title: New model for predicting surgical feeding tube placement in patients with an acute stroke event.
abstract: OBJECTIVE
  The need for surgical feeding tube placement after acute stroke can be uncertain and associated with further morbidity.
  
  
  METHODS
  Retrospective data were recorded and compared across patients with acute ischemic stroke and intracerebral hemorrhage. We identified all feeding tubes placed as percutaneous endoscopic gastrostomy (PEG) tubes. A prediction score for PEG tube placement was developed separately for patients with acute ischemic stroke and intracerebral hemorrhage using logistic regression models of variables known by 24 hours from admission.
  
  
  RESULTS
  Of 407 patients included, 51 (12.5%) underwent PEG tube placement (25 acute ischemic stroke and 26 intracerebral hemorrhage). The odds of a patient with acute ischemic stroke with PEG score ≥3 of getting a PEG are greater than those with PEG score <3 (odds ratio, 15.68; 95% confidence interval, 4.55-54.01). The odds of a patient with intracerebral hemorrhage with PEG score ≥3 of getting a PEG are greater than those with PEG score <3 (odds ratio, 12.49; 95% confidence interval, 1.54-101.29).
  
  
  CONCLUSIONS
  The PEG score, comprised by variables known within the first day of admission, may be a powerful predictor of PEG placement in patients with acute stroke.
authors: From the Stroke Program, Department of Neurology, Tulane University Hospital, New Orleans, LA (P.H.D., J.E.S., A.S., J.J., S.M.-S.); Doris Duke Charitable Foundation, Clinical Research Fellow, New York, NY (P.H.D.); Department of Epidemiology (A.K.B., K.C.A.), and Department of Neurology (A.K.B.), University of Alabama at Birmingham, AL; Health Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE), University of Alabama at Birmingham, AL (K.C.A.); and Center of Excellence in Comparative Effectiveness Research for Eliminating Disparities (CERED) Minority Health & Health Disparities Research Center (MHRC), University of Alabama at Birmingham, AL (K.C.A.).
authors: Perry H
authors: PH
authors: Dubin
authors: Amelia K
authors: AK
authors: Boehme
authors: James E
authors: JE
authors: Siegler
authors: Amir
authors: A
authors: Shaban
authors: Jenifer
authors: J
authors: Juengling
authors: Karen C
authors: KC
authors: Albright
authors: Sheryl
authors: S
authors: Martin-Schild
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000628:therapy; D003680:Deglutition Disorders / Q000150:complications* / Q000628:therapy; D004750:Enteral Nutrition; D005260:Female; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012189:Retrospective Studies; D020521:Stroke / Q000150:complications* / Q000628:therapy; D016896:Treatment Outcome; D055815:Young Adult
keywords: acute ischemic stroke; enteral nutrition; gastric feeding tube; intracerebral hemorrhage
references: Endoscopy. 2007 Apr;39(4):333-8
references: 17427069
references: Food Nutr Res. 2011;55:
references: 21799666
references: J Stroke Cerebrovasc Dis. 2010 Sep-Oct;19(5):347-52
references: 20554223
references: Stroke. 1999 Apr;30(4):744-8
references: 10187872
references: Lancet. 2005 Feb 26-Mar 4;365(9461):764-72
references: 15733717
references: Cerebrovasc Dis. 2012;33(6):501-7
references: 22538772
references: J Stroke Cerebrovasc Dis. 2012 Feb;21(2):114-20
references: 20851628