Long-term outcome after placement of a percutaneous endoscopic gastrostomy tube

Aim:  To evaluate long‐term survival and prognostic factors in patients who have undergone placement of a percutaneous endoscopic gastrostomy tube. Methods:  A retrospective analysis of all patients without malignancy who underwent percutaneous endoscopic gastrostomy at Hanyu General Hospital during...

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Published in:Geriatrics & gerontology international 2008-03, Vol.8 (1), p.19-23
Main Authors: Tokunaga, Takanari, Kubo, Tadahiko, Ryan, Suhen, Tomizawa, Muneo, Yoshida, Shin-ichi, Takagi, Koutarou, Furui, Kumiko, Gotoh, Toshio
Format: Article
Language:English
Subjects:
Abdominal surgery
Adult
Aged
Aged, 80 and over
Clinical outcomes
complications
Enteral Nutrition - methods
Enteral Nutrition - statistics & numerical data
Female
Follow-Up Studies
gastrostomy
Gastrostomy - adverse effects
Gastrostomy - methods
Gastrostomy - mortality
Geriatrics
Humans
hypoalbuminemia
Kaplan-Meier Estimate
Male
Medical prognosis
Middle Aged
Mortality
Parenteral nutrition
pneumonia
Pneumonia, Aspiration
Prognosis
Proportional Hazards Models
Retrospective Studies
Risk Factors
Serum Albumin - analysis
Survival
Treatment Outcome
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Summary:Aim:  To evaluate long‐term survival and prognostic factors in patients who have undergone placement of a percutaneous endoscopic gastrostomy tube. Methods:  A retrospective analysis of all patients without malignancy who underwent percutaneous endoscopic gastrostomy at Hanyu General Hospital during the period January 2001–December 2005. Results:  A total of 198 patients (100 men, 98 women) were assessed. Median age was 78 years (range, 25–97 years). The primary diagnosis was a cerebrovascular disorder in 149 (75.3%) of the patients. Prior to placement, 120 (60.6%) had suffered pneumonia. Survival was 87.4% at 1 month, 67.8% at 3 months, 52.6% at 6 months, 38.1% at 1 year, 27.8% at 2 years and 22.3% at 3 years. Pneumonia was the most common cause of death during the follow‐up period (91 of 140 patients, 65.0%). Cox's proportional hazards model showed independent predictors of mortality to be a low serum albumin concentration (≤2.9 g/dL) and history of pneumonia before the procedure. Conclusions:  Mortality of patients who underwent percutaneous endoscopic gastrostomy appears to be high. In particular, the long‐term prognosis was poor for patients with hypoalbuminemia, and this procedure is probably not preferred for patients with recurrent aspiration pneumonia.
ISSN:1444-1586
1447-0594
DOI:10.1111/j.1447-0594.2008.00442.x