Abstract
Background The aim of our study was to ascertain factors that favor early discharge and predict mortality in post-percutaneous endoscopic gastrostomy (PEG) patients. Methods Successive patients who underwent successful PEG placement during a 10-year period in a single New York City hospital were included in the study. Data was retrospectively extracted from hospital electronic medical records. Results Two hundred and eighty-four patients underwent successful PEG placement. Forty-six patients (16%) were discharged within 3 days of PEG placement (early discharge). Two hundred and thirty six patients (84%) remained in hospital from 4 to 244 days (median 13.5) after PEG insertion (late discharge). Twenty-six (9%) patients died in-house after PEG placement. A serum albumin level <2.2 g/dL (P=0.007) and presence of 2 or more co-morbidities (P=0.019) were predictors of late discharge. A dementia indication was twice as likely to result in an early discharge compared to a stroke indication (OR 2.39; 95% CI 1.07-5.36; P=0.033). Female sex, positive urine cultures and low serum albumin levels were independent predictors of in-house mortality. Conclusion Clinical and laboratory markers may predict post-PEG mortality as well as early patient discharge.
Original language | English (US) |
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Pages (from-to) | 42-47 |
Number of pages | 6 |
Journal | Annals of Gastroenterology |
Volume | 27 |
Issue number | 1 |
State | Published - 2014 |
Externally published | Yes |
Keywords
- Co-morbidities
- Post-PEG mortality
ASJC Scopus subject areas
- Gastroenterology