Factors leading to high early mortality and low satisfaction with the placement of percutaneous endoscopic gastrostomy (PEG) tubes

2002 ◽  
Vol 97 (9) ◽  
pp. S238
Author(s):  
S RAMDHANEY
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Early Mortality ◽  
Endoscopic Gastrostomy

scholarly journals Prognostic nutritional index and early mortality with percutaneous endoscopic gastrostomy

QJM ◽  
2018 ◽  
Vol 111 (9) ◽  
pp. 635-641
Author(s):  
Y Adachi ◽  
K Akino ◽  
M Nojima ◽  
R Himori ◽  
T Kikuchi ◽  
...  
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Prognostic Nutritional Index ◽  
Early Mortality ◽  
Endoscopic Gastrostomy ◽  
Nutritional Index

scholarly journals RISK FACTORS ASSOCIATED WITH EARLY MORTALITY AFTER PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN PATIENTS AT A TERTIARY CARE CENTER IN BRAZIL: A RETROSPECTIVE SINGLE-CENTER SURVIVAL STUDY

2019 ◽  
Vol 56 (4) ◽  
pp. 412-418
Author(s):  
Luiz Eduardo MIRANDA ◽  
Marcel Rolland Ciro da PENHA ◽  
Ana Clara Galindo MIRANDA ◽  
Diego Laurentino LIMA ◽  
Matheus Wanderly Fernandes COSTA ◽  
...  
Keyword(s):  
Risk Factors ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Chronic Renal Disease ◽  
Tertiary Care ◽  
Tube Feeding ◽  
Early Mortality ◽  
Clinical Indication ◽  
Factors Associated ◽  
Endoscopic Gastrostomy

ABSTRACT BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) is the main accepted method for long-term tube feeding. OBJECTIVE: To investigate the risk factors associated with early mortality after PEG. METHODS: Retrospective survival analysis in a tertiary-level center in Recife, Brazil. We reviewed the medical records of 150 patients with PEG placement. The data were analysed by the Kaplan-Meier method. Multivariable Cox proportional regression models were also built to test the effects of PEG on mortality. RESULTS: A total of 150 patients who submitted to PEG were studied (70 male). Of the participants, 87 (58%) had blood hypertension; 51 (34%) patients had diabetes; 6 (4%) patients had chronic renal disease; and 6 (4%) had malignancy. Chronic neurodegenerative diseases were the more common clinical indication for PEG. The 30-day and 60-day proportional mortality probability rates were 11.05% and 15.34% respectively. A multivariate Cox proportional regression model, haemoglobin (HR 4.39, 95%CI 1.30-14.81, P=0.017) and pre-procedure UCI staying (HR 0.66, 95% CI 0.50-0.87, P=0.004) were significant predictors of early mortality.A haemoglobin cut-off value of 10.05 g/dL was shown to have a sensibility of 82.6% (61.2% to 95% CI) and an acceptable sensitivity of 59.0 (50.6% to68.6% CI), and a likelihood ratio of 2.06 for eight weeks mortality. CONCLUSION: In patients who had been subjected to the PEG procedure for long-term nutrition, low haemoglobin, pre-procedure intensive care unit internment or both are associated with the risk of early mortality.

Percutaneous Endoscopic Gastrostomy and Early Mortality

1990 ◽  
Vol 83 (12) ◽  
pp. 1433-1436 ◽  
Author(s):  
WENDELL K. CLARKSTON ◽  
OWEN J. SMITH ◽  
JAMES M. WALDEN
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Early Mortality ◽  
Endoscopic Gastrostomy

Predictive factors for early mortality after percutaneous endoscopic gastrostomy

1995 ◽  
Vol 42 (4) ◽  
pp. 330-335 ◽  
Author(s):  
Victoria L. Light ◽  
Frederick A. Slezak ◽  
Joel A. Porter ◽  
Lowell W. Gerson ◽  
Gary McCord
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Predictive Factors ◽  
Early Mortality ◽  
Endoscopic Gastrostomy

scholarly journals Predictive factors of complications and 30-day mortality in patients undergoing percutaneous endoscopic gastrostomy: the utility of C-reactive protein to albumin ratio

2021 ◽  
Vol 84 (2) ◽  
pp. 283-288
Author(s):  
T Duzenli ◽  
M Ketenci ◽  
T Akyol ◽  
H Koseoglu ◽  
A Tanoglu ◽  
...  
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Predictive Factors ◽  
Mortality Rates ◽  
Early Mortality ◽  
C Reactive Protein ◽  
Albumin Ratio ◽  
Reactive Protein ◽  
Endoscopic Gastrostomy ◽  
First Time

Background and study aims: Percutaneous endoscopic gastrostomy (PEG) is a procedure that provides long term enteral nutrition. To investigate the predictors of PEG-related complications and 30-day mortality rates and evaluate the indicators for deciding whether to recommend elective PEG insertions, we sought to determine the complications and early mortality rates of patients who underwent PEG. Patients and methods: We performed a retrospective analysis of consecutive adult patients who had undergone PEG for the first time between October 2016 and January 2019. The predictors of complications and 30-day mortality were analyzed with receiver operating characteristic (ROC) and logistic regression analysis. Results: This study included 309 patients. Patients were excluded from the study if they were < 18 years of age or there were missing data about them. Out of 253 patients, 33 (13%) had complications and 32 (12.6%) died within one month after PEG insertion. A higher C-reactive protein (CRP) to albumin ratio was the only independent factor predicting the complications (odds ratio (OR) : 3.17 ; 95% CI : 1.26-8.00 ; p = 0.014). The independent predictive factors for 30-day mortality after PEG placement included higher urea levels and higher CRP to albumin ratios (OR : 3.78 ; 95% CI : 1.41-10.17 ; p = 0.008) (OR : 6.67 ; 95% CI : 1.87- 23.75 ; p = 0.003). The only predictor for both complications and 30-day mortality was the CRP to albumin ratio. Conclusions: When appropriate, the PEG procedure can provide a safe and effective method for enteral feeding. The CRP to albumin ratio can be used to predict complications and early mortality after PEG insertion. Because PEG is elective, higher CRP to albumin ratios can be helpful in deciding to select patients for the procedure.

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