Gastrostomy in Hospitalized Patients with Acute Stroke: “NöroTek” Turkey Point Prevalence Study Subgroup Analysis

Topçuoğlu, Mehmet Akif; Özdemi̇r, Atilla Özcan; Aykaç, Özlem; Milanoğlu, Aysel; Gökçe, Mustafa; Bavli, Songül; Çabalar, Murat; Yayla, Vildan; Erdoğan, Hacı Ali; Özkul, Ayça; Güneş, Aygül; Değirmenci, Bahar; Aluçlu, Ufuk; Kozak, Hasan Hüseyin; Güngör, Levent; Erdoğan, Mücahid; Cenikli, Utku; Kablan, Yüksel; Yılmaz, Arda; Genç, Hamit; Nazlıel, Bijen; Çağlayan, Hale Batur; Gençer, Elif Sarıönder; Ay, Halil; Demirbaş, Hayri; Akdoğan, Özlem; Emre, Ufuk; Yıldız, Özlem; Bolayir, Aslı; Demır, Turgay; Tanrıverdi, Zeynep; Tekan, Ülgen Yalaz; Akpınar, Çetin Kürşad; Özkan, Esra Akyüz; İlik, Faik; Şirin, Hadiye; Güler, Ayşe; Önder, Halil; Bektaş, Hesna; Öcek, Levent; Bakar, Mustafa; Ongun, Nedim; Krespi, Yakup; Işıkay, Canan Togay; Aslanbaba, Eda; Sorgun, Mine Hayriye; Gürkaş, Erdem; Karadereli, Hasan Hüseyin; Midi, İpek; İlgezdi, İrem; Bilgiç, Adnan; Akyol, Şener; Epçeliden, M. Tuncay; Atmaca, Murat Mert; Kurşun, Oğuzhan; Keskın, Onur; Şirinocak, Pınar Bekdik; Baydemir, Recep; Akçakoyunlu, Merve; Öztürk, Şerefnur; Özel, Tuğba; Ünal, Ali; Dora, Babür; Yürekli, Vedat Ali; Arlıer, Zülfikar; Eren, Alper; Yılmaz, Ayşe; Kısabay, Ayşın; Acar, Bilgehan Atılgan; Baştan, Birgül; Acar, Zeynep; Niflioğlu, Buket; Güven, Bülent; Kaya, Dilaver; Afşar, Nazire; Yazıcı, Duran; Aytaç, Emrah; Yaka, Erdem; Toplutaş, Eren; Değirmenci, Eylem; İnce, Fatma Birsen; Buyukserbetci, Gulseren; Aydın, İsa; Çetiner, Mustafa; Şen, Mustafa; Turgut, Nilda; Kale, Nilüfer; Çoban, Eda; Yeşilot, Nilüfer; Eki̇zoğlu, Esme; Kizek, Özgü; Birgili, Özlem; Yevgi, Recep; Kunt, Refik; Gıray, Semih; Akkaş, Sinem Yazıcı; Şenadım, Songül; Yoldaş, Tahir Kurtuluş; Asıl, Talip; Duman, Taşkın; Atasoy, Tuğrul; Cinar, Bilge Piri; Demir, Tülin; Can, Ufuk; Ünsal, Yaprak Özüm; Eşkut, Neslihan; Aslan, Yıldız; Baş, Demet Funda; Şener, Ufuk; Yılmaz, Zahide; Bozdoğan, Zehra; Alioğlu, Zekeriya; Arsava, Ethem Murat

doi:10.4274/tnd.2022.52460

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…In cases of neurovascular diseases where PEG is used, patients tend to be older, with more severe clinical stroke symptoms, and have longer hospital stays. Approximately 10% of stroke patients in Turkey are treated with PEG, representing at least about 15,000 patients annually, highlighting the critical importance of developing a global nutritional strategy in acute stroke (12). In our study, the proportion of patients fed through PEG was around 40%, indicating an increasing preference for PEG in Turkey over the years.…”

Section: Discussionmentioning

confidence: 60%

Comparison of Anxiety and Depression Levels in Caregivers of Patients with Percutaneous Endoscopic Gastrostomy for Home Enteral Tube Feeding Against Other Enteral Nutrition Methods

Özceylan,

Fındık

2023

Preprint

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Background This study aims to measure and compare the anxiety and depression status of caregivers of patients nourished through Percutaneous Endoscopic Gastrostomy (PEG) and other enteral nutrition methods, thereby assessing the psychological burden created by these two groups. Methods A comparison was made of the Hospital Anxiety and Depression Scale (HADS) scores among caregivers of patients receiving PEG and other enteral nutrition, focusing on changes between hospital admission and discharge. These changes were analyzed based on the caregiver's age, gender, and the duration of the patient's hospital stay. Results Hospital stay duration for patients receiving PEG was significantly longer than for those receiving other enteral nutrition methods (p = 0.017). Despite longer hospital stays, a decrease in anxiety and depression was observed in caregivers of patients receiving PEG compared to the other group (p = 0.078). It was found that the decrease in anxiety and depression levels was less pronounced with increasing age of the caregiver (r=-0.202, p = 0.038). Conclusions We believe that PEG should be the preferred method for long-term enteral nutrition, as it enables caregivers to feed and medicate their patients effectively and conveniently. Providing effective care training at PEG centers, along with interdisciplinary team psychosocial support and supervision by home care technicians, will reduce caregivers' anxieties and psychological problems, thereby lessening their care burden.

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Section: Discussionmentioning

confidence: 60%

Comparison of Anxiety and Depression Levels in Caregivers of Patients with Percutaneous Endoscopic Gastrostomy for Home Enteral Tube Feeding Against Other Enteral Nutrition Methods

Özceylan,

Fındık

2023

Preprint

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show abstract

“…Approximately 10% of stroke patients in Turkey whose nutritional intake was managed via PEG, representing aprproximately 15,000 patients annually, highlighting the critical importance of developing a global nutritional strategy in acute stroke [ 14 ]. In the study, the proportion of patients fed through PEG was around 40%, indicating an increasing preference for PEG in Turkey over the years.…”

Section: Discussionmentioning

confidence: 99%

Comparison of anxiety and depression levels in caregivers of patients with percutaneous endoscopic gastrostomy for home enteral tube feeding against other enteral nutrition methods

Özceylan,

Findik

2024

BMC Palliat Care

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Background The aim of the study was to demonstrate whether the care burden of caregivers of bedridden patients, who experience feeding difficulties, decreases according to the Hospital Anxiety and Depression Scale (HADS) (1) after the patient has undergone PEG (Percutaneous Endoscopic Gastrostomy). The hypothesis of the study was that the levels of anxiety and depression of caregivers for patients fed via PEG decrease more than those for caregivers of patients fed through other enteral methods. Based on this, the goal is to recommend to palliative care and home care professionals the type of feeding method for bedridden patients that will create less burden on their relatives. Methods A comparison was made of the Hospital Anxiety and Depression Scale (HADS) scores among caregivers of patients receiving PEG and other enteral nutrition, focusing on changes between hospital admission and discharge. These changes were analyzed based on the caregiver’s age, gender, and the duration of the patient’s hospital stay. Methods This study conducted a comparative analysis of the Hospital Anxiety and Depression Scale (HADS) scores among caregivers of patients receiving Percutaneous Endoscopic Gastrostomy (PEG) versus other forms of enteral nutrition. The focus was on the variation in these scores from the time of the patients’ hospital admission to their discharge. This analysis incorporated an examination of how these changes correlated with the caregiver’s age and gender, as well as the duration of the patient’s hospitalization. Results Despite longer hospital stays, a decrease in anxiety and depression was observed in caregivers of patients receiving PEG compared to the other group (p = 0.078). It was found that the decrease in anxiety and depression levels was less pronounced with increasing age of the caregiver (r=-0.202, p = 0.038). Hospital stay duration for patients receiving PEG was significantly longer than for those receiving other enteral nutrition methods (p = 0.017). Conclusions We believe that Percutaneous Endoscopic Gastrostomy (PEG) should be the preferred method for long-term enteral nutrition due to its facilitation of effective and comfortable feeding and medication administration by caregivers. In palliative care services, for patients requiring long-term nutrition, PEG should be considered more prominently than other enteral feeding methods to reduce the anxiety of caregivers.

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Atrial Fibrillation Management in Acute Stroke Patients in Türkiye: Real-life Data from the NöroTek Study

Topçuoğlu,

Arsava,

Özdemir

et al. 2023

tnd

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Gastrostomy in Hospitalized Patients with Acute Stroke: “NöroTek” Turkey Point Prevalence Study Subgroup Analysis

Cited by 3 publications

References 23 publications

Comparison of Anxiety and Depression Levels in Caregivers of Patients with Percutaneous Endoscopic Gastrostomy for Home Enteral Tube Feeding Against Other Enteral Nutrition Methods

Comparison of Anxiety and Depression Levels in Caregivers of Patients with Percutaneous Endoscopic Gastrostomy for Home Enteral Tube Feeding Against Other Enteral Nutrition Methods

Comparison of anxiety and depression levels in caregivers of patients with percutaneous endoscopic gastrostomy for home enteral tube feeding against other enteral nutrition methods

Atrial Fibrillation Management in Acute Stroke Patients in Türkiye: Real-life Data from the NöroTek Study

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