Are we getting late to feed the patients after opening percutaneous endoscopic gastrostomy in the intensive care unit?

Yelken, B; Ozen, Ece; Uzan, CA; Ekemen, Serdar

doi:10.1186/2197-425x-3-s1-a576

Cited by 1 publication

(1 citation statement)

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“…As these debilitated patients remain in the ICU longer, PEG or IR access becomes the modality of choice for long-term enteral feeding. 24,25 Lastly, systems and staffing limitations may also prolong waiting time for PEG or IR placed tubes, particularly in the ICU.…”

Section: Discussionmentioning

confidence: 99%

Placement of Surgical Feeding Tubes Among Patients With Severe Traumatic Brain Injury Requiring Exploratory Abdominal Surgery

Péter

Jou

Spain

et al. 2020

The American Surgeon™

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Objectives The purpose of this study was to identify trauma patients who would benefit from surgical placement of an enteral feeding tube during their index abdominal trauma operation. Methods We performed a retrospective analysis of all patients admitted to 2 level I trauma centers between January 2013 and February 2018 requiring urgent exploratory abdominal surgery. Results Six-hundred and one patients required exploratory abdominal surgery within 24 hours of admission after trauma activation. Nineteen (3% of total) patients underwent placement of a feeding tube after their initial exploratory surgery. On multivariate analysis, an intracranial Abbreviated Injury Scale ≥4 (odds ratio [OR] = 9.24, 95% CI 1.09-78.26, P = .04) and a Glasgow Coma Scale ≤8 (OR = 4.39, 95% CI 1.38-13.95, P = .01) were associated with increased odds of requiring a feeding tube. All patients who required a feeding tube had an Injury Severity Score ≥15. While not statistically significant, patients with an open surgical feeding tube compared with interventional radiology/percutaneous endoscopic gastrostomy placement had lower median intensive care unit length of stay, fewer ventilator days, and shorter median total hospital length of stay. Conclusions Trauma patients with severe intracranial injury already requiring urgent exploratory abdominal surgery may benefit from early, concomitant placement of a feeding tube during the index abdominal operation, or at fascial closure.

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Section: Discussionmentioning

confidence: 99%