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A Survey of Regional Percutaneous Endoscopic Gastrostomy Discharge Practices
Author(s) -
Verhage Albert H.,
van Vliet Adrie C. M.
Publication year - 2000
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/088453360001500507
Subject(s) - medicine , percutaneous endoscopic gastrostomy , gastrostomy , emergency medicine , peg ratio , medical emergency , surgery , finance , economics
Aim: The discharge of a patient with a percutaneous endoscopic gastrostomy (PEG) is often complicated by important practical and logistic but not medical problems. The purpose of this survey study was to collect data about discharge procedures in patients with a PEG in order to improve discharge procedures and evaluate the home‐care environment. Methods: Questionnaires were sent to 25 hospitals. Questions were related to the incidence of PEG tube placement, the discharge procedure, and problems experienced relating to the home‐care setting. Results: The regional incidence of PEG tube placement was calculated to be 1:1500 inhabitants per year. The most frequent indications for PEG were neurologic and esophageal disease. Generally, coordination of the discharge was carried out by a nonmedically trained discharge manager or dietitian. Tube feeding instructions were given to the patient by the nurse or dietitian and at‐home support was provided by the patient/family member or district nurse. The discharge process generally took 3 days. Fifty‐three percent (10/19) responded favorably to the suggestion to delegate the task of at‐home care for the PEG to a professional service. Complications in the home after discharge were infections, tube leakage, and occlusion. Conclusion: At present, PEG tube placement is an accepted clinical procedure. Discharge from the hospital takes several days. More than 50% of the respondents have a positive attitude to a structured discharge procedure and the institution of a specialized home‐care team outside the hospital. A regional survey of PEG discharge practices yielded useful information for future discharge planning.