Journal article
The cup is half full
The American journal of surgery, Vol.178(5), pp.406-410
1999
DOI: 10.1016/S0002-9610(99)00205-6
PMID: 10612538
Abstract
Background: The clinical outcomes following feeding tube procedures are infrequently studied because most patients have other incurable conditions.
Methods: Multiple electronic databases were used to track clinical outcomes following all gastrostomies and jejunostomies performed at a single institution from October 1, 1992, through December 31, 1995. Preoperative risk factors and postoperative morbidity were available for all 104 cases; long-term status was available for all but 2 of 104.
Results: The in-hospital mortality was 11.4%. Mortality was lower in those receiving feeding tubes as primary procedures (7.4%) than in those who had a feeding tube placed during other major procedures (24%,
P <0.05). Postoperative pneumonia was frequent (24.7%), and was associated with preoperative gastroesophageal reflux (odds ratio 4.2,
P = 0.01) and history of aspiration (odds ratio 3.9,
P = 0.01). Although 14.5% of the patients were newly discharged to care facilities, the majority (74%) returned to their previous residence. Median survival was just over 6 months, with 18% surviving more than 2 years. Survival was inversely related to do-not-resuscitate status (odds ratio 4.6,
P <0.001), metastatic tumor (odds ratio 2.7,
P <0.001), dementia (odds ratio 2.3,
P = 0.005), and unresectable tumor (odds ratio 2.1,
P <0.001), but was unrelated to type of feeding tube.
Conclusions: Significant morbidity and mortality follow feeding enterostomies, but the majority of patients benefit and can return to their previous residence.
Details
- Title: Subtitle
- The cup is half full
- Creators
- Kimberly S Ephgrave - VAMC Iowa City (KSE, CB, JJC), Iowa City, Iowa, USACarole Buchmiller - VAMC Iowa City (KSE, CB, JJC), Iowa City, Iowa, USAMichael P Jones - University of Iowa College of Medicine, (KSE, MPJ, JCC), Iowa City, Iowa, USAJoseph J Cullen - VAMC Iowa City (KSE, CB, JJC), Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.178(5), pp.406-410
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S0002-9610(99)00205-6
- PMID
- 10612538
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Language
- English
- Date published
- 1999
- Academic Unit
- Statistics and Actuarial Science; Biostatistics; Surgery; Radiation Oncology; Public Policy Center (Archive)
- Record Identifier
- 9984051757102771
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