دورية أكاديمية
Early feeding after percutaneous endoscopic gastrostomy tube placement in patients who require trauma and surgical intensive care: A retrospective cohort study.
| العنوان: | Early feeding after percutaneous endoscopic gastrostomy tube placement in patients who require trauma and surgical intensive care: A retrospective cohort study. |
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| المؤلفون: | Shahmanyan D; Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, Virginia, USA., Lawrence JC; Department of Surgery, Carilion Clinic, Roanoke, Virginia, USA., Lollar DI; Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, Virginia, USA.; Department of Surgery, Carilion Clinic, Roanoke, Virginia, USA., Hamill ME; Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, Virginia, USA.; Department of Surgery, Carilion Clinic, Roanoke, Virginia, USA., Faulks ER; Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, Virginia, USA.; Department of Surgery, Carilion Clinic, Roanoke, Virginia, USA., Collier BR; Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, Virginia, USA.; Department of Surgery, Carilion Clinic, Roanoke, Virginia, USA., Chestovich PJ; Department of Surgery, University of Nevada, Las Vegas, Nevada, USA., Bower KL; Virginia Tech Carilion School of Medicine and Research Institute, Roanoke, Virginia, USA.; Department of Surgery, Carilion Clinic, Roanoke, Virginia, USA. |
| المصدر: | JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2022 Jul; Vol. 46 (5), pp. 1160-1166. Date of Electronic Publication: 2022 Jan 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 7804134 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-2444 (Electronic) Linking ISSN: 01486071 NLM ISO Abbreviation: JPEN J Parenter Enteral Nutr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [Hoboken, NJ] : Wiley Original Publication: Thorofare, N. J., Slack. |
| مواضيع طبية MeSH: | Gastrostomy*/adverse effects , Gastrostomy*/methods , Intubation, Gastrointestinal*/adverse effects , Intubation, Gastrointestinal*/methods, Adult ; Critical Care ; Enteral Nutrition/adverse effects ; Enteral Nutrition/methods ; Humans ; Infant, Newborn ; Retrospective Studies |
| مستخلص: | Background: Critically ill patients experience interruptions in enteral nutrition (EN). For ventilated patients who undergo percutaneous endoscopic gastrostomy (PEG) tube placement, postprocedure fasting times vary from 1 to 24 h depending on the surgeon's preference. There is no evidence to support delayed feeding (DF) after PEG placement. This study's purpose was to determine if there is an increased complication rate associated with early feeding (EF) after PEG. Methods: 150 adult ventilated patients in the trauma and surgical intensive care unit (TSICU) at a level I trauma center underwent PEG placement in March 2015 through May 2018 by one of six surgical intensivists. Retrospective review revealed variable post-PEG fasting practices: one started EN at 1 h, two started at 4 h, two started at 6 h, and one started at 24 h. Time to initiation of EN and complication rates were assessed. Patients were divided into EF (<4) and DF (≥4 h) groups. Results: Median postprocedure fasting time was 5.5 h. The overall complication rate was 3.3%, with a feeding intolerance rate of 0.7% and aspiration rate of 0%. There was no difference in complication rate for EF (3.1%) as compared with DF (3.4%) (odds ratio, 0.92; 95% CI, 0.10-8.52; P = 0.7). Conclusion: Complication rates following PEG placement in ventilated TSICU patients are low and do not change with EF compared with DF. EF is probably safe. (© 2022 American Society for Parenteral and Enteral Nutrition.) |
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| فهرسة مساهمة: | Keywords: PEG; enteral nutrition; fasting; gastrostomy; intensive care unit; mechanical ventilation; surgical ICU; surgical critical care; trauma; treatment outcome |
| تواريخ الأحداث: | Date Created: 20211118 Date Completed: 20220713 Latest Revision: 20220720 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1002/jpen.2303 |
| PMID: | 34791680 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-2444 |
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| DOI: | 10.1002/jpen.2303 |