title: Trends in percutaneous endoscopic gastrostomy placement in the elderly from 1993 to 2003.
abstract: OBJECTIVE
  To investigate national trends in percutaneous endoscopic gastrostomy (PEG) tube placement for hospitalized elderly patients from 1993 to 2003.
  
  
  METHODS
  Retrospective analysis of patients ≥ 65 years of age with PEG tube placement from 1993 to 2003 from the Nationwide Inpatient Sample (NIS) database was utilized to calculate PEG placement rates per 1000 people.
  
  
  RESULTS
  Placement of PEG tube increased by 38% in elderly patients during the study period, from 2.71 procedures during hospitalization per 1000 people to 3.75 procedures during hospitalization per 1,000 people. Placement of PEG tube in patients with Alzheimer's dementia doubled (5%-10%) over the study period.
  
  
  CONCLUSIONS
  Over a 10-year period, PEG tube use in hospitalized elderly patients increased significantly. More importantly, approximately 1 in 10 PEG tube placements occurred in patients with dementia.
authors.affiliation: Donald W Reynolds Institute on Aging and Department of Geriatrics, College of Medicine, University of Arkansas for Medical Sciences, and Geriatric Research Education and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, AR, USA.
authors.forename: P
authors.initials: P
authors.lastname: Mendiratta
authors.forename: J M
authors.initials: JM
authors.lastname: Tilford
authors.forename: P
authors.initials: P
authors.lastname: Prodhan
authors.forename: K
authors.initials: K
authors.lastname: Curseen
authors.forename: G
authors.initials: G
authors.lastname: Azhar
authors.forename: Jeanne Y
authors.initials: JY
authors.lastname: Wei
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000453:epidemiology; D015897:Comorbidity; D003680:Deglutition Disorders / Q000453:epidemiology / Q000601:surgery; D003704:Dementia / Q000453:epidemiology*; D016099:Endoscopy, Gastrointestinal / Q000706:statistics & numerical data* / Q000639:trends*; D004750:Enteral Nutrition / Q000706:statistics & numerical data / Q000639:trends; D005260:Female; D005774:Gastrostomy / Q000706:statistics & numerical data* / Q000639:trends*; D006333:Heart Failure / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000453:epidemiology / Q000601:surgery*; D011015:Pneumonia, Aspiration / Q000453:epidemiology; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology