Publication
Endoscopic gastrostomy for nutritional support in post-stroke dysphagia
| datacite.subject.fos | Ciências Médicas | |
| datacite.subject.sdg | 03:Saúde de Qualidade | |
| dc.contributor.author | Patita, Marta | |
| dc.contributor.author | Nunes, Gonçalo | |
| dc.contributor.author | Grunho, Miguel | |
| dc.contributor.author | Santos, Carla Adriana | |
| dc.contributor.author | Fonseca, Jorge | |
| dc.date.accessioned | 2025-09-19T09:05:51Z | |
| dc.date.available | 2025-09-19T09:05:51Z | |
| dc.date.issued | 2021-11 | |
| dc.description.abstract | Introduction: persistent dysphagia affects 15 % of stroke patients and contributes to malnutrition, aspiration, and death. This study aimed to characterize patients with post-stroke dysphagia who underwent percutaneous endoscopic gastrostomy (PEG), and to assess the impact of PEG feeding on nutritional status and outcome. Methods: an observational and retrospective study using records from patients with post-stroke dysphagia who underwent PEG. Body mass index (BMI), serum albumin, transferrin, and cholesterol were recorded at the time of PEG insertion (T0) and 3 months later (T3). The evolution of these parameters was analyzed and compared to survival. Results: we obtained data from 158 patients (53.2 % males) with a median age of 75 years. Most strokes were ischemic (n = 135, 85.4 %). Median time between stroke and PEG was 2 months. Median survival after gastrostomy was 16 months. At admission, 41.6 % of patients had low BMI, 62.3 % low albumin, 68.6 % low transferrin, and 59.6 % low cholesterol levels. The prevalence of low albumin and low transferrin was higher in the patients who underwent PEG more than 2 months after stroke. A significant increase in albumin and transferrin, and a normalization of cholesterol levels was observed after 3 months of PEG feeding. Mortality was 12.9 %, 27.7 %, and 40 % at 1, 3, and 12 months, respectively. Survival was lower in patients with low albumin, transferrin or total cholesterol at admission. Conclusions: the prevalence of malnutrition is high among patients with post-stroke dysphagia. PEG feeding improves albumin, transferrin, and cholesterol levels. Early post-PEG mortality is high and must be considered on an individual basis. | eng |
| dc.identifier.citation | Patita M, Nunes G, Grunho M, Santos CA, Fonseca J. Endoscopic gastrostomy for nutritional support in post-stroke dysphagia. Nutr Hosp 2021;38(6):1126-1131. DOI: http://dx.doi.org/10.20960/nh.03147 | |
| dc.identifier.doi | 10.20960/nh.03147 | |
| dc.identifier.issn | 1699-5198 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/58732 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Arán Ediciones | |
| dc.relation.hasversion | http://dx.doi.org/10.20960/nh.03147 | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | |
| dc.subject | stroke | |
| dc.subject | dysphagia | |
| dc.subject | nutrition | |
| dc.subject | gastrostomy | |
| dc.title | Endoscopic gastrostomy for nutritional support in post-stroke dysphagia | eng |
| dc.type | contribution to journal | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 1131 | |
| oaire.citation.issue | 6 | |
| oaire.citation.startPage | 1126 | |
| oaire.citation.title | Nutrición Hospitalaria | |
| oaire.citation.volume | 38 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |