Deans' stroke musings: Timing of nasogastric tube placement after endovascular thrombectomy and risk of stroke-associated pneumonia: a retrospective cohort study

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, June 28, 2026

Timing of nasogastric tube placement after endovascular thrombectomy and risk of stroke-associated pneumonia: a retrospective cohort study

So nothing on preventing pneumonia via vaccine! Can't anyone in stroke actually think that stroke problems should be solved; NOT JUST DESCRIBED?

You've known about this problem for a long time. SOLVE IT!

Just maybe this vaccine!

Pneumonia Vaccine (3 posts to July 2020)

11% Stroke-associated pneumonia (17 posts to October 2020)

Timing of nasogastric tube placement after endovascular thrombectomy and risk of stroke-associated pneumonia: a retrospective cohort study

X
Xiao-Fei Hu 1
Bai-Ling Pan 2
Li Han 1*

1. Department of Neurology, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China
2. Department of Endocrinology, Taizhou Hospital of Zhejiang Province, Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China

Abstract

Background:

Stroke-associated pneumonia (SAP) is a common complication following endovascular thrombectomy (EVT), yet the impact of nasogastric tube (NGT) placement timing on SAP risk has not been examined.

Methods:

We conducted a single-center retrospective cohort study of 331 patients who underwent successful EVT and received NGT placement between June 2022 and May 2025. The primary exposure was time from reperfusion to NGT placement. Multivariable logistic regression and restricted cubic splines were used to examine the association between NGT timing and SAP, adjusting for age, sex, admission NIHSS score, serum albumin, hypertension, atrial fibrillation, and diabetes mellitus.

Results:

Stroke-associated pneumonia occurred in 227 patients (68.6%), reflecting the cohort’s restriction to EVT patients requiring NGT placement, a high-aspiration-risk subgroup. Each 12-h delay in NGT placement was associated with a 33% increase in the adjusted odds of SAP (aOR 1.33, 95% CI 1.06–1.68, p = 0.015). Patients with NGT placement more than 8 h after reperfusion had significantly higher odds of SAP than those with earlier placement (aOR 1.73, 95% CI 1.04–2.90, p = 0.036). Restricted cubic spline analysis demonstrated a monotonically increasing dose–response relationship (P overall = 0.073). The association appeared stronger in patients without atrial fibrillation (aOR 2.38) than in those with atrial fibrillation (aOR 1.08).

Conclusion:

In EVT-treated patients requiring NGT placement, longer time to NGT insertion was associated with higher SAP risk after adjustment for measured covariates. These findings suggest that NGT placement timing may be a potentially modifiable factor in post-EVT care, and provide a hypothesis-generating basis for prospective evaluation.