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Up to 70% of acute stroke patients demonstrate dysphagia. Approximately half of these patients recover sufficient swallowing ability to meet their caloric needs, while the other half will have long-term swallowing dysfunction.1,2 Surgical feeding tubes can provide nutritional support in patients with severe dysphagia, but the decision of if and when to place a feeding tube poses a substantial challenge because of an inability to predict long-term recovery accurately. In this issue of Neurology®, George et al.3 examined feeding tube placement in the United States in adults with acute ischemic stroke. The authors used the National Inpatient Sample, the largest all-payer administrative claims database in the United States, to evaluate trends in feeding tube insertion rates from 2004 to 2011 and identify patient and hospital characteristics associated with feeding tube insertion.
Footnotes
Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.
See page 874
- © 2014 American Academy of Neurology
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