Topcuoglu, Mehmet AkifOzdemir, Atilla OzcanAykac, OzlemMilanoglu, AyselGokce, MustafaBavli, SongulArsava, Ethem Murat2025-05-102025-05-1020221301-062X1309-254510.4274/tnd.2022.524602-s2.0-85175739003https://doi.org/10.4274/tnd.2022.52460https://hdl.handle.net/20.500.14720/7885Atmaca, Murat Mert/0000-0003-2048-4930; Toplutas, Eren/0000-0001-6365-7702; Akpinar, Cetin Kursad/0000-0001-9512-1048; Guler, Ayse/0000-0003-4465-3743; Yesilot, Nilufer/0000-0002-9655-9487; Ozel, Tugba/0000-0003-0396-6460; Aslanbaba Bahadir, Eda/0000-0002-6542-9663; Bekdik, Pinar/0000-0002-4644-6572; Kayim Yildiz, Ozlem/0000-0002-0382-9135; Ozkan, Esra/0000-0001-6503-8665; Ilgezdi, Irem/0000-0001-5376-9700; Gesoglu Demir, Tulin/0000-0002-9341-5525; Arslan, Yildiz/0000-0001-8818-9423; Erdogan, Mucahid/0000-0002-4919-602X; Ozdemir, Zeynep/0000-0002-6403-4133Objective: Nutritional status assessment, dysphagia evaluation and enteral feeding decision are important determinants of prognosis in acute neurovascular diseases. Materials and Methods: NoroTek is a point prevalence study conducted with the participation of 87 hospitals spread across all health sub regions of Turkey conducted on 10-May-2018 (World Stroke Awareness Day). A total of 972 hospitalized neurovascular patients [female: 53%, age: 69 +/- 14; acute ischemic stroke in 845; intracerebral hematoma (ICH) in 119 and post-resuscitation encephalopathy (PRE) in 8] with complete data were included in this sub-study. Results: Gastrostomy was inserted in 10.7% of the patients with ischemic stroke, 10.1% of the patients with ICH and in 50% of the patients with PRE. Independent predictors of percutaneous endoscopic gastrostomy (PEG) administration were The National Institutes of Health Stroke Scale score at admission [exp (ss): 1.09 95% confidence interval (CI): 1.05-1.14, per point] in ischemic stroke; and mechanical ventilation in ischemic [exp (ss): 6.18 (95% CI: 3.16-12.09)] and hemorrhagic strokes [exp (ss): 26.48 (95% CI: 1.36-515.8)]. PEG was found to be a significant negative indicator of favorable (modified Rankin's scale score 0-2) functional outcome [exp (ss): 0.032 (95% CI: 0.004-0.251)] but not of in-hospital mortality [exp (ss): 1.731 (95% CI: 0.785-3.829)]. Nutritional and swallowing assessments were performed in approximately two-thirds of patients. Of the nutritional assessments 69% and 76% of dysphagia assessments were completed within the first 2 days. Tube feeding was performed in 39% of the patients. In 83.5% of them, tube was inserted in the first 2 days; 28% of the patients with feeding tube had PEG later. Conclusion: The NoroTek study provided the first reliable and large-scale data on key quality metrics of nutrition practice in acute stroke in Turkey. In terms of being economical and accurate it makes sense to use the point prevalence method.eninfo:eu-repo/semantics/openAccessStrokeIntracerebral HemorrhageMalnutritionDysphagiaFlash MobArticle283N/AQ4134141WOS:000916443200002