Assessment of complication rates based on time of feeding initiation in radiologically guided gastrostomy tubes: a retrospective study.
Purpose: We aimed to assess the association between complication rate and time to feeding in a cohort of patients undergoing radiologically guided placement of gastrostomy tubes.Methods: A retrospective study was conducted of all patients receiving pull-type and push-type gastrostomy tubes placed by...
| Publicado en: | Diagnostic & Interventional Radiology Vol. 27; no. 4; pp. 529 - 535 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Galenos Yayinevi Tic. LTD. STI
Jul2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151511254&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151511254 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13053825 39NM jtl: Diagnostic & Interventional Radiology issn: 13053825 maglogo: N pubinfo: dt: Jul2021 vid: 27 iid: 4 pid: 28155 pub: Galenos Yayinevi Tic. LTD. STI artinfo: ui: 151511254 151511254 NLM34313239 10.5152/dir.2021.20059 NLM34313239 151511254 ppf: 529 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Assessment of complication rates based on time of feeding initiation in radiologically guided gastrostomy tubes: a retrospective study. aug: au: Judd, Ryan Klejch, Wesley Lionberg, Alexander Patel, Mikin V. Funaki, Brian Ahmed, Osman V Patel, Mikin affil: Division of Vascular and Interventional Radiology, Department of Radiology, University of Chicago, Chicago, USA. sug: subj: Head and Neck Neoplasms Gastrostomy Adverse Effects Catheterization Retrospective Design Enteral Nutrition Adverse Effects Scales ab: Purpose: We aimed to assess the association between complication rate and time to feeding in a cohort of patients undergoing radiologically guided placement of gastrostomy tubes.Methods: A retrospective study was conducted of all patients receiving pull-type and push-type gastrostomy tubes placed by interventional radiologists between January 1st, 2017 and December 31st, 2018 at a single institution. Primary outcomes included procedural and tube-related complications per medical chart review with a follow-up interval of 30 days. Exclusion criteria were enteral nutrition delayed more than 48 hours, no feeding information, and tubes placed for venting (n=20). Overall, 303 gastrostomy tubes (pull-type, n=184; push-type, n=119) were included. The most common indications for placement included head and neck carcinoma for push-type tubes (n=76, 63.9%) and cerebral vascular accident for pull-type tubes (n=78, 42.4%).Results: In a multiple regression analysis, there was no statistically significant association between complications and time to feeding (p = 0.096), age (p = 0.758), gender (p = 0.127), indication for tube placement (p = 0.206), or type of tube placed (p = 0.437). Average time to initiation of enteral nutrition was 12.3 hours for the pull-type and 21.7 hours for the push-type cohort (p < 0.001). Additional multiple regression analyses of pull-type tubes and push-type tubes separately also did not find any significant association between complications and the above factors (p > 0.05).Conclusion: There was no statistically significant correlation between time to feed and complications, suggesting that there is no clinical difference between early and late feeding following gastrostomy tube placement. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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