Risk factors of aspiration pneumonia related to improper oral hygiene behavior in community dysphagia persons with nasogastric tube feeding

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

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Nasogastric tube feeding is a cause of aspiration pneumonia in ventilated patients

European Respiratory Journal ◽

10.1183/09031936.06.00113405 ◽

2006 ◽

Vol 27 (2) ◽

pp. 436-437 ◽

Cited By ~ 16

Author(s):

S. Teramoto

Keyword(s):

Aspiration Pneumonia ◽

Nasogastric Tube ◽

Tube Feeding ◽

Nasogastric Tube Feeding ◽

Ventilated Patients

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Prediction Model of Early Return to Hospital after Discharge Following Acute Ischemic Stroke

Current Neurovascular Research ◽

10.2174/1567202616666190911125951 ◽

2019 ◽

Vol 16 (4) ◽

pp. 348-357

Author(s):

Jiann-Der Lee ◽

Tsong-Hai Lee ◽

Yen-Chu Huang ◽

Meng Lee ◽

Ya-Wen Kuo ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Ischemic Stroke ◽

Nasogastric Tube ◽

Urinary Catheter ◽

Tube Feeding ◽

Multivariate Logistic Regression ◽

Cart Analysis ◽

Early Return ◽

Nasogastric Tube Feeding

Background: Reducing hospital readmissions for stroke remains a significant challenge to improve outcomes and decrease healthcare costs. Methods: We analyzed 10,034 adult patients with ischemic stroke, presented within 24 hours of onset from a hospital-based stroke registry. The risk factors for early return to hospital after discharge were analyzed using multivariate logistic regression and classification and regression tree (CART) analyses. Results: Among the study population, 277 (2.8%) had 3-day Emergency Department (ED) reattendance, 534 (5.3%) had 14-day readmission, and 932 (9.3%) had 30-day readmission. Multivariate logistic regression revealed that age, nasogastric tube feeding, indwelling urinary catheter, healthcare utilization behaviour, and stroke severity were major and common risk factors for an early return to the hospital after discharge. CART analysis identified nasogastric tube feeding and length of stay for 72-hour ED reattendance, Barthel Index (BI) score, total length of stay in the Year Preceding the index admission (YLOS), indwelling urinary catheter, and age for 14-day readmission, and nasogastric tube feeding, BI score, YLOS, and number of inpatient visits in the year preceding the index admission for 30-day readmission as important factors to classify the patients into subgroups. Conclusions: Although CART analysis did not improve the prediction of an early return to the hospital after stroke compared with logistic regression models, decision rules generated by CART can easily be interpreted and applied in clinical practice.

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Incidence and risk factors of retinopathy of prematurity in Korle-Bu Teaching Hospital: a baseline prospective study

BMJ Open ◽

10.1136/bmjopen-2019-035341 ◽

2020 ◽

Vol 10 (8) ◽

pp. e035341

Author(s):

Imoro Zeba Braimah ◽

Christabel Enweronu-Laryea ◽

Adziri Harold Sackey ◽

Ernest Kenu ◽

Kofi Agyabeng ◽

...

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Prospective Study ◽

Nasogastric Tube ◽

Retinopathy Of Prematurity ◽

Neonatal Sepsis ◽

Cumulative Incidence ◽

Outcome Measure ◽

Tube Feeding ◽

Nasogastric Tube Feeding

ObjectiveTo determine the incidence of retinopathy of prematurity (ROP) and any associated risk factors among preterm infants at the Neonatal Intensive Care Unit (NICU) of Korle-Bu Teaching Hospital (KBTH).DesignProspective study.SettingLevel 3 NICU of KBTH from June 2018 to February 2019.ParticipantsEligible infants with birth weight (BW) less than 2 kg or gestational age (GA) less than 37 weeks were examined at scheduled intervals until full maturity of their retina.Outcome measuresThe primary outcome measure was cumulative incidence of ROP and secondary outcome measure was risk factors associated with ROP.ResultsOf the 401 infants, 222 were females (55.4%), mean±SD GA was 32.3±2.4 weeks (median 32, IQR 31 to 34) and mean BW 1.6±0.4 kg (median 1.5, IQR 1.3 to 1.9). The cumulative incidence of ROP was 13.7% (95% CI: 10.5 to 17.5%), with 1.8% (seven infants) having type 1 ROP. Increased risk of ROP was observed in babies with supplemental oxygen exposure (p<0.001), BW less than 1.5 kg (p=0.019), confirmed neonatal sepsis (p=0.001), nasogastric tube feeding (p=0.03) and poor pupillary dilation (0.032). A reduced risk of ROP was observed in boys (p=0.004) and after delivery by caesarean section (p=0.019).ConclusionThe rates of ROP at KBTH are comparable to other NICUs in sub-Saharan Africa. Birth weight less than 1.5 kg, confirmed neonatal sepsis, nasogastric tube feeding and poor pupil dilation were independently associated with increased incidence of ROP. ROP screening should be a part of the routine service for premature infants in Ghana.

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Effect and Complication of Two Types of Nasogastric Tube Feeding for Elderly Dysphagia Patient After Stroke

Case Medical Research ◽

10.31525/ct1-nct03844139 ◽

2000 ◽

Author(s):

Keyword(s):

Nasogastric Tube ◽

Tube Feeding ◽

Nasogastric Tube Feeding

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Evaluation of a Semi-Solidifying Liquid Formula for Nasogastric Tube Feeding After Oral and Maxillofacial Surgery

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2019.11.025 ◽

2020 ◽

Vol 78 (4) ◽

pp. 663.e1-663.e7

Author(s):

Shigeo Ishikawa ◽

Kenichiro Kitabatake ◽

Kaoru Edamatsu ◽

Ayako Sugano ◽

Kazuyuki Yusa ◽

...

Keyword(s):

Nasogastric Tube ◽

Maxillofacial Surgery ◽

Tube Feeding ◽

Oral And Maxillofacial Surgery ◽

Nasogastric Tube Feeding

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Efficacy of voluntary nasogastric tube feeding in female inpatients with anorexia nervosa

Journal of Parenteral and Enteral Nutrition ◽

10.1177/0148607103027004268 ◽

2003 ◽

Vol 27 (4) ◽

pp. 268-276 ◽

Cited By ~ 34

Author(s):

JN Zuercher ◽

EJ Cumella ◽

BK Woods ◽

M Eberly ◽

JK Carr

Keyword(s):

Anorexia Nervosa ◽

Nasogastric Tube ◽

Tube Feeding ◽

Nasogastric Tube Feeding

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Nasogastric tube feeding after transoral robotic surgery for oropharynx carcinoma

American Journal of Otolaryngology ◽

10.1016/j.amjoto.2020.102857 ◽

2021 ◽

Vol 42 (3) ◽

pp. 102857

Author(s):

Karolina A. Plonowska ◽

Edgar Ochoa ◽

Aaron L. Zebolsky ◽

Neil Patel ◽

Kathryn R. Hoppe ◽

...

Keyword(s):

Robotic Surgery ◽

Nasogastric Tube ◽

Tube Feeding ◽

Transoral Robotic Surgery ◽

Oropharynx Carcinoma ◽

Nasogastric Tube Feeding

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Periodontitis: still more to learn about - Results of a telephone survey in Germany

10.21203/rs.3.rs-266931/v1 ◽

2021 ◽

Author(s):

Renate Deinzer ◽

Andreas Rainer Jordan

Keyword(s):

Oral Health ◽

Oral Hygiene ◽

Periodontal Diseases ◽

Public Awareness ◽

Health Study ◽

Computer Assisted ◽

German Population ◽

Educational Work ◽

Hygiene Behavior ◽

Oral Hygiene Behavior

Abstract Introduction Despite a broad public awareness of the need for good oral health, periodontitis is one of the most common chronic diseases worldwide. One explanation might be that people lack specific knowledge about the disease enabling them to proper oral health behavior. The present study aimed to assess the current periodontitis-related knowledge of the German population.Methods/Design Former participants of the 5th German Oral Health Study (n = 333 16-year-olds, n = 307 39-48-year-olds, n = 332 69-78-year-olds) answered open-ended (OEQs), single- (SCQs) and multiple-choice questions (MCQs) regarding periodontal diseases and oral hygiene behavior in a computer assisted telephone interview provided by professional interviewers.OEQs assess active knowledge, SCQs and MCQs help to identify passive knowledge (correct answers) and specific misconceptions (wrong answers). Answer frequencies and effect sizes of group differences (Cramer’s V) are presented.Results Active knowledge regarding the definition, risk-factors, consequences and prevention of periodontitis and regarding proper oral hygiene behavior was low. In SCQs and MCQs participants often chose wrong and right answer categories with comparable frequencies.Conclusions Efforts to provide the population with comprehensive information on periodontitis must be intensified. The findings indicate that this educational work should begin at school age but must not end there.

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