Feeding practice in acute stroke patients in a tertiary care hospital

Miah, Titu; Al-Amin, Mohammad; Khan, Mehmood; Ayaz, Kfm; Zakaria, MH; Ahmed, Srijoni; Ahasan, Ham Nazmul

doi:10.3329/bmrcb.v36i3.7286

Cited by 3 publications

(14 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients who are capable of swallowing liquids and food may have a poor appetite because of the effects of inter current illness or medication and they may eat more slowly or be less keen to eat because of facial weakness, lack of dentures or poor arm function 18 . In a Bangladeshi study it has been reported that this cause to be 22.0% which is comparable to this present study 17 . Out the 100 patients studied, 71 patients had complications.…”

Section: Discussionsupporting

confidence: 91%

“…Two previous Bangladeshi studies conducted by Siddique et al and Hossain also describes similar findings 14,16 . In a study done by Miah et al, reported that 78% of the stroke patients' required NG tube feeding for stroke 17 . Indications for NG tube feeding were analyzed in our study population.…”

Section: Discussionmentioning

confidence: 99%

“…It has been reported that dysphagia can occur up to 50% of patients following stroke [1][2][3][4] . In a study by Miah et al, 24.0% was fed via NG tube for dysphagia 17 . In our study, total 48.0% of the patients required NG tube feeding for alteration of consciousness which is comparable to the results of Miah et al 17 .…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Miah et al, 24.0% was fed via NG tube for dysphagia 17 . In our study, total 48.0% of the patients required NG tube feeding for alteration of consciousness which is comparable to the results of Miah et al 17 . In this study, 10.0% of the patients were given NG tube feeding due to poor intake and 3% due extreme debility.…”

Section: Discussionmentioning

confidence: 99%

“…It is more common when patients are NG fed in the supine position and reflects a combination of gravitational back flow and impairment of gastro-oesophageal sphincter function induced by pharyngeal stimulation and the presence of the tube across the cardia. It is very common in patients with impaired consciousness or poor gag reflexes, occurring in up to 30.0% of those with tracheostomies and 12.5% of neurological patients [16][17][18] . Aspiration may occur with no obvious vomiting or coughing, and pneumonia can develop silently.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Nasogastric Tube Feeding Practice and Associated Complication in stroke Patients in a Tertiary Care Hospital in Bangladesh

Rahman

Khan

Hasan

et al. 2018

J. Natl Inst. Neurosci Bangladesh

View full text Add to dashboard Cite

Background: Nasogastric tube feeding is an integral part of management of stroke patients with feeding difficulties.Objectives: The purpose of the present study was to evaluate the nasogastric tube feeding practice and its complication on stroke patients.Methodology: One hundred (100) adult patients aged ≥ 18 years with stroke were enrolled in the study. The diagnosis of stroke was established by the clinical presentation, neuroimaging. Patients requiring nasogastric tube feeding was included in the study. They were thoroughly examined for any complications from possible use of nasogastric tube. Their caregivers were also thoroughly interviewed using a standard preformed questionnaire regarding any complications as well. Results: A total number of 100 patients were recruited for this study. In this study population, 63.0% patients had ischaemic stroke; 26.0% had haemorrhagic stroke and 9.0% population had sub-arachnoid haemorrhage. The most common indication for NG feeding was difficulty in swallowing (39.0%) followed by semi consciousness (26.0%), unconsciousness (22.0%), inability to maintain feed (10.0%). About 71.0% of the patients had complications from NG tube feeding such as nasal irritation (53.0%), electrolyte imbalance (43.0%), aspiration pneumonia (40.0%) and diarrhea (38.0%).Conclusion: Nasal irritation, aspiration pneumonia, electrolyte imbalance, diarrhea are common complications associated with NG tube feeding which in part may be related to faulty feeding technique.Journal of National Institute of Neurosciences Bangladesh, 2018;4(1): 23-27

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Nasogastric Tube Feeding Practice and Associated Complication in stroke Patients in a Tertiary Care Hospital in Bangladesh

Rahman

Khan

Hasan

et al. 2018

J. Natl Inst. Neurosci Bangladesh

View full text Add to dashboard Cite

show abstract

Detection of Complications Associated With Nasogastric Tube Feeding in Patients With Haemorrhagic Stroke in a Tertiary Hospital

Rahman,

Taslima,

Rahman

et al. 2023

J Dhaka Med Coll

View full text Add to dashboard Cite

Background: Stroke poses the greatest disease burden in hospital admission among the non communicable diseases (NCD’s). In majority of cases haemorrhagic stroke is the common neurological problem. Many of the patients develop swallowing difficulty and require nasogastric feeding for maintenance of nutrition. But this feeding can be a double-edged sword as it can lead to many complications due to various factors including errors in the feeding method, dislodgement of the tube and many other causes. Our intention was to look into this neglected part of clinical practice as this is mostly handled by internists. Objectives: To evaluate the complications of nasogastric tube feeding practice on haemorrhagic stroke patients. Materials and methods: One hundred (100) adult patients aged between 18- 70 years with haemorrhagic strokeas enrolled in the study. Haemorrhagic stroke was diagnosed by the clinical presentation, neuroimaging (CT scan/ MRI). Patients requiring nasogastric tube feeding were included in the study. They were systematically examined for any complications related to use of nasogastric tube. Their caregivers were also thoroughly interviewed using a standard pre formed questionnaire regarding any complications as well. All data were be collected by using a preformed data sheet and results were presented in standard method after statistical analysis. Results: Of the 100 patients studied, most common age group for stroke was 51-60 years (53%). Male to female ratio was 2.22:1. In this study population, 70% had intracerebral haemorrhage, 24% had Sub arachnoid haemorrhage and 6% had aneurysmal haemorrhage. The most common indication for NG feeding was difficulty in swallowing (39%). Other common indications were semi consciousness (26%), unconsciousness (22%), inability to maintain feed (10%). Around 71 % of the patients had complications from NG tube feeding. Out of them, 53% of the patients had nasal irritation where 63.15%was suffering from intracerebral haemorrhage, 31.57% and 5.26% were suffering from subarachnoid haemorrhagic and aneurysmal haemorrhage respectively. 40 % patients developed aspiration pneumonia, out of them 65.51%wasintracerebral haemorrhage, 31.03% was subarachnoid haemorrhagie ,3.44% was aneurysmal haemorrhage. 38% of the patients were developed diarrhea. Diarrhoea was reported by 66.66%, 29.62%, 3.70% in intracerebral haemorrhage, subarachnoid haemorrhagic and aneurysmal haemorrhage respectively. 53% had tube blockage, out of them intracerebral haemorrhage 71.05%, subarachnoid haemorrhage 23.68%, aneurysmal haemorrhage 2.63%. 43% of the patients had electrolyte imbalance, among them intracerebral haemorrhage 67.74% and subarachnoid haemorrhage 32.25%. Tube displacement was experienced by intracerebral haemorrhage 74.16%, subarachnoid haemorrhage 25.80% and 18% of the patients were malnourished. Conclusion: NG tube feeding is an integral part of management of stroke patients with feeding difficulties. But often it is associated with various complications which can increase the morbidities in stroke patients. J Dhaka Med Coll. 2022; 31(1) : 77-85

show abstract

Complications Associated with Nasogastric Tube Feeding among Stroke Patients at a Tertiary Hospital in Dhaka City

Rahman

Siddiq

Taslima³

et al. 2023

J. Natl Inst. Neurosci Bangladesh

View full text Add to dashboard Cite

Background: Many stroke patients develop swallowing difficulty and require nasogastric feeding for the maintenance of nutrition. Objectives: The purpose of the present study was to evaluate the complications of nasogastric tube feeding practice on stroke patients. Methodology: This cross-sectional study was conducted from April 2014 to September 2014 in the Department of Medicine at Dhaka Medical College Hospital, Dhaka, Bangladesh. Adult patients aged between 18 to 70 years with stroke was enrolled in the study. The diagnosis of stroke was established by the clinical presentation and neuroimaging. Patients requiring nasogastric tube feeding was included in the study and were systematically examined for any complications related to use of nasogastric tube. Their caregivers were also thoroughly interviewed using a standard pre formed questionnaire regarding any complications as well. Results: Of the 100 patients studied, most common age group for stroke was 51 to 60 years (53.0%). Male to female ratio was 2.22:1. In this study population, 63.0% patients had ischaemic stroke; 26.0% had haemorrhagic stroke; 9.0% population had subarachnoid haemorrhage. The most common indication for NG feeding was difficulty in swallowing (39.0%). Other common indications were semi-consciousness (26%), unconsciousness (22.0%), inability to maintain feed (10.0%). Around 71.0% of the patients had complications from NG tube feeding. Out of them, 53.0% of the patients had nasal irritation, 40.0% patients developed aspiration pneumonia. 38.0% of the patients developed diarrhea, 53.0% had tube blockage. 43.0% of the patients had electrolyte imbalance and tube displacement, 18.0% of the patients were malnourished. Conclusion: In conclusion nasogastric tube feeding is associated with various complications which can increase the morbidities in stroke patients. Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):136-142

show abstract

Feeding practice in acute stroke patients in a tertiary care hospital

Abstract: Background: Feeding is a basic component of care and it is the most common and difficult management issue for stroke patients.

Cited by 3 publications

References 22 publications

Nasogastric Tube Feeding Practice and Associated Complication in stroke Patients in a Tertiary Care Hospital in Bangladesh

Nasogastric Tube Feeding Practice and Associated Complication in stroke Patients in a Tertiary Care Hospital in Bangladesh

Detection of Complications Associated With Nasogastric Tube Feeding in Patients With Haemorrhagic Stroke in a Tertiary Hospital

Complications Associated with Nasogastric Tube Feeding among Stroke Patients at a Tertiary Hospital in Dhaka City

Contact Info

Product

Resources

About