Topcuoglu, Mehmet AkifOzdemir, Atilla OzcanAykac, OzlemMilanoglu, AyselGokce, MustafaBavli, SongulCabalar, MuratYayla, VildanErdogan, Haci AliOzkul, AycaGunes, AygulDegirmenci, BaharAluclu, UfukKozak, Hasan HuseyinGungor, LeventErdogan, MucahidAcar, Zeynep OzdemirCenikli, UtkuKablan, YukselYilmaz, ArdaGenc, HamitNazliel, BijenCaglayan, Hale BaturGencer, Elif SarionderAy, HalilDemirbas, HayriAkdogan, OzlemEmre, UfukYildiz, Ozlem KayimBolayir, AsliDemir, TurgayTanriverdi, ZeynepTekan, Ulgen YalazAkpinar, Cetin KursadOzkan, EsraIlik, FaikSirin, HadiyeGuler, AyseOnder, HalilBektas, HesnaOcek, LeventBakar, MustafaOngun, NedimKrespi, YakupIsikay, Canan TogayAslanbaba, EdaSorgun, MineGurkas, ErdemKaradeli, Hasan HuseyinMidi, IpekIlgezdi, IremBilgic, Adnan BurakAkyol, SenerEpceliden, M. TuncayAtmaca, Murat MertKursun, OguzhanKeskin, OnurSirinocak, Pinar BekdikBaydemir, RecepAkcakoyunlu, MerveOzturk, SerefnurOzel, TugbaUnal, AliDora, BaburYurekli, Vedat AliArlier, ZulfikarEren, AlperYilmaz, AyseKisabay, AysinAcar, BilgehanBastan, BirgulAcar, ZeynepNiflioglu, BuketGuven, BulentKaya, DilaverAfsar, NazireYazici, DuranAytac, EmrahYaka, ErdemToplutas, ErenDegirmenci, EylemInce, Fatma BirsenBuyukserbetci, GulserenAydin, IsaCetiner, MustafaSen, MustafaTurgut, NildaKale, NiluferCoban, EdaYesilot, NiluferEkizoglu, EsmeKizek, OzguBirgili, OzlemYevgi, RecepKunt, RefikGiray, SemihAkkas, Sinem YaziciSenadim, SongulYoldas, TahirAsil, TalipDuman, TaskinAtasoy, TugrulCinar, Bilge PiriDemir, TulinCan, UfukUnsal, Yaprak OzumEskut, NeslihanAslan, YildizBas, Demet FundaSener, UfukYilmaz, ZahideBozdogan, ZehraAlioglu, ZekeriyaArsava, Ethem Murat2023-02-212023-02-212022-01-0110.4274/tnd.2022.52460https://hdl.handle.net/11443/2884http://dx.doi.org/10.4274/tnd.2022.52460Objective: 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 +/- 14acute ischemic stroke in 845intracerebral 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 strokeand 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 days28\% 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.Strokeintracerebral hemorrhagemalnutritiondysphagiaflash mobGastrostomy in Hospitalized Patients with Acute Stroke: ``NoroTek'' Turkey Point Prevalence Study Subgroup AnalysisArticleWOS:000916443200002