BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is considered the preferred route for long-term enteral feeding. The aim of this study was to determine predictors of an increased mortality risk after PEG insertion. METHODS: A retrospective study was conducted during a 13-year period in the gastroenterology department of Erlangen University Hospital. The authors completed a questionnaire with details of demographic data, diagnosis, indication for PEG, type of tube, and cause of death. Patients were contacted regularly at scheduled appointments. RESULTS: In total, 787 patients (574 male [72.9%]) underwent PEG placement by the pull technique. The main underlying disease was malignant (75.6%). By the end of the study period, 614 patients had died. The average survival time was 720 days. The 30-, 60-, 90-day and 1-, 3-, and 5-year mortality rates amounted to 6.5%, 9.8%, 13%, 32.1%, 59.3%, and 69.8%, respectively. Predictive factors of increased 30-day mortality were higher age, lower body mass index (BMI), and the presence of diabetes mellitus. The presence of all 3 variables served as an indicator to detect high-risk patients, with a sensitivity of 0.80 and a specificity of 0.64. CONCLUSION: Mortality predictors for patients after PEG insertion are higher age, lower BMI, and the presence of diabetes mellitus. To avoid unnecessary and dangerous examinations in high-risk patients, the above-mentioned predictive factors of mortality should be checked before PEG placement.
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is considered the preferred route for long-term enteral feeding. The aim of this study was to determine predictors of an increased mortality risk after PEG insertion. METHODS: A retrospective study was conducted during a 13-year period in the gastroenterology department of Erlangen University Hospital. The authors completed a questionnaire with details of demographic data, diagnosis, indication for PEG, type of tube, and cause of death. Patients were contacted regularly at scheduled appointments. RESULTS: In total, 787 patients (574 male [72.9%]) underwent PEG placement by the pull technique. The main underlying disease was malignant (75.6%). By the end of the study period, 614 patients had died. The average survival time was 720 days. The 30-, 60-, 90-day and 1-, 3-, and 5-year mortality rates amounted to 6.5%, 9.8%, 13%, 32.1%, 59.3%, and 69.8%, respectively. Predictive factors of increased 30-day mortality were higher age, lower body mass index (BMI), and the presence of diabetes mellitus. The presence of all 3 variables served as an indicator to detect high-risk patients, with a sensitivity of 0.80 and a specificity of 0.64. CONCLUSION: Mortality predictors for patients after PEG insertion are higher age, lower BMI, and the presence of diabetes mellitus. To avoid unnecessary and dangerous examinations in high-risk patients, the above-mentioned predictive factors of mortality should be checked before PEG placement.
Authors: Johanna Ruohoalho; Katri Aro; Antti A Mäkitie; Timo Atula; Aaro Haapaniemi; Harri Keski-Säntti; Leena Kylänpää; Annika Takala; Leif J Bäck Journal: Eur Arch Otorhinolaryngol Date: 2017-09-01 Impact factor: 2.503
Authors: Diego L Lima; Luiz Eduardo C Miranda; Marcel Rolland Ciro da Penha; Raquel N C L Lima; Dalmir Cavalcanti Dos Santos; Matheus Stillner Eufrânio; Ana Clara G Miranda; Leila Maria Moreira Beltrão Pereira Journal: JSLS Date: 2021 Jul-Sep Impact factor: 2.172
Authors: Ata A Rahnemai-Azar; Amir A Rahnemaiazar; Rozhin Naghshizadian; Amparo Kurtz; Daniel T Farkas Journal: World J Gastroenterol Date: 2014-06-28 Impact factor: 5.742
Authors: C Tudor; C Branescu; C Savlovschi; A El-Khatib; H Pantu; A Nica; A M Dascalu; B Masoumeh; A S Tudor; S M Oprescu; D Serban Journal: J Med Life Date: 2016 Oct-Dec
Authors: Joo Hyun Lim; Seung Ho Choi; Changhyun Lee; Ji Yeon Seo; Hae Yeon Kang; Jong In Yang; Su Jin Chung; Joo Sung Kim Journal: Intest Res Date: 2016-10-17