Predictive factors of mortality after XXXX insertion: guidance for clinical practice.

@entity1 @entity204 @entity970 @entity6
BACKGROUND: Percutaneous endoscopic gastrostomy ( @entity970 ) is considered the preferred route for long-term enteral feeding. The aim of this study was to determine predictors of an increased mortality risk after @entity970 insertion. METHODS: A retrospective study was conducted during a 13-year period in the gastroenterology department of Erlangen University Hospital. The authors completed a questionnaire with details of demographic data, diagnosis, indication for @entity970 , type of tube, and cause of @entity204 . @entity1 were contacted regularly at scheduled appointments. RESULTS: In total, 787 @entity1 (574 male [72.9%]) underwent @entity970 placement by the pull technique. The main underlying disease was malignant (75.6%). By the end of the study period, 614 @entity1 had died. The average survival time was 720 days. The 30-, 60-, 90-day and 1-, 3-, and 5-year mortality rates amounted to 6.5%, 9.8%, 13%, 32.1%, 59.3%, and 69.8%, respectively. Predictive factors of increased 30-day mortality were higher age, lower body mass index (BMI), and the presence of @entity6 . The presence of all 3 variables served as an indicator to detect high-risk @entity1 , with a sensitivity of 0.80 and a specificity of 0.64. CONCLUSION: Mortality predictors for @entity1 after @entity970 insertion are higher age, lower BMI, and the presence of @entity6 . To avoid unnecessary and dangerous examinations in high-risk @entity1 , the above-mentioned predictive factors of mortality should be checked before @entity970 placement.
