Abstract：
UNASSIGNED: When commencing enteral feeding, patients and families will want to know the likelihood of returning to an oral diet. There is a paucity of data on the prognosis of patients with gastrostomies. We describe a large dataset of patients, which identifies factors influencing gastrostomy removal and assesses the likelihood of the patient having at home enteral nutrition.
UNASSIGNED: Retrospective data was collected on patients from Sheffield Teaching Hospitals who had received a gastrostomy and had outpatient enteral feeding between January 2016 and December 2019. Demographic data, indication and outcomes were analysed.
UNASSIGNED: A total of 451 patients were assessed, median age: 67.7. 183/451(40.6%) gastrostomies were for head and neck cancer, 88/451 (19.5%) for stroke, 28/451 (6.2%) for Motor Neuron Disease, 32/451 (7.1%) for other neurodegenerative causes, 120/451 (26.6%) other. Of the 31.2% who had their gastrostomy removed within 3 years, head and neck cancer was the most common indication (58.3%) followed by stroke (10.2%), Motor Neuron Disease (7.1%) and other neurodegenerative diseases (3.1%). Gastrostomy removal was significantly influenced by age, place of residence, and having head and neck cancer (p < 0.05). There was the greatest likelihood of removal within the first year (24%). 70.5% had enteral feeding at home.
UNASSIGNED: This large cohort study demonstrates 31.2% of patients had their gastrostomy removed within 3 years. Head and neck cancer patients, younger age and residing at home can help positively predict removal. Most patients manage their feeding at home rather than a nursing home. This study provides new information on gastrostomy outcomes when counselling patients to provide realistic expectations.
UNASSIGNED: Retrospective data was collected on patients from Sheffield Teaching Hospitals who had received a gastrostomy and had outpatient enteral feeding between January 2016 and December 2019. Demographic data, indication and outcomes were analysed.
UNASSIGNED: A total of 451 patients were assessed, median age: 67.7. 183/451(40.6%) gastrostomies were for head and neck cancer, 88/451 (19.5%) for stroke, 28/451 (6.2%) for Motor Neuron Disease, 32/451 (7.1%) for other neurodegenerative causes, 120/451 (26.6%) other. Of the 31.2% who had their gastrostomy removed within 3 years, head and neck cancer was the most common indication (58.3%) followed by stroke (10.2%), Motor Neuron Disease (7.1%) and other neurodegenerative diseases (3.1%). Gastrostomy removal was significantly influenced by age, place of residence, and having head and neck cancer (p < 0.05). There was the greatest likelihood of removal within the first year (24%). 70.5% had enteral feeding at home.
UNASSIGNED: This large cohort study demonstrates 31.2% of patients had their gastrostomy removed within 3 years. Head and neck cancer patients, younger age and residing at home can help positively predict removal. Most patients manage their feeding at home rather than a nursing home. This study provides new information on gastrostomy outcomes when counselling patients to provide realistic expectations.
摘要：
■开始肠内喂养时，患者和家属会想知道恢复口服饮食的可能性。关于胃造口术患者的预后的数据很少。我们描述了一个庞大的患者数据集，它确定了影响胃造口术切除的因素，并评估了患者在家接受肠内营养的可能性。
■收集了谢菲尔德教学医院2016年1月至2019年12月期间接受胃造口术和门诊肠内喂养的患者的回顾性数据。人口统计数据,分析适应症和结果。
■总共对451名患者进行了评估，中位年龄：67.7岁。183/451（40.6%）胃造口术用于头颈部癌，中风88/451（19.5%），28/451（6.2%）用于运动神经元疾病，32/451（7.1％）为其他神经退行性原因，120/451（26.6%）其他。在31.2％的人在3年内切除了胃造口术，头颈部肿瘤是最常见的适应症（58.3%），其次是中风（10.2%），运动神经元疾病（7.1％）和其他神经退行性疾病（3.1％）。胃造口术切除受年龄影响显著，居住地,并患有头颈部癌症（p<0.05）。第一年内移除的可能性最大(24%)。70.5%在家进行肠内喂养。
■这项大型队列研究表明，31.2％的患者在3年内切除了胃造口术。头颈部癌症患者,年轻的年龄和居住在家里可以帮助积极预测搬迁。大多数患者在家里而不是疗养院管理他们的喂养。当咨询患者提供现实的期望时，这项研究提供了有关胃造口术结果的新信息。
■收集了谢菲尔德教学医院2016年1月至2019年12月期间接受胃造口术和门诊肠内喂养的患者的回顾性数据。人口统计数据,分析适应症和结果。
■总共对451名患者进行了评估，中位年龄：67.7岁。183/451（40.6%）胃造口术用于头颈部癌，中风88/451（19.5%），28/451（6.2%）用于运动神经元疾病，32/451（7.1％）为其他神经退行性原因，120/451（26.6%）其他。在31.2％的人在3年内切除了胃造口术，头颈部肿瘤是最常见的适应症（58.3%），其次是中风（10.2%），运动神经元疾病（7.1％）和其他神经退行性疾病（3.1％）。胃造口术切除受年龄影响显著，居住地,并患有头颈部癌症（p<0.05）。第一年内移除的可能性最大(24%)。70.5%在家进行肠内喂养。
■这项大型队列研究表明，31.2％的患者在3年内切除了胃造口术。头颈部癌症患者,年轻的年龄和居住在家里可以帮助积极预测搬迁。大多数患者在家里而不是疗养院管理他们的喂养。当咨询患者提供现实的期望时，这项研究提供了有关胃造口术结果的新信息。
