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Outcomes of stroke patients undergoing percutaneous endoscopic gastrostomy: a systematic review and meta-analysis.
Al-Salihi, Mohammed Maan; Gillani, Syed A; Saha, Ram; Abd Elazim, Ahmed; Al-Jebur, Maryam Sabah; Dalal, Shamser Singh; Siddiq, Farhan; Ayyad, Ali; Gomez, Camilo R; Qureshi, Adnan I.
Afiliación
  • Al-Salihi MM; Zeenat Qureshi Stroke Institute, Department of Neurology, University of Missouri, Columbia, MO, USA.
  • Gillani SA; Zeenat Qureshi Stroke Institute, Department of Neurology, University of Missouri, Columbia, MO, USA.
  • Saha R; Department of Neurology, University of Missouri, Columbia, MO, USA.
  • Abd Elazim A; Department of Neurology, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
  • Al-Jebur MS; Department of Neurology, University of South Dakota, Sioux Falls, SD, USA.
  • Dalal SS; College of Medicine, University of Baghdad, Baghdad, Iraq.
  • Siddiq F; Department of Radiology, School of Medicine, University of Virginia, Charlottesville, VA, USA.
  • Ayyad A; Department of Neurosurgery, University of Missouri, Columbia, MO, USA.
  • Gomez CR; Department of Neurosurgery, Hamad General Hospital, Doha, Qatar.
  • Qureshi AI; Department of Neurology, University of Missouri, Columbia, MO, USA.
Top Stroke Rehabil ; : 1-13, 2024 Aug 27.
Article en En | MEDLINE | ID: mdl-39190711
ABSTRACT

BACKGROUND:

Percutaneous endoscopic gastrostomy (P.E.G.) is recommended for stroke patients with dysphagia to sustain oral nutrition.

OBJECTIVE:

This study assesses the outcomes of stroke patients undergoing P.E.G. compared with those requiring nasogastric tube (N.G.T) or control group.

METHODS:

We performed a thorough search across five electronic databases to gather pertinent studies. Outcomes were analyzed using relative risk (R.R.) for categorical data and mean difference (M.D.) for continuous data, each with 95% confidence intervals (C.I.). The single-arm meta-analysis results were presented as proportions or mean changes, also with 95% C.I.

RESULTS:

We included 22 studies consisting of 996,567 patients. Our double-arm meta-analysis (924,134 patients) revealed no significant difference in post-hospitalization or in-hospital mortality between P.E.G. and control groups. However, P.E.G. patients showed a higher risk of aspiration pneumonia than control (R.R. = 11.72[3.75, 36.62], p < 0.00001). A comparison of P.E.G. and N.G.T. in three studies involving 691 patients indicated a non-significant difference in-hospital mortality risk (R.R. = 0.59, 95% C.I. [0.2, 1.72]). The single-arm analysis of stroke patients with P.E.G. identified a 19.8% in-hospital mortality, 13.6% rate of aspiration pneumonia, and 58% rate of pneumonia.

CONCLUSION:

Stroke patients undergoing P.E.G remain at high risk for aspiration pneumonia and with an in-hospital mortality suggesting the need for identifying the best candidates and timing for the procedure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Top Stroke Rehabil Asunto de la revista: ANGIOLOGIA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido