학술논문

Preprocedural control of nutritional status score and prediction of early death after percutaneous endoscopic gastrostomy
Document Type
Report
Source
JGH Open. July 2023, Vol. 7 Issue 7, p504, 5 p.
Subject
Comparative analysis
Health aspects
Investigations
Company legal issue
Mortality -- Comparative analysis -- Investigations
Urea -- Health aspects -- Investigations -- Comparative analysis
Medical research -- Comparative analysis -- Investigations -- Health aspects
Medicine, Experimental -- Comparative analysis -- Investigations -- Health aspects
Language
English
Abstract
Introduction In recent years, percutaneous endoscopic gastrostomy (PEG) has played an important role as a means of enteral nutrition in patients with feeding disorders, as happens following cerebrovascular disease. PEG [...]
: Background and Aim: Percutaneous endoscopic gastrostomy (PEG) is often associated with early mortality. We therefore investigated factors associated with early death after PEG. Methods: The present study comprised patients who had undergone PEG between April 2014 and March 2020. Patients were divided into two groups: an early mortality group who died within 1 month of PEG, and a non‐mortality group whose clinical course could be followed for more than 1 month after the procedure. Patient background, hematological data, and procedural duration were compared between groups. Results: Univariate analysis identified older age, high blood urea nitrogen (BUN), low prognostic nutritional index (PNI), and high controlling nutritional status (CONUT) score as factors associated with early death after PEG. In multivariate analysis, high CONUT score remained an independent prognostic factor (P = 0.0035). Conclusion: A high CONUT score may be a prognostic factor for early mortality after PEG.