Evidence map›Paper›PMID 34456551›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Factors Associated with 30-Day Mortality in Patients after Percutaneous Endoscopic Gastrostomy.

Diego L Lima, Luiz Eduardo C Miranda, Marcel Rolland Ciro da Penha, Raquel N C L Lima, Dalmir Cavalcanti Dos Santos, Matheus Stillner Eufrânio, Ana Clara G Miranda, Leila Maria Moreira Beltrão Pereira

Open access · hybridAbstract read
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Factors Associated with Mortality after Percutaneous Endoscopic Gastrostomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Diego L LimaDepartment of Surgery, Montefiore Medical Center, The Bronx, New York, USA.
Luiz Eduardo C MirandaDepartment of Surgery, Oswaldo Cruz University Hospital, Recife, Brazil.
Marcel Rolland Ciro da PenhaDepartment of Surgery, Oswaldo Cruz University Hospital, Recife, Brazil.
Raquel N C L LimaPernambuco Health College, Recife, Brazil.
Dalmir Cavalcanti Dos SantosPernambuco Health College, Recife, Brazil.
Matheus Stillner EufrânioOswaldo Cruz University Hospital, University of Pernambuco.
Ana Clara G MirandaOswaldo Cruz University Hospital, University of Pernambuco.
Leila Maria Moreira Beltrão PereiraPernambuco Institute of Liver. Oswaldo Cruz University Hospital, University of Pernambuco, Recife, Brazil.
Hospital Universitário Oswaldo Cruz · BRUniversidade de Pernambuco · BRMontefiore Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPercutaneous endoscopic gastrostomy (PEG) is the main accepted method for long-term tube feeding. The aim of this study is to investigate the risk factors associated with early mortality after PEG.

methodsIt is a retrospective survival analysis in a tertiary-level hospital. We reviewed the medical records of 277 patients with PEG placement. The data were analyzed by the Kaplan-Meier method. Multivariable Cox proportional regression models were also built to test the effects of PEG on mortality.

resultsA total of 277 patients who submitted to PEG were studied. One-hundred and sixty (58%) were female, mean age of 73.3 ± 15.7 years. Ninety-three patients (33.6%) had diabetes mellitus and 165 (59.6%) had blood hypertension. The indications for PEG placement were chronic neurologic dysphagia in 247 (89.5%) patients and tumors and other diseases in 29 (10.5%). The 30 days proportional mortality probability rate was 13%. In a multivariate Cox proportional regression model, preoperative ICU hospitalization (HR 1.79, 95% CI 1.36-2.36,

conclusionIn patients who had underwent PEG tube insertion for long-term nutrition, anemia and previous ICU admission were predictors of mortality at four weeks. These factors may guide physicians to discourage the indication for PEG.

Indexed as

Deglutition DisordersGastrostomyAgedAged, 80 and overEnteral NutritionFemaleHumansMiddle AgedRetrospective StudiesRisk FactorsCritical illnessDeglutition disordersEnteral nutritionMalnutritionPEG tube

Identifiers

PMID34456551
PMCPMC8372986
OpenAlexW3198715926

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.