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Ephraim Rimon, Nadya Kagansky, Shmuel Levy, Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups, Age and Ageing, Volume 34, Issue 4, July 2005, Pages 353–357, https://doi.org/10.1093/ageing/afi085
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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.
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