Clinical Outcomes of Percutaneous Endoscopic Gastrostomy in the Respiratory Intensive Care Unit

Authors : Kamuran ULUÇ, Esra AKKÜTÜK ÖNGEL, Nazan KÖYLÜ İLKAYA, Özkan DEVRAN, Ernur AY, Hatice KUTBAY ÖZÇELİK

Pages : 782-785

Doi:10.16899/jcm.1331937

View : 59 | Download : 43

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Aim: Percutaneous endoscopic gastrostomy insert ignore into journalissuearticles values(PEG); is a feeding method used in patients who are expected to require enteral nutrition for more than 2-3 weeks. We aimed to evaluate PEG indications, complications, and post-procedural patient prognosis in patients followed up in our intensive care unit and fed via PEG. Materials and Methods: We retrospectively reviewed 51 patients receiving PEG between January 1, 2017, and December 31, 2022, in the Respiratory Intensive Care Unit. Results: Among the patients receiving PEG, 30 insert ignore into journalissuearticles values(58%); were male. The average age was 63.9, ranging from 23 to 90. The mean scores for the Glasgow Coma Scale insert ignore into journalissuearticles values(GCS);, Acute Physiology and Chronic Health Evaluation II insert ignore into journalissuearticles values(APACHE II);, and Sepsis Related Organ Failure Assessment insert ignore into journalissuearticles values(SOFA); were 8.47, 22, and 7.45, respectively. The mean duration until PEG placement was 24.8 days, and the average intensive care unit insert ignore into journalissuearticles values(ICU); hospitalization was 48.8 days.PEG was performed in 21 patients insert ignore into journalissuearticles values(41.2%); due to cerebrovascular disease, in 19 patients insert ignore into journalissuearticles values(37.3%); due to Alzheimer, dementia, or Parkinson\`s disease, and 18 patients insert ignore into journalissuearticles values(35.3%); due to prolonged mechanical ventilation. The complication rate associated with PEG was 13.7%. Among the patients who underwent PEG, 35 insert ignore into journalissuearticles values(68.6%); were discharged, while 16 insert ignore into journalissuearticles values(31.4%); died. Conclusion: Considering its easy use at bedside, low complication, and mortality rates, PEG insertion is appropriate for continuing enteral therapies, especially in intensive care patients with insufficient oral intake.
Keywords : Perkütan endoskopik gastrostomi, yoğun bakım ünitesi, endikasyon ve komplikasyon, prognoz, nutrisyon

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