Impact of Long-Term Enteral Feeding Tubes on Aspiration Pneumonia in a Tertiary Care Centre in Saudi Arabia
American Journal of Internal Medicine
Volume 3, Issue 3, May 2015, Pages: 95-102
Received: Mar. 8, 2015; Accepted: Mar. 19, 2015; Published: Mar. 30, 2015
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Authors
Muneerah Albugami , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Yasmin Al Twaijri , Research Center, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Habib Bassil , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Ulrike Laudon , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Abeer Ibrahim , Internal Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Mohamed El Karouri , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Abdulaziz Al Rashed , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Abdelazeim Elamin , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Ahmed Sabry , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Rania Abdelreheem , Internal Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Abdulwahab Motieb , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Ali Al Araj , Internal Medicine Department, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Reem Hawary , Nutrition Services, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
Sawsan Al Balawi , Nutrition Services, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
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Abstract
It is a retrospective Chart Study. The objectives of the study are (1) to determine the incidence of Aspiration Pneumonia (AP) before and after long term feeding tubes insertion in four types of feeding tubes: percutaneous endoscopic gastrostomy (PEG), percutaneous fluoroscopy gastrostomy (PFG), jejunostomy feeding tube (JFT) and nasogastric tube (NGT) ,(2) to find out associations between the incidence of AP in patient who have feeding tubes and age , gender, rate of feeding (continuous or boluses) ,type of formula of used feeding ,use of thickener during oral feeding , persons deliver feedings and family training how to feed patients. (3) Factors that influenced patients’ outcomes. The findings of the study are: (1) No difference in incidence of AP before and after tube insertion. Feeding tubes have limited medical benefits for AP prevention. (2)Rate of feeding either continuous or bolus increase the frequency of AP. (3)No associations between the incidence of AP and age, gender, type of formula, use of thickener during oral feeding, person deliver feedings and family training about method of feeding. (4) Old age is a poor prognostic factor and HHC follow up is a good prognostic factor for outcome. (5) AP increases a patient's hospital readmission and length of stay in the hospital. There is an urgent need to have alternative strategies to reduce the cost.
Keywords
Aspiration Pneumonia, Enteral Feeding Tube, Mortality, Percutaneous Fluoroscopic Gastrostomy, Percutaneous Endoscopic Gastrostomy, Gastrojejunostomy
To cite this article
Muneerah Albugami , Yasmin Al Twaijri , Habib Bassil , Ulrike Laudon , Abeer Ibrahim , Mohamed El Karouri , Abdulaziz Al Rashed , Abdelazeim Elamin , Ahmed Sabry , Rania Abdelreheem , Abdulwahab Motieb , Ali Al Araj , Reem Hawary , Sawsan Al Balawi , Impact of Long-Term Enteral Feeding Tubes on Aspiration Pneumonia in a Tertiary Care Centre in Saudi Arabia, American Journal of Internal Medicine. Vol. 3, No. 3, 2015, pp. 95-102. doi: 10.11648/j.ajim.20150303.13
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