Prevalence and Predictors of Gastrostomy Tube and Tracheostomy Placement in Anoxic/Hypoxic Ischemic Encephalopathic Survivors of In-Hospital Cardiopulmonary Resuscitation in the United States

Current prevalence estimates of gastrostomy tube (GT)/tracheostomy placement in hospitalized patients with anoxic/hypoxic ischemic encephalopathic injury (AHIE) post cardiopulmonary resuscitation (CPR) are unknown. We sought, to estimate the prevalence of AHIE in hospitalized patients who had CPR an...

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Bibliographic Details
Published in:PloS one 2015-07, Vol.10 (7), p.e0132612-e0132612
Main Authors: Allareddy, Veerajalandhar, Rampa, Sankeerth, Nalliah, Romesh P, Martinez-Schlurmann, Natalia I, Lidsky, Karen B, Allareddy, Veerasathpurush, Rotta, Alexandre T
Format: Article
Language:English
Subjects:
Adult
Aged
Agreements
Analysis
Brain Ischemia - complications
Brain Ischemia - therapy
Brain research
Cardiac arrest
Cardiopulmonary Resuscitation
CPR
Dentistry
Estimates
Ethnicity
Female
Gastrostomy
Health care policy
Health services utilization
Hospitals
Humans
Hypoxia
Hypoxia, Brain - complications
Hypoxia, Brain - therapy
Independent variables
Intensive care
Ischemia
Joint surgery
Logistic Models
Male
Middle Aged
Mortality
Multivariate Analysis
Ostomy
Patients
Pediatrics
Placement
Prevalence
Prevalence studies (Epidemiology)
Race
Regression analysis
Resuscitation
Review boards
Survivors
Tracheostomy
Traumatic brain injury
Trends
United States
Ventilators
Young Adult
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Summary:Current prevalence estimates of gastrostomy tube (GT)/tracheostomy placement in hospitalized patients with anoxic/hypoxic ischemic encephalopathic injury (AHIE) post cardiopulmonary resuscitation (CPR) are unknown. We sought, to estimate the prevalence of AHIE in hospitalized patients who had CPR and to identify patient/hospital level factors that predict the performance of GT/tracheostomy in those with AHIE. We performed a retrospective analysis of the Nationwide Inpatient Sample (years 2004-2010). All patients who developed AHIE following CPR were included. In this cohort the odds of having GT and tracheostomy was computed by multivariable logistic regression analysis. Patient and hospital level factors were the independent variables. During the study period, a total of 686,578 CPR events occurred in hospitalized patients. Of these, 94,336 (13.7%) patients developed AHIE. In this AHIE cohort, 6.8% received GT and 8.3% tracheostomy. When compared to the 40-49 yrs age group, those aged >70 yrs were associated with lower odds for GT (OR = 0.65, 95% CI:0.53-0.80, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0132612