Risk factors of nasogastric tube removal failure in acute ischemic stroke patients: a 3-months follow-up cohort study at a single institute - Report - MDSpire

Risk factors of nasogastric tube removal failure in acute ischemic stroke patients: a 3-months follow-up cohort study at a single institute

  • By

  • Ya-Chi Chuang

  • Hsuan-Mei Huang

  • Po-Lin Chen

  • Jin-An Huang

  • Yuan-Yang Cheng

  • Jimmy Chun-Ming Fu

  • July 1, 2026

  • 0 min

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Clinical Report: Identifying Risk Factors for Nasogastric Tube Removal Failure

Overview

This study identifies significant risk factors for failure of nasogastric tube (NGT) removal in acute ischemic stroke patients at discharge and three months post-discharge. Key findings indicate that cardioembolic stroke type is a major independent predictor of NGT removal failure.

Background

Post-stroke dysphagia is a common complication that can lead to malnutrition and necessitates NGT placement for enteral feeding. Prolonged NGT use is associated with various complications.

Data Highlights

FactorSignificance
Cardioembolic strokeOR 10.31, p = 0.024
AgeStatistically significant (specific value needed)
Modified Rankin Scale scoreStatistically significant (specific value needed)
Stroke locationStatistically significant (specific value needed)
Consciousness levelStatistically significant (specific value needed)

Key Findings

  • Cardioembolic stroke type is the most significant predictor of NGT removal failure (OR 10.31, p = 0.024).
  • Age and pre-existing comorbidities are associated with NGT removal failure.
  • Modified Rankin Scale score is a significant factor in predicting NGT removal outcomes.
  • Stroke severity and location impact the likelihood of successful NGT removal.
  • Post-discharge rehabilitation setting influences NGT removal success.

Clinical Implications

Clinicians should consider the identified risk factors when planning for NGT removal in acute ischemic stroke patients.

Conclusion

The study highlights associations between stroke characteristics and NGT removal outcomes.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Author(s)/Org, Source, Year -- Title
  3. Author(s)/Org, Source, Year -- Title
  4. 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association
  5. Evaluation of Immediate Versus Delayed Stenting Following Thrombectomy Failure in Patients with Intracranial Atherosclerosis-Induced Large Vessel Occlusion
  6. Evaluation of Immediate Versus Delayed Stenting Following Thrombectomy Failure in Patients with Intracranial Atherosclerosis-Induced Large Vessel Occlusion
  7. Predictors of recovery from dysphagia after stroke: A systematic review and meta-analysis - PMC
  8. 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association
  9. Evaluating feeding policies in patients admitted to hospital with a recent stroke

Original Source(s)

Risk factors of nasogastric tube removal failure in acute ischemic stroke patients: a 3-months follow-up cohort study at a single institute

  • by Ya-Chi Chuang, Hsuan-Mei Huang, Po-Lin Chen, Jin-An Huang, Yuan-Yang Cheng, Jimmy Chun-Ming Fu

  • July 1, 2026

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