Reddy KM, Lee P, Gor PJ, Cheesman A, Al-Hammadi N, Westrich DJ, Taylor J. Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes. World J Gastrointest Pharmacol Ther 2022; 13(5): 77-87 [PMID: 36157266 DOI: 10.4292/wjgpt.v13.i5.77]
Corresponding Author of This Article
Kavya M Reddy, MD, Attending Doctor, Instructor, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at University of California Los Angeles, 2780 Skypark Drive Suite 125, Torrance, CA 90505, United States. kavya036@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Table 4 Types of peri-procedural and post procedural complications
Early PEG group
Late PEG group
Analysis value (P) Fisher’s exact
Peri procedural complication
Pulled PEG tube
0
1
1
Pulmonary edema
0
1
1
NSTEMI
0
1
1
Bleeding
0
4
0.15
Pneumonia
1
1
1
Evolving stroke/herniation
1
0
0.4
Post procedural complications
Aspiration
8
14
0.69
Pneumonia
10
16
0.84
Bleeding
2
2
1
Buried bumper
1
0
0.4
Cardiac arrest
2
1
0.57
Death
7
8
0.59
Ileus
0
1
1
Infection
5
4
0.49
Necrotizing pancreatitis
0
1
1
Pulled PEG tube
3
9
0.36
Pulmonary embolism
0
3
0.27
Respiratory failure
1
3
0.65
Seroma
1
0
0.4
Stroke
1
2
1
Table 5 Predictors of mortality: Multivariate logistic regression analysis
Death in 30 d, OR [95%CI]
Death in 90 d, OR [95%CI]
Peri-procedural complication, OR [95%CI]
Post-procedural complications, OR [95%CI]
Protein calorie malnutrition (albumin ≤ 3.2)
0.757 [0.179-3.21]
0.854 [0.289-2.527]
1.31 [0.37-4.7]
1.07 [0.54-2.11]
Documented SIRS criteria or infection pre-procedure
0.524 [0.06-4.52]
0.56 [0.12-2.67]
1.55 [0.38-6.28]
1.92 [0.85-4.35]
Presence of cardiovascular risk equivalent independent of this stroke
0.24 [0.05-1.24]
0.35 [0.11-1.09]
0.65 [0.19-2.23]
1.63 [0.82-3.24]
Citation: Reddy KM, Lee P, Gor PJ, Cheesman A, Al-Hammadi N, Westrich DJ, Taylor J. Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes. World J Gastrointest Pharmacol Ther 2022; 13(5): 77-87