| Assessing and predicting successful tube placement outcomes in ALS patients. | |
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MedLine Citation:
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PMID: 19714540 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study reviews feeding tube placement outcomes in 69 ALS outpatients seen at an outpatient interdisciplinary ALS clinic in British Columbia, Canada. The objective was to determine at which point the risks outweigh the benefits of tube placement by reviewing outcomes against parameters of respiratory function, nutritional status and speech and swallowing deterioration. The study was a retrospective review of tube placements between January 2000 and 2005, analysing data on respiratory function (forced vital capacity and respiratory status), weight change from usual body weight (UBW) and speech/swallowing deterioration using ALS Severity Score ratings (Hillel et al., 1989) at time of tube placement. Results show a statistically significant association between nutritional status and successful tube placement outcomes (p=0.003), and none between respiratory status, speech/swallowing variables, or number of deteriorated variables in each patient. Study findings were impacted by lack of available respiratory data. The only study variable that predicted successful tube placement outcome was a body weight greater than or equal to 74% UBW at time of tube placement. In the absence of access to respiratory testing, the relatively simple assessment of weight may assist patients and caregivers in appropriate decisions around tube placement. |
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Authors:
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Kathleen Beggs; Marcia Choi; Andrew Travlos |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Amyotrophic lateral sclerosis : official publication of the World Federation of Neurology Research Group on Motor Neuron Diseases Volume: 11 ISSN: 1471-180X ISO Abbreviation: Amyotroph Lateral Scler Publication Date: 2010 |
Date Detail:
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Created Date: 2010-05-04 Completed Date: 2010-08-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101283386 Medline TA: Amyotroph Lateral Scler Country: England |
Other Details:
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Languages: eng Pagination: 203-6 Citation Subset: IM |
Affiliation:
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Vancouver Coastal Health ALS Centre, Canada. Kathleen.Beggs@vch.ca <Kathleen.Beggs@vch.ca> |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Amyotrophic Lateral Sclerosis / epidemiology*, therapy* Body Weight Deglutition Disorders / diagnosis, epidemiology Disease Progression Dysarthria / diagnosis, epidemiology Enteral Nutrition / statistics & numerical data* Female Gastric Bypass / statistics & numerical data Gastrostomy / statistics & numerical data Humans Male Middle Aged Nutritional Status Outcome Assessment (Health Care) Outpatient Clinics, Hospital / statistics & numerical data* Predictive Value of Tests Respiratory Insufficiency / diagnosis, epidemiology Retrospective Studies Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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