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Factors Associated with 30-Day Mortality in Patients after Percutaneous Endoscopic Gastrostomy

Diego Jorge Maia Lima, Luiz Eduardo Correia Miranda, Marcel Rolland Ciro da Penha, Raquel N. C. L. Lima, Dalmir Cavalcanti dos Santos, Matheus Stillner Eufrânio, Ana Clara Galindo Miranda, Leila Maria Moreira Beltrão Pereira

2021JSLS Journal of the Society of Laparoscopic & Robotic Surgeons14 citationsDOIOpen Access PDF

Abstract

INTRODUCTION: Percutaneous endoscopic gastrostomy (PEG) is the main accepted method for long-term tube feeding. The aim of this study is to investigate the risk factors associated with early mortality after PEG. METHODS: It is a retrospective survival analysis in a tertiary-level hospital. We reviewed the medical records of 277 patients with PEG placement. The data were analyzed by the Kaplan-Meier method. Multivariable Cox proportional regression models were also built to test the effects of PEG on mortality. RESULTS: = 0.015) were predictors of early mortality. CONCLUSION: In patients who had underwent PEG tube insertion for long-term nutrition, anemia and previous ICU admission were predictors of mortality at four weeks. These factors may guide physicians to discourage the indication for PEG.

Topics & Concepts

MedicinePercutaneous endoscopic gastrostomyPEG ratioProportional hazards modelAnemiaGastrostomyMedical recordDiabetes mellitusDysphagiaSurgeryInternal medicineRetrospective cohort studyEndocrinologyEconomicsFinanceClinical Nutrition and GastroenterologyEnhanced Recovery After SurgeryNutrition and Health in Aging