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Disability and mortality after permanent feeding tube placement in patients with acute stroke (P3.107)
Conclusions:In our large cohort of patients with acute stroke and PEG tubes, nearly 9/10 had severe disability at discharge. From discharge to 1 year, there was no difference in mortality between PEG and NG patient cohorts. These results suggest that PEG tubes serve mainly to prolong survival in patients discharged with severe disability. Our study may help support guideline creation and facilitate discussions with patients and families regarding PEG tube placement after acute stroke.Disclosure: Dr. Joundi has nothing to disclose. Dr. Saposnik has nothing to disclose. Dr. Martino has nothing to disclose. Dr. Fang has nothi...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Joundi, R., Saposnik, G., Martino, R., Fang, J., Giannakeas, V., Porter, J., Kapral, M. Tags: Cerebrovascular Disease and Interventional Neurology Poster Discussion Session Source Type: research

Association between nasogastric tubes, pneumonia, and clinical outcomes in acute stroke patients
Conclusions: Early NGT does not increase PSP incidence, mortality, or poor functional outcomes and can be used safely in acute stroke patients.
Source: Neurology - September 25, 2016 Category: Neurology Authors: Kalra, L., Hodsoll, J., Irshad, S., Smithard, D., Manawadu, D., On behalf of the STROKE-INF Investigators Tags: Outcome research, Medical care, All Cerebrovascular disease/Stroke, Clinical trials Observational study (Cohort, Case control), Class III ARTICLE Source Type: research

The lack of documentation of preferences in a cohort of adults who died after ischemic stroke
Conclusions: Documented discussions about limitations on life-sustaining interventions during hospitalization were low, even though this cohort died within 30 days poststroke. Improving the documentation of preferences may be difficult given the 2015 Centers for Medicare and Medicaid 30-day stroke mortality hospital performance measure that is unadjusted for patient preferences regarding life-sustaining interventions.
Source: Neurology - May 29, 2016 Category: Neurology Authors: Robinson, M. T., Vickrey, B. G., Holloway, R. G., Chong, K., Williams, L. S., Brook, R. H., Leng, M., Parikh, P., Zingmond, D. S. Tags: Outcome research, Quality of life, Infarction, Palliative care ARTICLE Source Type: research

Failing a Dysphagia Screening Test after Acute Ischemic Stroke: Baseline Patient Factors and Outcomes (P6.037)
CONCLUSIONS: Patients with ischemic stroke who failed a dysphagia screening test had worse pre-admission function and more severe strokes, and developed much higher rates of complications and death than those who passed. Multivariable analyses are pending to control for stroke severity and determine the strength of these associations.Disclosure: Dr. Joundi has nothing to disclose. Dr. Martino has nothing to disclose. Dr. Saposnik has nothing to disclose. Dr. Fang has nothing to disclose. Dr. Giannakeas has nothing to disclose. Dr. Kapral has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Joundi, R., Martino, R., Saposnik, G., Fang, J., Giannakeas, V., Kapral, M. Tags: In-Hospital Stroke and Stroke Complications Source Type: research