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DOI: 10.1055/s-0040-1704578
CHARACTERISTICS OF PATIENTS WHO UNDERWENT PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE PLACEMENT IN A TERTIARY HOSPITAL
Publication History
Publication Date:
23 April 2020 (online)
Aims We aimed to investigate clinical characteristics and survival rates of patients undergoing percutaneous endoscopic gastrostomy (PEG) tube placement in a tertiary hospital in Athens, Greece.
Methods We analyzed prospectively collected data of patients who underwent PEG tube placement in our hospital and assessed their survival data (overall and 28th day survival).
Results Between June 11th, 2018 and October 22th 2019, 68 patients [35 (52%) men, 65 ± 16.9 years old] underwent PEG tube placement. Of them, 26 were hospitalized in the Intensive Care Unit (ICU) and 42 in an internal medicine ward (IMW). Sex, age, albumin levels and MUST score before PEG tube placement did not differ significantly between the two groups, but ICU patients had a higher BMI than the IMW patients (25.8 ± 9.8 vs. 21.7 ± 4.9, p=0,031). Dementia (6 vs.0), cancer (10 vs. 2) and neurological diseases (12 vs. 4) were more frequent among IMW patients, whereas stroke (14 vs. 8) was more frequent among ICU patients (p=0.006). 28th day survival data were available for 57 patients, but 8 of them were later lost to follow-up. Overall survival was 80 days (95% CI 40-120) and the mean survival was similar between ICU and IMW patients [58; 95% CI (30.8-86.1) vs. 103; 95% CI (25.5-181.5), p=0.569]. In the multivariate analysis, 28th day survival was independently associated with the patient caretaker, i.e. patients looked after by their relatives had a 10.5 higher probability to be alive than patients looked after by health professionals in hospital or other health institutions (95% CI 1.63-67.9, p=0.014). During the follow-up period, PEG tube was removed in 2 ICU and 7 GMW patients, following disease improvement.
Conclusions Survival after PEG tube placement was similar among ICU and IMW patients and the 28th day survival was independently associated with the patient caretaker.