Which feeding route cuts pneumonia risk after stroke?

This trial tests whether stroke patients with bulbar palsy—a condition that makes swallowing difficult—are less likely to develop pneumonia if they receive nutrition through a nasogastric tube or through an IV (total parenteral nutrition). The study will compare the incidence of pneumonia between the two feeding methods over the first 14 days after stroke. It also tracks the need for mechanical ventilation, mortality, and catheter-related infections. The goal is to find a safer way to feed these patients while they recover.