Jaimie Fan, AB
Cooper Medical School of Rowan University
Disclosure(s): No financial relationships to disclose
Initial comparison of early vs late g-tube placement cohorts revealed significant differences in favor of early g-tube placement, including a shorter length of hospital stay (p < 0.001), more frequent discharge to home (p = 0.008), and decreased mortality (p = 0.035). However, following stratification by stroke severity, only patients with severe stroke (corresponding with NIHSS > 15) show significant differences in the following outcomes in favor of early g-tube placement: the percentage of patients discharged to home (p = 0.005) and disability outcome (ASOV) (p = 0.024).
Conclusion: Early g-tube placement (within 7 days of hospital admission) is associated with more favorable disposition and disability outcomes in patients with severe stroke (ASOV >12.5; NIHSS > 15), but not in patients with mild or moderate stroke (ASOV < or = 12.5; NIHSS < or = 15).