Survival Following Percutaneous Endoscopic Gastrostomy in  Neurology Intensive Care Unit Patients

Mehmet Ali Bereketoğlu; Cemile Haki

Makale detayları

Survival Following Percutaneous Endoscopic Gastrostomy in Neurology Intensive Care Unit Patients

Yazarlar:

Mehmet Ali Bereketoğlu | Cemile Haki

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.218-225

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285178

pISSN:

1304-9623

Anahtar kelimeler:

Özet:

 Background: We aimed to determine factors affecting mortality and survival after Percutaneous endoscopic gastrostomy PEG in patients who were hospitalized in the neurology intensive care unit during the coronavirus disease-2019 COVID-19 pandemic Materials and Methods: The clinical and demographic data of 29 patients aged 18 years and older who received PEG tube insertion during hospitalization in the Neurology Intensive Care Unit of XXX Hospital, Turkey, between February 2020 and May 2021 were examined retrospectively. Patients demographics, clinical characteristics, and survival status were recorded. Results: We included 29 patients 16 females and 13 males into our study. Median age was 71 3389 years among survivors and 75.5 4890 years among those who died. The groups were similar with respect to age p  0.119 and sex p  0.806. Mortality rate after PEG insertion was 66. Mean overall survival after PEG tube insertion was 129.49 days 95 CI: 91.21167.78. Cox regression revealed that having multiple comorbidities increased the likelihood of mortality by 2.822-fold 95 CI: 1.0017.968, p  0.049. Conclusions: These findings show that having multiple comorbidities was the most important factor associated with mortality among PEG recipients who were admitted to the Neurology Intensive Care Unit during the COVID-19 pandemic. Since multiple comorbidities cause shorter survival, it appears that the decision to insert PEG tubes must be made extremely cautiously among these patients. However, more comprehensive studies should be conducted to clarify the effect of COVID-19 on mortality rates and survival time after PEG.

 Background: We aimed to determine factors affecting mortality and survival after Percutaneous endoscopic gastrostomy PEG in patients who were hospitalized in the neurology intensive care unit during the coronavirus disease-2019 COVID-19 pandemic Materials and Methods: The clinical and demographic data of 29 patients aged 18 years and older who received PEG tube insertion during hospitalization in the Neurology Intensive Care Unit of XXX Hospital, Turkey, between February 2020 and May 2021 were examined retrospectively. Patients demographics, clinical characteristics, and survival status were recorded. Results: We included 29 patients 16 females and 13 males into our study. Median age was 71 3389 years among survivors and 75.5 4890 years among those who died. The groups were similar with respect to age p  0.119 and sex p  0.806. Mortality rate after PEG insertion was 66. Mean overall survival after PEG tube insertion was 129.49 days 95 CI: 91.21167.78. Cox regression revealed that having multiple comorbidities increased the likelihood of mortality by 2.822-fold 95 CI: 1.0017.968, p  0.049. Conclusions: These findings show that having multiple comorbidities was the most important factor associated with mortality among PEG recipients who were admitted to the Neurology Intensive Care Unit during the COVID-19 pandemic. Since multiple comorbidities cause shorter survival, it appears that the decision to insert PEG tubes must be made extremely cautiously among these patients. However, more comprehensive studies should be conducted to clarify the effect of COVID-19 on mortality rates and survival time after PEG.

 Background: We aimed to determine factors affecting mortality and survival after Percutaneous endoscopic gastrostomy PEG in patients who were hospitalized in the neurology intensive care unit during the coronavirus disease-2019 COVID-19 pandemic Materials and Methods: The clinical and demographic data of 29 patients aged 18 years and older who received PEG tube insertion during hospitalization in the Neurology Intensive Care Unit of XXX Hospital, Turkey, between February 2020 and May 2021 were examined retrospectively. Patients demographics, clinical characteristics, and survival status were recorded. Results: We included 29 patients 16 females and 13 males into our study. Median age was 71 3389 years among survivors and 75.5 4890 years among those who died. The groups were similar with respect to age p  0.119 and sex p  0.806. Mortality rate after PEG insertion was 66. Mean overall survival after PEG tube insertion was 129.49 days 95 CI: 91.21167.78. Cox regression revealed that having multiple comorbidities increased the likelihood of mortality by 2.822-fold 95 CI: 1.0017.968, p  0.049. Conclusions: These findings show that having multiple comorbidities was the most important factor associated with mortality among PEG recipients who were admitted to the Neurology Intensive Care Unit during the COVID-19 pandemic. Since multiple comorbidities cause shorter survival, it appears that the decision to insert PEG tubes must be made extremely cautiously among these patients. However, more comprehensive studies should be conducted to clarify the effect of COVID-19 on mortality rates and survival time after PEG.

 Amaç: Koronavirüs hastalığı-2019 COVID-19 pandemisi sırasında nöroloji yoğun bakım ünitesinde yatan has-talarda Perkütan endoskopik gastrostomi PEG sonrası mortalite ve sağkalımı etkileyen faktörleri belirlemeyi amaçladık. Materyal ve Metod: Türkiyede Bursa Şehir Hastanesi Nöroloji Yoğun Bakım Ünitesinde Şubat 2020 ile Mayıs 2021 tarihleri arasında yatışı sırasında PEG tüpü takılan 18 yaş ve üzeri 29 hastanın klinik ve demografik verileri geriye dönük olarak incelendi. Hastaların demografik özellikleri, klinik özellikleri ve sağkalım durumları kaydedildi. Bulgular: Çalışmamıza 29 hasta 16 kadın ve 13 erkek dahil edildi. Ortanca yaş hayatta kalanlar arasında 71 33-89 ve ölenler arasında 75,5 48-90 idi. Gruplar yaş p  0.119 ve cinsiyet p  0.806 açısından benzerdi. PEG yerleştirilmesinden sonra ölüm oranı 66 idi. PEG tüpünün yerleştirilmesinden sonra ortalama genel sağkalım 129.49 gündü 95 GA: 91.21167.78. Cox regresyonu, birden fazla komorbiditeye sahip olmanın mortalite olasılığını 2.822 kat arttırdığını ortaya koydu 95 GA: 1.001-7.968, p  0.049. Sonuç: Bu bulgular, COVID-19 pandemisi sırasında Nöroloji Yoğun Bakım Ünitesine kabul edilen ve PEG tüpü takılan olgularda mortalite ile ilişkili en önemli faktörün birden fazla komorbiditeye sahip olması olduğunu gös-termektedir. Çoklu komorbiditeler daha kısa sağ kalıma neden olduğundan, bu hastalarda PEG tüpü yerleştirme kararının son derece dikkatli verilmesi gerektiği görülmektedir. Ancak COVID-19un PEG sonrası ölüm oranları ve sağkalım süresi üzerindeki etkisini netleştirmek için daha kapsamlı çalışmalar yapılmalıdır.

Makale detayları

Survival Following Percutaneous Endoscopic Gastrostomy in Neurology Intensive Care Unit Patients

Yazarlar:

Mehmet Ali Bereketoğlu | Cemile Haki

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.218-225

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285178

pISSN:

1304-9623

percutaneous endoscopic gastrostomy

COVID-19 pandemic

comorbidity

mortality

survival

perkütan endoskopik gastrostomi

COVID-19 pandemisi

komorbidite

mortalite

sağkalım

Sayı

Makale detayları

Yazarlar: Mehmet Ali Bereketoğlu | Cemile Haki

Yayıncı: Harran University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.218-225

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001285178

pISSN: 1304-9623

Sayı

Yazarlar:

Mehmet Ali Bereketoğlu | Cemile Haki

Yayıncı:

Harran University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Harran Üniversitesi Tıp Fakültesi Dergisi Vol.20 Issue 1, pp.218-225

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285178

pISSN:

1304-9623