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Background and Purpose

Dysphagia after intracerebral hemorrhage (ICH) contributes significantly to morbidity, often necessitating placement of a percutaneous endoscopic gastrostomy (PEG) tube. This study describes a novel risk prediction score for PEG placement after ICH.

Methods

We retrospectively analyzed data from 234 ICH patients presenting during a 4-year period. One hundred and eighty nine patients met inclusion criteria. The sample was randomly divided into a development and a validation cohort. Logistic regression was used to develop a risk score by weighting predictors of PEG placement based on strength of association.

Results

Age (OR 1.64 per 10 years increase in age, 95% CI 1.02–2.65), African American race (OR 3.26, 95% CI 0.96–11.05), Glasgow Coma Scale (GCS; OR 0.80, 95% CI 0.62–1.03), and ICH volume (OR 1.38 per 10 cc increase in ICH volume) were independent predictors of …