setting and number of speech therapy sessions during admission, were statistically significant risk factors for NGT removal failure at 3 months post-discharge. Multivariate analysis later revealed from these items, only the cardioembolic stroke (OR 10.31, Conclusion: These preliminary findings suggest an association between functional status, stroke etiology, and NGT removal outcomes. Given the retrospective exploratory nature of this study, further prospective research is needed to establish definitive causal relationships.

Indexed as

dysphagiaischemic strokesnasogastric tuberisk factorsspeech therapy

Identifiers

PMID42459856
PMCPMC13368627

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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.