Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients

Vivek V. Gumaste, Kalyan R. Bhamidimarri, Raghav Bansal, Lovleen Sidhu, Joel Baum, Aaron Walfish

Research output: Contribution to journalArticle

10 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)42-47
Number of pages6
JournalAnnals of Gastroenterology
Volume27
Issue number1
StatePublished - 2014
Externally publishedYes

Fingerprint

Gastrostomy
Mortality
Serum Albumin
Biomarkers
Patient Discharge
Electronic Health Records
Urban Hospitals
Hospital Mortality
Dementia
Stroke
Urine
Morbidity

Keywords

  • Co-morbidities
  • Post-PEG mortality

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Gumaste, V. V., Bhamidimarri, K. R., Bansal, R., Sidhu, L., Baum, J., & Walfish, A. (2014). Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients. Annals of Gastroenterology, 27(1), 42-47.

Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients. / Gumaste, Vivek V.; Bhamidimarri, Kalyan R.; Bansal, Raghav; Sidhu, Lovleen; Baum, Joel; Walfish, Aaron.

In: Annals of Gastroenterology, Vol. 27, No. 1, 2014, p. 42-47.

Research output: Contribution to journalArticle

Gumaste, VV, Bhamidimarri, KR, Bansal, R, Sidhu, L, Baum, J & Walfish, A 2014, 'Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients', Annals of Gastroenterology, vol. 27, no. 1, pp. 42-47.
Gumaste VV, Bhamidimarri KR, Bansal R, Sidhu L, Baum J, Walfish A. Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients. Annals of Gastroenterology. 2014;27(1):42-47.
Gumaste, Vivek V. ; Bhamidimarri, Kalyan R. ; Bansal, Raghav ; Sidhu, Lovleen ; Baum, Joel ; Walfish, Aaron. / Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients. In: Annals of Gastroenterology. 2014 ; Vol. 27, No. 1. pp. 42-47.
@article{960a68a6f5804729b0eeee9bfb0b7cd6,
title = "Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients",
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.",
keywords = "Co-morbidities, Post-PEG mortality",
author = "Gumaste, {Vivek V.} and Bhamidimarri, {Kalyan R.} and Raghav Bansal and Lovleen Sidhu and Joel Baum and Aaron Walfish",
year = "2014",
language = "English (US)",
volume = "27",
pages = "42--47",
journal = "Annals of Gastroenterology",
issn = "1108-7471",
publisher = "Hellenic Society of Gastroenterology",
number = "1",

}

TY - JOUR

T1 - Factors predicting early discharge and mortality in post-percutaneous endoscopic gastrostomy patients

AU - Gumaste, Vivek V.

AU - Bhamidimarri, Kalyan R.

AU - Bansal, Raghav

AU - Sidhu, Lovleen

AU - Baum, Joel

AU - Walfish, Aaron

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

KW - Co-morbidities

KW - Post-PEG mortality

UR - http://www.scopus.com/inward/record.url?scp=84890956629&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890956629&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84890956629

VL - 27

SP - 42

EP - 47

JO - Annals of Gastroenterology

JF - Annals of Gastroenterology

SN - 1108-7471

IS - 1

ER -