Predicting survival of endoscopic gastrostomy candidates using the underlying disease, serum cholesterol, albumin and transferrin levels / Predicción de supervivencia en candidatos a gastrostomía endoscópica haciendo uso de la enfermedad de base del paciente y de los niveles plasmáticos de colesterol, albúmina y transferrina
Nutr. hosp
; 28(4): 1280-1285, jul.-ago. 2013. ilus, tab
Artigo
em Inglês
| IBECS
| ID: ibc-120310
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Background:
Endoscopic gastrostomy (PEG) is the gold standard for long-term enteral feeding. An adequate PEG candidate must have life expectancy longer than a few weeks. Patients surviving less than three weeks should have a nasogastric tube, and gastrostomy should be avoid. There are few studies looking to prognostic factors and fewer attempts of creating a predictor model for PEG patient's survival.Aim:
The aim of this study was creating a predictive survival model for PEG candidates, using underlying disease, cholesterol, albumin and transferrin.Methods:
Data was obtained from records of adult patients that underwent PEG between 1999 and 2011. Patients surviving < 3 weeks were considered short survivors; surviving > 3 weeks were considered adequate survivors. A full logistic regression model was used to classify future cases into one of the two groups of survival.Results:
An equation for the probability of future cases was generated, in order to obtain a P value. In the future, patients with a P > 0,88 will have a 64,7% probability of adequate surviving; patients with a P < 0,88 will have a 70.3% probability of short surviving.Conclusions:
When clinical evaluation alone does not display a clear prognosis, this equation should be included in the evaluation of gastrostomy candidates, avoiding useless gastrostomy (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Complicações Pós-Operatórias
/
Gastrostomia
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Nutr. hosp
Ano de publicação:
2013
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital García de Orta/Portugal