Survival of a cohort of elderly patients with advanced dementia: nasogastric tube feeding as a risk factor for mortality

2005 ◽  
Vol 20 (4) ◽  
pp. 363-370 ◽  
Author(s):  
Baldomero Alvarez-Fernández ◽  
Miguel Angel García-Ordoñez ◽  
Carlos Martínez-Manzanares ◽  
Ricardo Gómez-Huelgas
Keyword(s):  
Risk Factor ◽  
Elderly Patients ◽  
Nasogastric Tube ◽  
Tube Feeding ◽  
Advanced Dementia ◽  
Nasogastric Tube Feeding

scholarly journals Study of Bacterial Flora in the Oral Cavity and Stomach of Elderly Patients Receiving Nasogastric Tube Feeding

1997 ◽  
Vol 71 (5) ◽  
pp. 397-404 ◽  
Author(s):  
Toru MATSUURA ◽  
Kanzo SUZUKI ◽  
Masahiro YAMAKOSHI ◽  
Toshinobu YAMAMOTO ◽  
Toshiyuki YAMAMOTO ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Elderly Patients ◽  
Nasogastric Tube ◽  
Bacterial Flora ◽  
Tube Feeding ◽  
Nasogastric Tube Feeding

scholarly journals Nasogastric tube feeding versus assisted hand feeding in-home healthcare older adults with severe dementia in Taiwan: a prognosis comparison

2019 ◽  
Author(s):  
Hsiao-Hui Chou ◽  
Meng-Ting Tsou ◽  
Lee-Ching Hwang
Keyword(s):  
Elderly Patients ◽  
Nasogastric Tube ◽  
Large Scale ◽  
Tube Feeding ◽  
Mortality Rates ◽  
Home Healthcare ◽  
Severe Dementia ◽  
Clinical Prognosis ◽  
Significant Difference ◽  
Nasogastric Tube Feeding

Abstract Backgrounds: All individuals with severe dementia should be offered careful hand feeding. However, under certain circumstances, people with severe dementia have a feeding tube placed. In Taiwan, tube feeding rate in demented elderly home care residents is increasing；however, the benefits of tube feeding in this population remain unknown. We compared the clinical prognosis and mortality of elderly patients with severe dementia receiving nasogastric tube feeding (NGF) or assisted hand feeding (AHF). Methods: This retrospective longitudinal study enrolled 169 participants over 60 years of age in the setting of in-home healthcare between January 1 and December 31, 2017. All subjects with documented severe dementia and complete functional dependence suffered from difficulty in oral intake and required either AHF or NGF. Data were collected from both groups to analyze pneumonia, hospitalization, and mortality rates. Results: A total of 169 subjects (56 males and 113 females, aged 85.9 ± 7.5 years) were analyzed. Of note, 39 required AHF and 130 NGF. All subjects were in a bedridden status；129 (76.3%) showed Barthel index < 10. Pneumonia risk was higher in the NGF group (47.7%) than in the AHF group (25.6%, p = 0.015). After adjusting for multiple factors in the regression model, the risk of pneumonia showed no significant difference in both groups (aOR = 2.20, 95% CI 0.92–5.30). One-year mortality rates in the AHF and NGF groups were 7.7% and 14.6%, respectively, and no significant difference was observed after adjustment with logistic regression (aOR = 2.38, 95% CI 0.58–9.70). There were no significant differences in hospitalization rate and duration. Conclusions: For elderly patients with dementia requiring in-home healthcare, NGF is not associated with a significantly lower risk of pneumonia than AHF. Additionally, neither mortality nor hospitalization rates decreased with NGF. However, aORs with the trend of increasing risk of in the NGF group were observed in measured outcomes. Therefore, the benefits of NGF are debatable in elderly patients with severe dementia requiring in-home healthcare. Continued careful hand feeding could be an alternative to NG feeding in patients with severe dementia. Furthermore, large-scale studies on home healthcare would be required to support these results.

MON-LB034: Nasogastric Tube Feeding in Acute Elderly Patients: When and Why?

2015 ◽  
Vol 34 ◽  
pp. S263
Author(s):  
A.M.D.D.S. Vieira ◽  
C.M. Gonçalves ◽  
B. Castelo ◽  
H. Gaspar ◽  
A.M. Lopes
Keyword(s):  
Elderly Patients ◽  
Nasogastric Tube ◽  
Tube Feeding ◽  
Nasogastric Tube Feeding

Evaluation of a Semi-Solidifying Liquid Formula for Nasogastric Tube Feeding After Oral and Maxillofacial Surgery

2020 ◽  
Vol 78 (4) ◽  
pp. 663.e1-663.e7
Author(s):  
Shigeo Ishikawa ◽  
Kenichiro Kitabatake ◽  
Kaoru Edamatsu ◽  
Ayako Sugano ◽  
Kazuyuki Yusa ◽  
...  
Keyword(s):  
Nasogastric Tube ◽  
Maxillofacial Surgery ◽  
Tube Feeding ◽  
Oral And Maxillofacial Surgery ◽  
Nasogastric Tube Feeding

scholarly journals Nasogastric Tube Feeding Practice and Associated Complication in stroke Patients in a Tertiary Care Hospital in Bangladesh

2018 ◽  
Vol 4 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Kazi Mohibur Rahman ◽  
Sharif Uddin Khan ◽  
ATM Hasibul Hasan ◽  
Sirajee Shafiqul Islam ◽  
Rajib Nayan Chowdhury ◽  
...  
Keyword(s):  
Aspiration Pneumonia ◽  
Nasogastric Tube ◽  
Tertiary Care ◽  
Tube Feeding ◽  
Electrolyte Imbalance ◽  
Feeding Practice ◽  
Care Hospital ◽  
Stroke Patients ◽  
Nasal Irritation ◽  
Nasogastric Tube Feeding

Background: Nasogastric tube feeding is an integral part of management of stroke patients with feeding difficulties.Objectives: The purpose of the present study was to evaluate the nasogastric tube feeding practice and its complication on stroke patients.Methodology: One hundred (100) adult patients aged ≥ 18 years with stroke were enrolled in the study. The diagnosis of stroke was established by the clinical presentation, neuroimaging. Patients requiring nasogastric tube feeding was included in the study. They were thoroughly examined for any complications from possible use of nasogastric tube. Their caregivers were also thoroughly interviewed using a standard preformed questionnaire regarding any complications as well. Results: A total number of 100 patients were recruited for this study. In this study population, 63.0% patients had ischaemic stroke; 26.0% had haemorrhagic stroke and 9.0% population had sub-arachnoid haemorrhage. The most common indication for NG feeding was difficulty in swallowing (39.0%) followed by semi consciousness (26.0%), unconsciousness (22.0%), inability to maintain feed (10.0%). About 71.0% of the patients had complications from NG tube feeding such as nasal irritation (53.0%), electrolyte imbalance (43.0%), aspiration pneumonia (40.0%) and diarrhea (38.0%).Conclusion: Nasal irritation, aspiration pneumonia, electrolyte imbalance, diarrhea are common complications associated with NG tube feeding which in part may be related to faulty feeding technique.Journal of National Institute of Neurosciences Bangladesh, 2018;4(1): 23-27

Efficacy of voluntary nasogastric tube feeding in female inpatients with anorexia nervosa

2003 ◽  
Vol 27 (4) ◽  
pp. 268-276 ◽  
Author(s):  
JN Zuercher ◽  
EJ Cumella ◽  
BK Woods ◽  
M Eberly ◽  
JK Carr
Keyword(s):  
Anorexia Nervosa ◽  
Nasogastric Tube ◽  
Tube Feeding ◽  
Nasogastric Tube Feeding

Nasogastric tube feeding after transoral robotic surgery for oropharynx carcinoma

2021 ◽  
Vol 42 (3) ◽  
pp. 102857
Author(s):  
Karolina A. Plonowska ◽  
Edgar Ochoa ◽  
Aaron L. Zebolsky ◽  
Neil Patel ◽  
Kathryn R. Hoppe ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Nasogastric Tube ◽  
Tube Feeding ◽  
Transoral Robotic Surgery ◽  
Oropharynx Carcinoma ◽  
Nasogastric Tube Feeding
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