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Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults

Tube feeding (TF) is commonly used for patients with severe swallowing disturbance, and patients with chronic dysphagia are often provided with a long-term nasogastric tube (NGT). However, nationwide epidemiological data on long-term NGT placement are limited. The present study identified the preval...

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Autores principales: Hsu, Chung Y., Lai, Jung-Nien, Kung, Woon-Man, Hung, Chao-Hsien, Yip, Hei-Tung, Chang, Yu-Chen, Wei, Cheng-Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9102306/
https://www.ncbi.nlm.nih.gov/pubmed/35565713
http://dx.doi.org/10.3390/nu14091748
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author Hsu, Chung Y.
Lai, Jung-Nien
Kung, Woon-Man
Hung, Chao-Hsien
Yip, Hei-Tung
Chang, Yu-Chen
Wei, Cheng-Yu
author_facet Hsu, Chung Y.
Lai, Jung-Nien
Kung, Woon-Man
Hung, Chao-Hsien
Yip, Hei-Tung
Chang, Yu-Chen
Wei, Cheng-Yu
author_sort Hsu, Chung Y.
collection PubMed
description Tube feeding (TF) is commonly used for patients with severe swallowing disturbance, and patients with chronic dysphagia are often provided with a long-term nasogastric tube (NGT). However, nationwide epidemiological data on long-term NGT placement are limited. The present study identified the prevalence and outcomes of patients with long-term NGT placement in Taiwan. Data were obtained from the Longitudinal Health Insurance Database. Patients with NGT placement for more than 3 months between 2000 and 2012 were enrolled in this cohort study. An NGT cohort of 2754 patients was compared with 11,016 controls matched for age, sex, residential area, and comorbidities. The prevalence rate of long-term NGT reached 0.063% in 2005 and then remained stable at 0.05–0.06%. The major causes of NGT placement were stroke (44%), cancer (16%), head injury (14%), and dementia (12%). Men (63%) were more likely to have long-term NGT placement than women (37%). The adjusted hazard ratios were 28.1 (95% CI = 26.0, 30.3) for acute and chronic respiratory infections; 26.8 (95% CI = 24.1, 29.8) for pneumonia, 8.84 (95% CI = 7.87, 9.93) for diseases of the esophagus, stomach, and duodenum; and 7.5 (95% CI = 14.7, 20.8) for mortality. Patients with NGT placement for more than 6 months had a higher odds ratio (1.58, 95% CI = 1.13, 2.20) of pneumonia than those with NGT placement for less than 6 months. Only 13% and 0.62% of the patients underwent rehabilitation therapy and percutaneous endoscopic gastrostomy, respectively. Long-term NGT use was associated with a higher risk of comorbidities and mortality. Stroke was the main illness contributing to long-term NGT use. Further interventions are necessary to improve the negative effects of long-term TF.
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spelling pubmed-91023062022-05-14 Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults Hsu, Chung Y. Lai, Jung-Nien Kung, Woon-Man Hung, Chao-Hsien Yip, Hei-Tung Chang, Yu-Chen Wei, Cheng-Yu Nutrients Article Tube feeding (TF) is commonly used for patients with severe swallowing disturbance, and patients with chronic dysphagia are often provided with a long-term nasogastric tube (NGT). However, nationwide epidemiological data on long-term NGT placement are limited. The present study identified the prevalence and outcomes of patients with long-term NGT placement in Taiwan. Data were obtained from the Longitudinal Health Insurance Database. Patients with NGT placement for more than 3 months between 2000 and 2012 were enrolled in this cohort study. An NGT cohort of 2754 patients was compared with 11,016 controls matched for age, sex, residential area, and comorbidities. The prevalence rate of long-term NGT reached 0.063% in 2005 and then remained stable at 0.05–0.06%. The major causes of NGT placement were stroke (44%), cancer (16%), head injury (14%), and dementia (12%). Men (63%) were more likely to have long-term NGT placement than women (37%). The adjusted hazard ratios were 28.1 (95% CI = 26.0, 30.3) for acute and chronic respiratory infections; 26.8 (95% CI = 24.1, 29.8) for pneumonia, 8.84 (95% CI = 7.87, 9.93) for diseases of the esophagus, stomach, and duodenum; and 7.5 (95% CI = 14.7, 20.8) for mortality. Patients with NGT placement for more than 6 months had a higher odds ratio (1.58, 95% CI = 1.13, 2.20) of pneumonia than those with NGT placement for less than 6 months. Only 13% and 0.62% of the patients underwent rehabilitation therapy and percutaneous endoscopic gastrostomy, respectively. Long-term NGT use was associated with a higher risk of comorbidities and mortality. Stroke was the main illness contributing to long-term NGT use. Further interventions are necessary to improve the negative effects of long-term TF. MDPI 2022-04-22 /pmc/articles/PMC9102306/ /pubmed/35565713 http://dx.doi.org/10.3390/nu14091748 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hsu, Chung Y.
Lai, Jung-Nien
Kung, Woon-Man
Hung, Chao-Hsien
Yip, Hei-Tung
Chang, Yu-Chen
Wei, Cheng-Yu
Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults
title Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults
title_full Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults
title_fullStr Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults
title_full_unstemmed Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults
title_short Nationwide Prevalence and Outcomes of Long-Term Nasogastric Tube Placement in Adults
title_sort nationwide prevalence and outcomes of long-term nasogastric tube placement in adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9102306/
https://www.ncbi.nlm.nih.gov/pubmed/35565713
http://dx.doi.org/10.3390/nu14091748
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