Literature DB >> 25109444

Is short-term percutaneous endoscopic gastrostomy tube placement beneficial in acutely ill cognitively intact elderly patients? A proposed decision-making algorithm.

Rtika R Abraham1, Mohit Girotra, Jeanne Y Wei, Gohar Azhar.   

Abstract

AIM: Percutaneous endoscopic gastrostomy (PEG) tube is an important method of enteral feeding for patients who require temporary or long-term artificial nutritional support to prevent or correct disease-related malnutrition. However, there is paucity of data on the utility of short-term PEG tube placements in acute illnesses in cognitively intact older adults.
METHODS: We present a series of seven, cognitively intact patients (age range 72-93 years), who had PEG tubes placed for short periods. These patients were diagnosed with "failure to thrive" and were managed by placing a PEG tube temporarily for nutritional management. None of these patients had terminal illness or hospice eligibility, and all of the patients were community dwellers.
RESULTS: All of the elderly patients experienced good outcomes in terms of their functional status and nutritional support.
CONCLUSIONS: Our series clearly supports the notion that short-term PEG tube placement in cognitively intact elderly patients could be a successful strategy to support them during an episode of acute illness, and to improve their nutritional deficits and survival.
© 2014 Japan Geriatrics Society.

Entities:  

Keywords:  elderly; percutaneous endoscopic gastrostomy tube; short-term

Mesh:

Year:  2014        PMID: 25109444      PMCID: PMC4324400          DOI: 10.1111/ggi.12316

Source DB:  PubMed          Journal:  Geriatr Gerontol Int        ISSN: 1447-0594            Impact factor:   2.730


  28 in total

1.  High short-term mortality in hospitalized patients with advanced dementia: lack of benefit of tube feeding.

Authors:  D E Meier; J C Ahronheim; J Morris; S Baskin-Lyons; R S Morrison
Journal:  Arch Intern Med       Date:  2001-02-26

2.  Survival analysis in percutaneous endoscopic gastrostomy feeding: a worse outcome in patients with dementia.

Authors:  D S Sanders; M J Carter; J D'Silva; G James; R P Bolton; K D Bardhan
Journal:  Am J Gastroenterol       Date:  2000-06       Impact factor: 10.864

3.  The risk factors and impact on survival of feeding tube placement in nursing home residents with severe cognitive impairment.

Authors:  S L Mitchell; D K Kiely; L A Lipsitz
Journal:  Arch Intern Med       Date:  1997-02-10

4.  Audit of percutaneous endoscopic gastrostomy in long-term enteral feeding in a nursing home.

Authors:  I Bourdel-Marchasson; F Dumas; G Pinganaud; J P Emeriau; A Decamps
Journal:  Int J Qual Health Care       Date:  1997-08       Impact factor: 2.038

5.  Hospital characteristics associated with feeding tube placement in nursing home residents with advanced cognitive impairment.

Authors:  Joan M Teno; Susan L Mitchell; Pedro L Gozalo; David Dosa; Amy Hsu; Orna Intrator; Vincent Mor
Journal:  JAMA       Date:  2010-02-10       Impact factor: 56.272

6.  Survival after percutaneous endoscopic gastrostomy placement in older persons.

Authors:  S L Mitchell; J M Tetroe
Journal:  J Gerontol A Biol Sci Med Sci       Date:  2000-12       Impact factor: 6.053

7.  Does feeding tube insertion and its timing improve survival?

Authors:  Joan M Teno; Pedro L Gozalo; Susan L Mitchell; Sylvia Kuo; Ramona L Rhodes; Julie P W Bynum; Vincent Mor
Journal:  J Am Geriatr Soc       Date:  2012-09-24       Impact factor: 5.562

8.  The use of percutaneous endoscopic gastrostomy (PEG) in 161 consecutive elderly patients.

Authors:  S K Raha; K Woodhouse
Journal:  Age Ageing       Date:  1994-03       Impact factor: 10.668

9.  Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia.

Authors:  Lynne M Murphy; Timothy O Lipman
Journal:  Arch Intern Med       Date:  2003-06-09

10.  Indications for percutaneous endoscopic gastrostomy and survival in old adults.

Authors:  Anna Malmgren; Gunnel Wärn Hede; Brita Karlström; Tommy Cederholm; Per Lundquist; Mikael Wirén; Gerd Faxén-Irving
Journal:  Food Nutr Res       Date:  2011-07-20       Impact factor: 3.894

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