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19.3% of residents who had feeding tube placement needed tube replacement or repositioning within 145 days after insertion, and the median survival was 54 days after replacement; also, one-year mortality after feeding tube insertion was 64.1% with a median survival of 56 days after insertion
31 Μαΐ 2021 · Malnutrition can put the elderly more at risk for a compromised immune system, slower healing time, muscle weakness, and decreased bone mass all of which can lead to decreased health. A tube feed provides all nutritional needs to meet recommended caloric needs calculated by a registered dietitian.
Although the duration of tube feeding ranged from 1 month to 8 years, they were able to follow 56 patients for 11 months. Indications for EN were refusal to swallow due to cognitive dysfunction, such as dementia (50%), dysphagia without obstruction (47%), and esophageal obstruction (3%).
1 Οκτ 2016 · Among residents who were tube-fed, the timing of PEG tube insertion relative to the onset of eating problems was not associated with improved survival post feeding tube insertion (AHR 1.01, 95% CI 0.86–1.20) comparing those persons with a PEG inserted within a month of developing an eating problem compared to later (4 months) insertion. Conclusion.
1 Δεκ 2000 · PEG tubes may prolong life in selected populations. However, the majority of older patients selected for PEG placement will not survive 1 year after the procedure. Certain factors may identify those patients more likely to derive a survival benefit from long-term tube feeding.
21 Ιαν 2021 · In this paper, we provide an updated review on the current use of feeding nasogastric tubes in the older population, the issues associated with confirming correct placement, and innovative solutions for improving safety and outcomes in older patients. 1. Introduction.
The escalation in use of long-term tube feeding results from the aging population, advances in medicine that extend life, technical innovations for enteral access, and requirements by many nursing homes for permanent tube feeding access for residents unable to swallow safely.