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Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit

Introduction: Percutaneous endoscopic gastrostomy (PEG) tube insertion is a widely utilized enteral access technique offering long-term nutritional support for patients unable to tolerate oral intake. While the PEG tube provides numerous advantages, adherence to evidence-based guidelines is crucial...

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Autores principales: Ahmad, Muhammad Bilal, Ansar, Farrukh, Shakoor, Kainaat, Adnan, Muhammad, Naqi, Syed Ali, Tahir, Zainab, Rauf, Mohammad S, Bin Shafaat Chaudhary, Umair, Alamgir, Asad, Aslam, Nabiha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503224/
https://www.ncbi.nlm.nih.gov/pubmed/37719490
http://dx.doi.org/10.7759/cureus.43566
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author Ahmad, Muhammad Bilal
Ansar, Farrukh
Shakoor, Kainaat
Adnan, Muhammad
Naqi, Syed Ali
Tahir, Zainab
Rauf, Mohammad S
Bin Shafaat Chaudhary, Umair
Alamgir, Asad
Aslam, Nabiha
author_facet Ahmad, Muhammad Bilal
Ansar, Farrukh
Shakoor, Kainaat
Adnan, Muhammad
Naqi, Syed Ali
Tahir, Zainab
Rauf, Mohammad S
Bin Shafaat Chaudhary, Umair
Alamgir, Asad
Aslam, Nabiha
author_sort Ahmad, Muhammad Bilal
collection PubMed
description Introduction: Percutaneous endoscopic gastrostomy (PEG) tube insertion is a widely utilized enteral access technique offering long-term nutritional support for patients unable to tolerate oral intake. While the PEG tube provides numerous advantages, adherence to evidence-based guidelines is crucial to minimize complications. This study aims to evaluate adherence to PEG tube insertion guidelines and analyze associated complication rates in a tertiary care setting. Methods: A retrospective clinical audit was conducted at Quaid-e-Azam International Hospital, Islamabad. Data were collected over three years from patients undergoing PEG tube insertion by a single consultant gastrointestinal surgeon. Adherence to guidelines was evaluated using a 10-item checklist developed based on European Society of Gastrointestinal Endoscopy (ESGE) guidelines. Complication rates and patient characteristics were analyzed. Results: The study included 70 participants (mean age = 72.21 ± 13.17). The PEG tube insertion rate was 100%. The mean checklist score was 8.34 ± 1.2. Laboratory investigations were performed for 98.6% of patients. 91.4% of patients had a life expectancy exceeding 30 days. 60% of patients received an anticoagulation hold. Prophylactic antibiotics were administered to 90% of patients. Psychological counseling and dietician consultation were offered to 38.6% and 64.2% of patients, respectively. Caregivers received specialized training in 98.5% of cases. 12.8% of patients experienced early complications post-procedure, and 14.2% experienced late complications. PEG tube removal occurred in 27% of patients, with only one patient experiencing complications after removal. Conclusion: Adherence to PEG tube insertion guidelines was observed in various aspects of patient care, resulting in a low incidence of complications. Comprehensive auditing and guideline adherence are essential to ensure optimal patient safety and procedural outcomes.
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spelling pubmed-105032242023-09-16 Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit Ahmad, Muhammad Bilal Ansar, Farrukh Shakoor, Kainaat Adnan, Muhammad Naqi, Syed Ali Tahir, Zainab Rauf, Mohammad S Bin Shafaat Chaudhary, Umair Alamgir, Asad Aslam, Nabiha Cureus Gastroenterology Introduction: Percutaneous endoscopic gastrostomy (PEG) tube insertion is a widely utilized enteral access technique offering long-term nutritional support for patients unable to tolerate oral intake. While the PEG tube provides numerous advantages, adherence to evidence-based guidelines is crucial to minimize complications. This study aims to evaluate adherence to PEG tube insertion guidelines and analyze associated complication rates in a tertiary care setting. Methods: A retrospective clinical audit was conducted at Quaid-e-Azam International Hospital, Islamabad. Data were collected over three years from patients undergoing PEG tube insertion by a single consultant gastrointestinal surgeon. Adherence to guidelines was evaluated using a 10-item checklist developed based on European Society of Gastrointestinal Endoscopy (ESGE) guidelines. Complication rates and patient characteristics were analyzed. Results: The study included 70 participants (mean age = 72.21 ± 13.17). The PEG tube insertion rate was 100%. The mean checklist score was 8.34 ± 1.2. Laboratory investigations were performed for 98.6% of patients. 91.4% of patients had a life expectancy exceeding 30 days. 60% of patients received an anticoagulation hold. Prophylactic antibiotics were administered to 90% of patients. Psychological counseling and dietician consultation were offered to 38.6% and 64.2% of patients, respectively. Caregivers received specialized training in 98.5% of cases. 12.8% of patients experienced early complications post-procedure, and 14.2% experienced late complications. PEG tube removal occurred in 27% of patients, with only one patient experiencing complications after removal. Conclusion: Adherence to PEG tube insertion guidelines was observed in various aspects of patient care, resulting in a low incidence of complications. Comprehensive auditing and guideline adherence are essential to ensure optimal patient safety and procedural outcomes. Cureus 2023-08-16 /pmc/articles/PMC10503224/ /pubmed/37719490 http://dx.doi.org/10.7759/cureus.43566 Text en Copyright © 2023, Ahmad et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Ahmad, Muhammad Bilal
Ansar, Farrukh
Shakoor, Kainaat
Adnan, Muhammad
Naqi, Syed Ali
Tahir, Zainab
Rauf, Mohammad S
Bin Shafaat Chaudhary, Umair
Alamgir, Asad
Aslam, Nabiha
Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit
title Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit
title_full Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit
title_fullStr Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit
title_full_unstemmed Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit
title_short Compliance With Percutaneous Endoscopic Gastrostomy Tube Insertion Guidelines and Associated Complications in a Tertiary Care Setting: A Clinical Audit
title_sort compliance with percutaneous endoscopic gastrostomy tube insertion guidelines and associated complications in a tertiary care setting: a clinical audit
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503224/
https://www.ncbi.nlm.nih.gov/pubmed/37719490
http://dx.doi.org/10.7759/cureus.43566
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