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Trends in percutaneous endoscopic gastrostomy placement in the elderly from 1993 to 2003

P Mendiratta¹, J M Tilford, P Prodhan

¹Donald W Reynolds Institute on Aging and Department of Geriatrics, College of Medicine, University of Arkansas for Medical Sciences, and Geriatric Research Education and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, AR, USA.

American Journal of Alzheimer'S Disease and Other Dementias

|October 6, 2012

Abstract

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.

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