ArticleEuropean journal of clinical nutrition2012
Managing patients with gastrostomy tubes in the community: can a dedicated enteral feed dietetic service reduce hospital readmissions?
Article in European journal of clinical nutrition, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- The Effect of Enteral Tube Feeding on Patients' Health-Related Quality of Life: A Systematic Review.Nutrients · 2019Pooled it
- Gastrostomy tube care, replacement, and removal: Expanding the registered dietitian nutritionist scope of practice to provide more comprehensive enteral nutrition support and ongoing patient-centered care.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026Review
- Association between daily dietary intake trajectory and depressive symptom onset and transition among young adults: a longitudinal study.BMC medicine · 2025Article
- Chinese Expert Consensus on Home Nutrition Administration for Older Patients (2024).Journal of evidence-based medicine · 2025Article
- Effectiveness and Stakeholder Views of Community-Based Allied Health on Acute Care Utilization: A Mixed Methods Review.Journal of multidisciplinary healthcare · 2024Review
- A scoping review of best practices in home enteral tube feeding.Primary health care research & development · 2022Article
- Home Parenteral and Enteral Nutrition.Nutrients · 2022Review
- The impact of tube replacement timing during LCIG therapy on PEG-J associated adverse events: a retrospective multicenter observational study.BMC neurology · 2021Observational
- Early versus Delayed Feeding after Percutaneous Endoscopic Gastrostomy Placement in Children: A Meta-Analysis.Children (Basel, Switzerland) · 2020Review
- Integrated safety of levodopa-carbidopa intestinal gel from prospective clinical trials.Movement disorders : official journal of the Movement Disorder Society · 2016Article
- Long-Term PEG-J Tube Safety in Patients With Advanced Parkinson's Disease.Clinical and translational gastroenterology · 2016Article
- Development and evaluation of a home enteral nutrition team.Nutrients · 2015Article
- A multidisciplinary approach to gastrostomy management in home enteral nutrition patients.European journal of clinical nutrition · 2012Article
- Patients' perspectives of living with a percutaneous endoscopic gastrostomy (PEG).BMC gastroenterology · 2012Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesPost-gastrostomy complications range from 8 to 30%. These complications often occur following discharge into the community and may result in hospital readmission. Our unit previously reported a readmission rate of 23% in 6 months. There is a paucity of data evaluating community gastrostomy management. We therefore aimed to evaluate the benefits of a dedicated dietetic home enteral feed (HEF) team. SUBJECTS/
methodsDemographic data, gastrostomy complications, readmission rates and HEF team input was prospectively collected from a cohort of discharged gastrostomy patients over a 1-year period and comparisons made with a similar historical cohort.
resultsA total of 371 complications were encountered in 313 gastrostomy patients during this period, with the commonest complication being over-granulated stoma sites (27%). Of these, 227 hospital admissions were avoided because of direct actions taken by the HEF team. Fifty-nine gastrostomy patients were admitted to the hospital, of which only seven (12%) were specifically for gastrostomy-related problems. Introduction of the HEF team significantly reduced gastrostomy-related hospital readmissions from 23 to 2% (P = 0.0001).
conclusionAlthough patients with gastrostomies may need attention to a variety of complex medical problems, many encounter problems specifically related to their gastrostomy after discharge. This is the largest prospective study demonstrating how dietitians trained in gastrostomy aftercare may optimize the management of gastrostomy complications and reduce unnecessary hospital readmissions.
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