Survival period after tube feeding in bedridden older patients

Aim:  We prospectively studied survival periods after tube feeding. Methods:  Participants were 163 bedridden older patients suffering from dysphagia. Results:  A wide range of survival periods after tube feeding were observed within half a year without tube feeding after being bedridden. After this...

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Published in:Geriatrics & gerontology international 2012-04, Vol.12 (2), p.317-321
Main Authors: Kosaka, Yoichi, Nakagawa-Satoh, Takuma, Ohrui, Takashi, Fujii, Masahiko, Arai, Hiroyuki, Sasaki, Hidetada
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
bedridden
Deglutition Disorders - mortality
Deglutition Disorders - therapy
Dysphagia
Enteral Nutrition
Female
frail older patients
Humans
Immobilization
Male
Medical prognosis
Older people
Pneumonia
Prospective Studies
Survival Rate
terminal medicine
Time Factors
tube feeding
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Summary:Aim:  We prospectively studied survival periods after tube feeding. Methods:  Participants were 163 bedridden older patients suffering from dysphagia. Results:  A wide range of survival periods after tube feeding were observed within half a year without tube feeding after being bedridden. After this initial period, survival periods after tube feeding were limited to approximately half a year. Survival periods after tube feeding were positively proportional to the length of time patients were free from pneumonia after tube feeding. After tube feeding, patients died from pneumonia within half a year, and the frequency of pneumonia was 3.1 ± 2.7 times (mean ± SD) before death. Conclusion:  Survival periods after tube feeding for less than 1 year were primarily determined by being bedridden for more than half a year without tube feeding and once pneumonia occurred; patients who were tube fed did not survive for more than half a year. Geriatr Gerontol Int 2012; 12: 317–321.
ISSN:1444-1586
1447-0594
DOI:10.1111/j.1447-0594.2011.00805.x