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Evid Based Nurs 8:117 doi:10.1136/ebn.8.4.117
  • Treatment

Timing and route of enteral tube feeding did not affect death or combined death or poor outcome in stroke and dysphagia


 
 Q In patients with recent stroke and dysphagia, does early initiation of enteral tube feeding (ETF) (v no tube feeding for ⩾7 d) improve outcomes (study 1)? In these patients, does ETF by percutaneous endoscopic gastrostomy (PEG) (v nasogastric [NG] tube) improve outcomes (study 2)?

METHODS

GraphicDesign:

2 randomised controlled trials with similar designs (FOOD [Feed Or Ordinary Diet] trials).

GraphicAllocation:

concealed.

GraphicBlinding:

blinded {data collectors and outcome assessors}.*

GraphicFollow up period:

6 months.

GraphicSetting:

83 hospitals in 15 countries (study 1) and 47 hospitals in 11 countries (study 2).

GraphicPatients:

patients who were admitted to hospital with recent stroke (⩽7 d before admission) and had dysphagia were enrolled in study 1 (n = 859, mean age 76 y, 46% men) if the clinician was uncertain about when to start tube feeding; or in study 2 (n = 321, mean age 76 y, 45% men) if the clinician chose to start tube feeding but was uncertain about whether …

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