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Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion
BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) tube insertion is an increasingly used minimally invasive method for long-term enteral feeding. Identification of simple predictors for short-term mortality (up to one month) after PEG insertion is of paramount importance. AIM: We aimed to explor...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881763/ https://www.ncbi.nlm.nih.gov/pubmed/31828049 http://dx.doi.org/10.1155/2019/1532918 |
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author | Sbeit, Wisam Kadah, Anas Mari, Amir Mahamid, Mahmud Khoury, Tawfik |
author_facet | Sbeit, Wisam Kadah, Anas Mari, Amir Mahamid, Mahmud Khoury, Tawfik |
author_sort | Sbeit, Wisam |
collection | PubMed |
description | BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) tube insertion is an increasingly used minimally invasive method for long-term enteral feeding. Identification of simple predictors for short-term mortality (up to one month) after PEG insertion is of paramount importance. AIM: We aimed to explore a simple noninvasive parameter that would predict survival following PEG insertion. METHODS: We performed a retrospective study of all patients who underwent PEG insertion at the Galilee Medical Center from January 1, 2014 to December 30, 2018. We collected simple clinical and laboratory parameters and survival data and looked for predictors of short-term mortality. RESULTS: A total of 272 patients who underwent PEG insertion were included. Sixty-four patients (23.5%) died within one month after PEG insertion compared to 208 patients (76.5%) who survived for more than one month. Univariate analysis revealed several short-term mortality-related predictors, including older age (OR 1.1, P=0.005), ischemic heart disease (OR 2, P=0.0197), higher creatinine level (OR 2.3, P=0.0043), and elevated CRP level and CRP-to-albumin ratio (OR 1.1, P < 0.0001; OR 1.0031, P < 0.0001, respectively). In multivariate logistic analysis, older age (OR 1.1, P=0.019), higher creatinine level (OR 1.6, P=0.074), and elevated CRP-to-albumin ratio (OR 1.1, P=0.002) remained significant predictors of short-term mortality after PEG insertion with an ROC of 0.7274. CONCLUSION: We could identify several simple parameters associated with high risk of mortality, and we recommend considering using these parameters in decision-making regarding PEG insertion. Further prospective studies are needed to validate our findings. |
format | Online Article Text |
id | pubmed-6881763 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-68817632019-12-11 Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion Sbeit, Wisam Kadah, Anas Mari, Amir Mahamid, Mahmud Khoury, Tawfik Can J Gastroenterol Hepatol Research Article BACKGROUND: Percutaneous endoscopic gastrostomy (PEG) tube insertion is an increasingly used minimally invasive method for long-term enteral feeding. Identification of simple predictors for short-term mortality (up to one month) after PEG insertion is of paramount importance. AIM: We aimed to explore a simple noninvasive parameter that would predict survival following PEG insertion. METHODS: We performed a retrospective study of all patients who underwent PEG insertion at the Galilee Medical Center from January 1, 2014 to December 30, 2018. We collected simple clinical and laboratory parameters and survival data and looked for predictors of short-term mortality. RESULTS: A total of 272 patients who underwent PEG insertion were included. Sixty-four patients (23.5%) died within one month after PEG insertion compared to 208 patients (76.5%) who survived for more than one month. Univariate analysis revealed several short-term mortality-related predictors, including older age (OR 1.1, P=0.005), ischemic heart disease (OR 2, P=0.0197), higher creatinine level (OR 2.3, P=0.0043), and elevated CRP level and CRP-to-albumin ratio (OR 1.1, P < 0.0001; OR 1.0031, P < 0.0001, respectively). In multivariate logistic analysis, older age (OR 1.1, P=0.019), higher creatinine level (OR 1.6, P=0.074), and elevated CRP-to-albumin ratio (OR 1.1, P=0.002) remained significant predictors of short-term mortality after PEG insertion with an ROC of 0.7274. CONCLUSION: We could identify several simple parameters associated with high risk of mortality, and we recommend considering using these parameters in decision-making regarding PEG insertion. Further prospective studies are needed to validate our findings. Hindawi 2019-11-16 /pmc/articles/PMC6881763/ /pubmed/31828049 http://dx.doi.org/10.1155/2019/1532918 Text en Copyright © 2019 Wisam Sbeit et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Sbeit, Wisam Kadah, Anas Mari, Amir Mahamid, Mahmud Khoury, Tawfik Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion |
title | Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion |
title_full | Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion |
title_fullStr | Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion |
title_full_unstemmed | Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion |
title_short | Simple Bedside Predictors of Survival after Percutaneous Gastrostomy Tube Insertion |
title_sort | simple bedside predictors of survival after percutaneous gastrostomy tube insertion |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881763/ https://www.ncbi.nlm.nih.gov/pubmed/31828049 http://dx.doi.org/10.1155/2019/1532918 |
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