Skip Navigation


Age and Ageing Advance Access originally published online on May 18, 2005
Age and Ageing 2005 34(4):353-357; doi:10.1093/ageing/afi085
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow Supplementary data
Right arrow All Versions of this Article:
34/4/353    most recent
afi085v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (11)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Rimon, E.
Right arrow Articles by Levy, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rimon, E.
Right arrow Articles by Levy, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Research Paper

Percutaneous endoscopic gastrostomy; evidence of different prognosis in various patient subgroups

Ephraim Rimon1,2, Nadya Kagansky1 and Shmuel Levy1

1 Department of Geriatrics
2 Gastroenterological Division, Kaplan-Harzfeld Medical Center, Rehovot. Affiliated to the Hebrew University and Haddassah Medical School, Jerusalem, Israel

Address correspondence to: E. Rimon, Harzfeld Medical Center, PO Box 48 Gedera, Israel 70750. Fax: (+972) 8 8595 227. Email: efraim_r{at}clalit.org.il

Abstract

Background: as there are no prospective randomised trials about percutaneous endoscopic gastrostomy (PEG) insertion, the medical staff and caregivers encounter great difficulty in deciding when and if to perform this procedure.

Objective: to explore which variables are associated with increased mortality after PEG insertion.

Design: prospective observational study.

Setting: gastroenterological unit of a 500-bed community hospital.

Subjects: all patients over the age of 50 years referred for PEG insertion between January 1992 and December 2002.

Methods: patients were studied for their indication for PEG insertion as well as their main medical problems, and demographic details and medical records were reviewed yearly until mortality.

Results: 674 patients were enrolled (mean age 80.1 years, 42% men). The median survival was worst in diabetic patients (128 days, P <0.05), patients referred from hospital (161 days, P <0.01) and patients over the age of 80 years with dementia (171 days, P <0.001). The best median survival was found among demented patients under the age of 80 (467 days, P <0.05) and women under the age of 80 referred from nursing homes (780 days, P <0.01).

Conclusions: the outcome after PEG insertion is variable, with survival of over a year in many of the patients. These data are important for the medical staff, the patients and their caregivers when deciding about PEG placement.

Keywords: percutaneous endoscopic gastrostomy, prognosis, dementia, elderly

Received September 9, 2004; Revision received February 11, 2005. accepted in revised form February 11, 2005.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Age AgeingHome page
S. H. Guptha
Tube feeding in patients with dementia
Age Ageing, January 1, 2006; 35(1): 97 - 97.
[Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.