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Nadya Batia Kagansky
Shmuel Harofe Geriatric Medical Center, IsraelPresentation Title:
Enteral feeding at a geriatric medical center
Abstract
Background: Malnutrition 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).
Results: Of 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.
Conclusion: In 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.
Biography
TBA