Document Detail


Trends in percutaneous endoscopic gastrostomy placement in the elderly from 1993 to 2003.
MedLine Citation:
PMID:  23038714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P Mendiratta; J M Tilford; P Prodhan; K Curseen; G Azhar; Jeanne Y Wei
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-10-04
Journal Detail:
Title:  American journal of Alzheimer's disease and other dementias     Volume:  27     ISSN:  1938-2731     ISO Abbreviation:  Am J Alzheimers Dis Other Demen     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-12     Completed Date:  2013-04-23     Revised Date:  2014-05-08    
Medline Journal Info:
Nlm Unique ID:  101082834     Medline TA:  Am J Alzheimers Dis Other Demen     Country:  United States    
Other Details:
Languages:  eng     Pagination:  609-13     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cerebrovascular Disorders / epidemiology
Comorbidity
Deglutition Disorders / epidemiology,  surgery
Dementia / epidemiology*
Endoscopy, Gastrointestinal / trends*,  utilization*
Enteral Nutrition / trends,  utilization
Female
Gastrostomy / trends*,  utilization*
Heart Failure / epidemiology
Hospitalization / statistics & numerical data
Humans
Male
Malnutrition / epidemiology,  surgery*
Pneumonia, Aspiration / epidemiology
Retrospective Studies
United States / epidemiology
Grant Support
ID/Acronym/Agency:
AG028718/AG/NIA NIH HHS; K12 AG000294/AG/NIA NIH HHS; P30 AG028718/AG/NIA NIH HHS; UL1 TR000039-04/TR/NCATS NIH HHS
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