Evidence map›Paper›PMID 39044128›Full record

ArticleBMC geriatrics2024

Characteristics of older adults receiving enteral feeding at a geriatric medical center.

Galina Plotnikov, Yochai Levy, Daniel Trotzky, Ahmad Nassar, Yosef Bushkar, Estela Derazne, Dana Kagansky, Miya Sharfman, Nadya Kagansky

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

9 authors.

Galina PlotnikovFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yochai LevyFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Daniel TrotzkyFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ahmad NassarShmuel Harofe Geriatric Medical Center, Be'er Ya'akov, Israel.
Yosef BushkarShmuel Harofe Geriatric Medical Center, Be'er Ya'akov, Israel.
Estela DerazneFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Dana KaganskyFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Miya SharfmanShmuel Harofe Geriatric Medical Center, Be'er Ya'akov, Israel. Miya.sharfman@gmail.com.
Nadya KaganskyFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition is a prevalent and hard-to-treat condition in older adults. enteral feeding is common in acute and long-term care. Data regarding the prognosis of patients receiving enteral feeding in geriatric medical settings is lacking. Such data is important for decision-making and preliminary instructions for patients, caregivers, and physicians. This study aimed to evaluate the prognosis and risk factors for mortality among older adults admitted to a geriatric medical center receiving or starting enteral nutrition (EN).

methodsA cohort retrospective study, conducted from 2019 to 2021. Patients admitted to our geriatric medical center who received EN were included. Data was collected from electronic medical records including demographic, clinical, and blood tests, duration of enteral feeding, Norton scale, and Short Nutritional Assessment Questionnaire score. Mortality was assessed during and after hospitalization. Data were compared between survivors and non-survivors. Multivariate logistic regressions were performed to identify the variables most significantly associated with in-hospital mortality.

resultsOf 9169 patients admitted, 124 (1.35%) received enteral feeding tubes. More than half of the patients (50.8%) had polypharmacy (over 8 medications), 62% suffered from more than 10 chronic illnesses and the majority of patients (122/124) had a Norton scale under 14. Most of the patients had a nasogastric tube (NGT) (95/124) and 29 had percutaneous endoscopic gastrostomies (PEGs). Ninety patients (72%) died during the trial period with a median follow-up of 12.7 months (0.1-62.9 months) and one-year mortality was 16% (20/124). Associations to mortality were found for marital status, oxygen use, and Red Cell Distribution Width (RDW). Age and poly-morbidity were not associated with mortality.

conclusionIn patients receiving EN at a geriatric medical center mortality was lower than in a general hospital. The prognosis remained grim with high mortality rates and low quality of life. This data should aid decision-making and promote preliminary instructions.

Indexed as

Enteral NutritionHospital MortalityAgedAged, 80 and overFemaleGeriatric AssessmentHumansIntubation, GastrointestinalMaleMalnutritionNutrition AssessmentPrognosisRetrospective StudiesRisk FactorsEnteral feedingEnteral nutrition (EN)GeriatricLong- termMortalityNasogastric tube feedingOlder adults

Identifiers

PMID39044128
PMCPMC11265322

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Registered trials

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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.