Article

The aim of this study was to identify possible clinical factors
associated with enteral tube feeding use and duration in acute ischemic stroke
patients. DESIGN: The medical records of 410 acute ischemic stroke patients were
reviewed. Brain lesions were classified into nine regions of interest according
to the cerebral vascular system. Brain lesion volume, lesion side, National
Institutes of Health Stroke Scale (NIHSS) score, type of feeding during
admission, and demographic characteristics were compared between enteral tube
feeding and non-enteral tube feeding groups. RESULTS: Of the 410 patients, 61
used enteral feeding tubes. The mean age, NIHSS score, and brain lesion volume
were significantly higher in the tube group than the nontube group (P < 0.001).
Of the nine regions of interest, the right and left middle cerebral artery areas
were strongly correlated with enteral tube feeding (P < 0.001). The NIHSS scores
were significantly related to the duration of tube feeding (P < 0.05). The NIHSS
consciousness subscores were significantly higher in the tube feeding group than
in the non-tube feeding group (P < 0.05). CONCLUSIONS: Older age, lesions in the
middle cerebral artery territory, and larger lesions were identified as
significant risk factors of enteral tube feeding.
Especially, the NIHSS
consciousness subscore needs to be evaluated precisely because it was the factor
most closely related to the implementation and duration of enteral tube feeding.

Langue : ANGLAIS