Trends in percutaneous endoscopic gastrostomy placement in the elderly from 1993 to 2003
- PMID: 23038714
- PMCID: PMC4011175
- DOI: 10.1177/1533317512460563
Trends in percutaneous endoscopic gastrostomy placement in the elderly from 1993 to 2003
Abstract
Objectives: To investigate national trends in percutaneous endoscopic gastrostomy (PEG) tube placement for hospitalized elderly patients from 1993 to 2003.
Methods: Retrospective analysis of patients ≥ 65 years of age with PEG tube placement from 1993 to 2003 from the Nationwide Inpatient Sample (NIS) database was utilized to calculate PEG placement rates per 1000 people.
Results: Placement of PEG tube increased by 38% in elderly patients during the study period, from 2.71 procedures during hospitalization per 1000 people to 3.75 procedures during hospitalization per 1,000 people. Placement of PEG tube in patients with Alzheimer's dementia doubled (5%-10%) over the study period.
Conclusion: Over a 10-year period, PEG tube use in hospitalized elderly patients increased significantly. More importantly, approximately 1 in 10 PEG tube placements occurred in patients with dementia.
Conflict of interest statement
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Figures
Similar articles
-
Decreasing use of percutaneous endoscopic gastrostomy tube feeding for veterans with dementia-racial differences remain.J Am Geriatr Soc. 2005 Feb;53(2):242-8. doi: 10.1111/j.1532-5415.2005.53109.x. J Am Geriatr Soc. 2005. PMID: 15673347
-
Predictors and inpatient outcomes of aspiration pneumonia in patients with percutaneous endoscopic gastrostomy tube: An analysis of national inpatient sample.Clin Res Hepatol Gastroenterol. 2024 Nov;48(9):102463. doi: 10.1016/j.clinre.2024.102463. Epub 2024 Sep 12. Clin Res Hepatol Gastroenterol. 2024. PMID: 39276856
-
Percutaneous endoscopic gastrostomy (PEG) tubes are placed in elderly adults in Japan with advanced dementia regardless of expectation of improvement in quality of life.J Nutr Health Aging. 2014 May;18(5):503-9. doi: 10.1007/s12603-014-0011-9. J Nutr Health Aging. 2014. PMID: 24886737
-
The role of gastrostomy tube placement in advanced dementia with dysphagia: a critical review.Clin Interv Aging. 2014 Oct 14;9:1733-9. doi: 10.2147/CIA.S53153. eCollection 2014. Clin Interv Aging. 2014. PMID: 25342891 Free PMC article. Review.
-
Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances.Cochrane Database Syst Rev. 2015 May 22;2015(5):CD008096. doi: 10.1002/14651858.CD008096.pub4. Cochrane Database Syst Rev. 2015. PMID: 25997528 Free PMC article. Review.
Cited by
-
Language Variations in Describing Nutrition and Hydration Interventions in State Physician Orders for Life Sustaining Treatment Forms and the Implications for Advanced Dementia Patients.Palliat Med Rep. 2024 Jan 5;5(1):20-24. doi: 10.1089/pmr.2023.0029. eCollection 2024. Palliat Med Rep. 2024. PMID: 38249835 Free PMC article.
-
Prevalence and Trends in Percutaneous Endoscopic Gastrostomy Placement: Results From a 10-Year, Nationwide Analysis.Front Nutr. 2022 May 30;9:906409. doi: 10.3389/fnut.2022.906409. eCollection 2022. Front Nutr. 2022. PMID: 35707793 Free PMC article.
-
Environmental, Microbiological, and Immunological Features of Bacterial Biofilms Associated with Implanted Medical Devices.Clin Microbiol Rev. 2022 Apr 20;35(2):e0022120. doi: 10.1128/cmr.00221-20. Epub 2022 Jan 19. Clin Microbiol Rev. 2022. PMID: 35044203 Free PMC article. Review.
-
Days out of Institution after Tracheostomy and Gastrostomy Placement in Critically Ill Older Adults.Ann Am Thorac Soc. 2022 Mar;19(3):424-432. doi: 10.1513/AnnalsATS.202106-649OC. Ann Am Thorac Soc. 2022. PMID: 34388080 Free PMC article.
-
'Re-PEGing': an endoscopic approach to inadvertent early removal of PEG tube.J Community Hosp Intern Med Perspect. 2020 Jun 14;10(3):194-198. doi: 10.1080/20009666.2020.1759853. J Community Hosp Intern Med Perspect. 2020. PMID: 32850064 Free PMC article.
References
-
- Roche V. Percutaneous endoscopic gastrostomy: Clinical care of PEG tubes in older adults. Geriatrics 2003;58(11):22–29. - PubMed
-
- Hebert LE, Scherr PA, Bienias JL, Bennett DA, Evans DA. Alzheimer’s disease in the US population: prevalence estimates using the 2000 census. Arch Neurol. 2003;60(8):1119–1122. - PubMed
-
- Alzheimer’s Association. 2009. Alzheimer’s Disease: Facts and Figures. http://www.alz.org/documents_custom/report_alzfactsfigures2010.pdf. Accessed January 28, 2011.
-
- National Vital Statistics National Center for Health Statistics. Reports. Deaths: Final Data for 2007. 2010;58(19). http://www.cdc.gov/NCHS/data/nvsr/nvsr58/nvsr58_19.pdf. - PubMed
-
- Mitchell SL, Kiely DK, Hamel MB. Dying with advanced dementia in the nursing home. Arch Intern Med. 2004;164(3):321–326. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
