In this study, physicians from Israel evaluated risk factors for early mortality after percutaneous endoscopic gastrostomy (PEG) tube insertion.
The team assessed outpatients from nursing homes and hospitalized patients who underwent PEG between 1995 and 2001.
They used survival analysis to assess mortality after PEG.
The physicians found that a total of 502 PEG tubes were inserted in 419 hospitalized and 83 nursing-home patients. The prevalence of co-morbid conditions was similar in the 2 groups.
The team found that 30- and 60-day mortality rates were approximately 6 times higher in the hospitalized patients, compared with the nursing-home patients
|Mortality rates were approximately 6 times higher in the hospitalized patients.|
They determined that risk factors for 30-day mortality in the hospitalized patients included serum albumin <3 g/dl (OR 2.82), chronic obstructive pulmonary disease (OR 2.79), and diabetes mellitus (OR 2.44).
Dr Lang and colleagues concluded, “Compared with nursing-home patients, hospitalized patients are at higher risk for early mortality after PEG”.
“The presence of diabetes, chronic obstructive pulmonary disease, and a low serum albumin level each increase the 30-day mortality risk among hospitalized patients threefold”.