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[Dysphagia] Dementia and PEG
- Subject: [Dysphagia] Dementia and PEG
- From: Stacie.Attrill at nwahs.sa.gov.au (Attrill, Stacie (NWAHS))
- Date: Wed Aug 17 01:19:43 2005
For interest, although the below study would appear to have a few
limitations, it does seem to sum up the experience of PEG in demented (male)
patients quite succinctly.
Kind Regards,
Stacie Attrill
J Nutr Health Aging. 2005 Jul-Aug;9(4):255-9. Related Articles, Links
Survival after percutaneous endoscopic gastrostomy: the role of dementia.
Shah PM, Sen S, Perlmuter LC, Feller A.
Gastroenterology Section, Medical Service, VA Medical Center, 3001 Green Bay
Road, North Chicago, IL 60064, USA. Pallavi.Shah@med.va.gov
BACKGROUND: Percutaneous Endoscopic Gastrostomy (PEG) is a widely used
technique for enteral feeding in nursing home patients. Several factors
including malnutrition, hypoalbuminemia, older age, number of co-morbidities
and cognitive impairment adversely affect survival. OBJECTIVE: This study
evaluated the relative impact of age, serum albumin, number of co-morbid
illnesses and dementia on survival in male nursing home patients who had
undergone percutaneous endoscopic gastrostomy (PEG). DESIGN: In a
retrospective study the hospital records of all North Chicago Veterans
Affair (VA) male nursing home residents (n=88) who had PEG placed between
1990 through 2000 were reviewed. Of the 88 charts reviewed, 17 were
eliminated from analysis due to incomplete data. Following data was
examined: Age, serum albumin, number of co-morbid illnesses, presence of
dementia, survival in years following PEG placement. RESULTS: Advancing age
was associated with increasing probability of dementia and increased number
of co-morbidities. Post PEG survival decreased with increasing age, with
lower serum albumin, and increased number of co-morbidities. Age and serum
albumin were strong predictors of survival in PEG recipients without the
diagnosis of dementia. However, in PEG recipients with a diagnosis of
dementia, age and serum albumin no longer predicted survival. Dementia
appears to attenuate the effects of age and serum albumin on survival
following PEG placement. CONCLUSION: In the presence of dementia, none of
the usual predictors of survival in PEG recipients remain significant.
PMID: 15980926 [PubMed - in process]
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