Risk factors of aspiration in patients with severe intracerebral hemorrhage by enteral nutrition support
LIU Dan
FAN Chao-feng
Abstract：Objective To screen the risk factors of aspiration of enteral nutrition support in patients with severe intracerebral hemorrhage.Methods A total of 187 patients with severe intracerebral hemorrhage diagnosed and treated in West China Hospital,Sichuan University from June 2022 to June 2023 were enrolled.All of them received enteral nutrition support and were divided into aspiration group(n=72)and non-aspiration group(n=115)according to whether aspiration occurred or not.Univariate and multivariate Logistic regression analyses were used to screen the risk factors of aspiration of enteral nutrition support in patients with severe intracerebral hemorrhage.Results Logistic regression analysis showed that previous history of aspiration(OR=1.441,95%CI:1.263-1.954;P=0.033),grade Ⅲ-Ⅴ of the postoperative Wada Drinking Water Test(OR=2.133,95%CI:1.051-4.312;P=0.000),nasal feeding tube diameter 3.50 mm(OR=1.861,95%CI:1.122-3.474;P=0.041)and gastric residual amount>100 ml(OR=2.582,95%CI:1.640-5.911;P=0.030)were risk factors for aspiration of enteral nutrition support in patients with severe intracerebral hemorrhage.Conclusions The patients with severe intracerebral hemorrhage with previous history of aspiration,grade Ⅲ-Ⅴ of the postoperative Wada Drinking Water Test,nasal feeding tube diameter 3.50 mm and gastric residual amount>100 ml were prone to aspiration of enteral nutrition support.
Keywords：Cerebral hemorrhageCritical illnessEnteral nutritionRespiratory aspirationRisk factorsLogistic models
Publication Date：2025-10-25
Online Publishing Date：2025-11-26(First online date of this platform, not the publication date of the document)
Pages：6( 943-948 )