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Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups.
Age Ageing. 2005 Jul; 34(4):353-7.AA

Abstract

BACKGROUND

As there are no prospective randomised trials about percutaneous endoscopic gastrostomy (PEG) insertion, the medical staff and caregivers encounter great difficulty in deciding when and if to perform this procedure.

OBJECTIVE

To explore which variables are associated with increased mortality after PEG insertion.

DESIGN

Prospective observational study.

SETTING

Gastroenterological unit of a 500-bed community hospital.

SUBJECTS

All patients over the age of 50 years referred for PEG insertion between January 1992 and December 2002.

METHODS

Patients were studied for their indication for PEG insertion as well as their main medical problems, and demographic details and medical records were reviewed yearly until mortality.

RESULTS

674 patients were enrolled (mean age 80.1 years, 42% men). The median survival was worst in diabetic patients (128 days, P <0.05), patients referred from hospital (161 days, P <0.01) and patients over the age of 80 years with dementia (171 days, P <0.001). The best median survival was found among demented patients under the age of 80 (467 days, P <0.05) and women under the age of 80 referred from nursing homes (780 days, P <0.01).

CONCLUSIONS

The outcome after PEG insertion is variable, with survival of over a year in many of the patients. These data are important for the medical staff, the patients and their caregivers when deciding about PEG placement.

Authors+Show Affiliations

Rimon E
Department of Geriatrics, Gastroenterological Division, Kaplan-Harzfeld Medical Center, Rehovot, Israel. efraim_r@clalit.org.il
Kagansky N
No affiliation info available
Levy S
No affiliation info available

MeSH

AgedAged, 80 and overDeglutition DisordersDementiaEnteral NutritionFemaleGastroscopyGastrostomyHumansLife ExpectancyMaleMiddle AgedPrognosisProspective StudiesSurvival Analysis

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15901578

Citation

Rimon, Ephraim, et al. "Percutaneous Endoscopic Gastrostomy; Evidence of Different Prognosis in Various Patient Subgroups." Age and Ageing, vol. 34, no. 4, 2005, pp. 353-7.
Rimon E, Kagansky N, Levy S. Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups. Age Ageing. 2005;34(4):353-7.
Rimon, E., Kagansky, N., & Levy, S. (2005). Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups. Age and Ageing, 34(4), 353-7.
Rimon E, Kagansky N, Levy S. Percutaneous Endoscopic Gastrostomy; Evidence of Different Prognosis in Various Patient Subgroups. Age Ageing. 2005;34(4):353-7. PubMed PMID: 15901578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups. AU - Rimon,Ephraim, AU - Kagansky,Nadya, AU - Levy,Shmuel, Y1 - 2005/05/18/ PY - 2005/5/20/pubmed PY - 2005/10/21/medline PY - 2005/5/20/entrez SP - 353 EP - 7 JF - Age and ageing JO - Age Ageing VL - 34 IS - 4 N2 - BACKGROUND: As there are no prospective randomised trials about percutaneous endoscopic gastrostomy (PEG) insertion, the medical staff and caregivers encounter great difficulty in deciding when and if to perform this procedure. OBJECTIVE: To explore which variables are associated with increased mortality after PEG insertion. DESIGN: Prospective observational study. SETTING: Gastroenterological unit of a 500-bed community hospital. SUBJECTS: All patients over the age of 50 years referred for PEG insertion between January 1992 and December 2002. METHODS: Patients were studied for their indication for PEG insertion as well as their main medical problems, and demographic details and medical records were reviewed yearly until mortality. RESULTS: 674 patients were enrolled (mean age 80.1 years, 42% men). The median survival was worst in diabetic patients (128 days, P <0.05), patients referred from hospital (161 days, P <0.01) and patients over the age of 80 years with dementia (171 days, P <0.001). The best median survival was found among demented patients under the age of 80 (467 days, P <0.05) and women under the age of 80 referred from nursing homes (780 days, P <0.01). CONCLUSIONS: The outcome after PEG insertion is variable, with survival of over a year in many of the patients. These data are important for the medical staff, the patients and their caregivers when deciding about PEG placement. SN - 0002-0729 UR - https://www.unboundmedicine.com/medline/citation/15901578/Percutaneous_endoscopic_gastrostomy DB - PRIME DP - Unbound Medicine ER -