Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial
Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial
Background: nasogastric tube (NGT) feeding is commonly used after stroke, but its effectiveness is limited by frequent dislodgement.
Objective: the objective of the study was to evaluate looped NGT feeding in acute stroke patients with dysphagia.
Methods: this was a randomised controlled trial of 104 patients with acute stroke fed by NGT in three UK stroke units. NGT was secured using either a nasal loop (n = 51) or a conventional adhesive dressing (n = 53). The main outcome measure was the proportion of prescribed feed and fluids delivered via NGT in 2 weeks post-randomisation. Secondary outcomes were frequency of NGT insertions, treatment failure, tolerability, adverse events and costs at 2 weeks; mortality; length of hospital stay; residential status; and Barthel Index at 3 months.
Results: participants assigned to looped NGT feeding received a mean 17% (95% confidence interval 5-28%) more volume of feed and fluids, required fewer NGTs (median 1 vs 4), and had fewer electrolyte abnormalities than controls. There was more minor nasal trauma in the loop group. There were no differences in outcomes at 3 months. Looped NGT feeding cost 88 pounds sterling more per patient over 2 weeks than controls.
Conclusion: looped NGT feeding improves delivery of feed and fluids and reduces NGT reinsertion with little additional cost.
acute disease, aged, aged, 80 and over, aging, bandages, deglutition disorders/economics, enteral nutrition/economics, female, health care costs, humans, intubation, gastrointestinal/economics, length of stay/statistics & numerical data, male, Nutrition Disorders/economics, stroke/economics, stroke rehabilitation, treatment outcome
624-630
Beavan, Jessica
5c571767-0f68-4d82-807c-8710bf1ed97d
Conroy, Simon Paul
328b2043-4486-442a-916b-072db683822e
Harwood, Rowan
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Gladman, John R.F.
89788999-01d4-4bd1-adb0-d96b68f2f270
Leonardi-Bee, Jo
746173bf-9dc1-456d-81b0-50e11a299dd8
Sach, Tracey
5c09256f-ebed-4d14-853a-181f6c92d6f2
Bowling, Tim
e6fbe4a1-8e48-4f27-b63f-f38c549a18ab
Sunman, Wayne
3392328c-d0ea-4d17-85ca-b5b9030f64c3
Gaynor, Catherine
e83af60a-a36c-4025-bfa0-fe9a19d04036
27 July 2010
Beavan, Jessica
5c571767-0f68-4d82-807c-8710bf1ed97d
Conroy, Simon Paul
328b2043-4486-442a-916b-072db683822e
Harwood, Rowan
0e20cadd-5d43-48e0-9d3b-32c75d37073a
Gladman, John R.F.
89788999-01d4-4bd1-adb0-d96b68f2f270
Leonardi-Bee, Jo
746173bf-9dc1-456d-81b0-50e11a299dd8
Sach, Tracey
5c09256f-ebed-4d14-853a-181f6c92d6f2
Bowling, Tim
e6fbe4a1-8e48-4f27-b63f-f38c549a18ab
Sunman, Wayne
3392328c-d0ea-4d17-85ca-b5b9030f64c3
Gaynor, Catherine
e83af60a-a36c-4025-bfa0-fe9a19d04036
Beavan, Jessica, Conroy, Simon Paul, Harwood, Rowan, Gladman, John R.F., Leonardi-Bee, Jo, Sach, Tracey, Bowling, Tim, Sunman, Wayne and Gaynor, Catherine
(2010)
Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial.
Age and Ageing, 39 (5), .
(doi:10.1093/ageing/afq088).
Abstract
Background: nasogastric tube (NGT) feeding is commonly used after stroke, but its effectiveness is limited by frequent dislodgement.
Objective: the objective of the study was to evaluate looped NGT feeding in acute stroke patients with dysphagia.
Methods: this was a randomised controlled trial of 104 patients with acute stroke fed by NGT in three UK stroke units. NGT was secured using either a nasal loop (n = 51) or a conventional adhesive dressing (n = 53). The main outcome measure was the proportion of prescribed feed and fluids delivered via NGT in 2 weeks post-randomisation. Secondary outcomes were frequency of NGT insertions, treatment failure, tolerability, adverse events and costs at 2 weeks; mortality; length of hospital stay; residential status; and Barthel Index at 3 months.
Results: participants assigned to looped NGT feeding received a mean 17% (95% confidence interval 5-28%) more volume of feed and fluids, required fewer NGTs (median 1 vs 4), and had fewer electrolyte abnormalities than controls. There was more minor nasal trauma in the loop group. There were no differences in outcomes at 3 months. Looped NGT feeding cost 88 pounds sterling more per patient over 2 weeks than controls.
Conclusion: looped NGT feeding improves delivery of feed and fluids and reduces NGT reinsertion with little additional cost.
Text
afq088
- Version of Record
More information
Accepted/In Press date: 28 April 2010
Published date: 27 July 2010
Keywords:
acute disease, aged, aged, 80 and over, aging, bandages, deglutition disorders/economics, enteral nutrition/economics, female, health care costs, humans, intubation, gastrointestinal/economics, length of stay/statistics & numerical data, male, Nutrition Disorders/economics, stroke/economics, stroke rehabilitation, treatment outcome
Identifiers
Local EPrints ID: 478130
URI: http://eprints.soton.ac.uk/id/eprint/478130
ISSN: 0002-0729
PURE UUID: dbbe9b14-94f6-468f-acea-dfcc0ad96028
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Date deposited: 22 Jun 2023 16:34
Last modified: 17 Mar 2024 04:19
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Contributors
Author:
Jessica Beavan
Author:
Simon Paul Conroy
Author:
Rowan Harwood
Author:
John R.F. Gladman
Author:
Jo Leonardi-Bee
Author:
Tracey Sach
Author:
Tim Bowling
Author:
Wayne Sunman
Author:
Catherine Gaynor
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