Utility of three prognostic risk scores in predicting outcomes in elderly non-malignant patients after percutaneous gastrostomy
- Resource Type
- Authors
- Ali Tüzün; Irfan Soykan; Aysun Kartal; Fatih Karakaya; Çağdaş Kalkan
- Source
- The journal of nutrition, health & aging. 21:1344-1348
- Subject
- Male
Risk
medicine.medical_specialty
Pediatrics
Turkey
medicine.medical_treatment
Medicine (miscellaneous)
Sensitivity and Specificity
Enteral administration
03 medical and health sciences
Enteral Nutrition
0302 clinical medicine
Percutaneous gastrostomy
Percutaneous endoscopic gastrostomy
medicine
Humans
030212 general & internal medicine
Intensive care medicine
Survival analysis
Aged
Retrospective Studies
Aged, 80 and over
Gastrostomy
Nutrition and Dietetics
business.industry
Mortality rate
Malnutrition
Endoscopy
Retrospective cohort study
Prognosis
medicine.disease
Survival Analysis
Treatment Outcome
Female
030211 gastroenterology & hepatology
Morbidity
Geriatrics and Gerontology
business
- Language
- ISSN
- 1760-4788
1279-7707
Percutaneous endoscopic gastrostomy is a method of providing enteral feeding to patients who cannot take adequate oral nutrition. The aims of this study were to determine the performance of malnutrition and mortality scoring systems for predicting short and long-term mortality in elderly patients who had undergone gastrostomy procedure due to non-malignant conditions. Design: Retrospective cohort study. University hospital in Turkey. 155 individuals aged 65 and older principally hospitalized for non-malignant diseases and require percutaneous endoscopic gastrostomy. “Geriatric Nutritional Risk Index”, “Malnutrition Universal Screening Tool” (MUST) and “Portsmouth- Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity” (P-POSSUM) scores were calculated. The ability of these scores to predict mortality was determined. The mean survival period was 9.59±6.0 months and mortality rate was 80.6%. The performance of “Geriatric Nutritional Risk Index” was superior to MUST and P-POSSUM in predicting long-term survival of gastrostomy patients; 94.1% of patients were alive with a cut-off value of 90 for “Geriatric Nutritional Risk Index” (sensitivity: 92% CI 85.9-95.6 and specificity: 90% CI 74.3-96.5). Survival analysis showed that patients (n=7) with a “Geriatric Nutritional Risk Index” score of > 98 before the gastrostomy had the longest survival time, while patients (n=102) with a “Geriatric Nutritional Risk Index” score of < 82 had the worst outcome. A scoring system such as “Geriatric Nutritional Risk Index” should be considered as a risk scoring system for predicting early and late mortality at gastrostomy and also assist in making decisions such as timing of gastrostomy procedure.