title: Predictive factors for removal of percutaneous endoscopic gastrostomy tube in post-stroke dysphagia.
abstract: OBJECTIVE
  To investigate predictive factors for percutaneous endoscopic gastrostomy (PEG) removal, thereby minimizing unnecessary PEG insertion in post-stroke dysphagia.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  A total of 49 patients who undertook PEG tube insertion for post-stroke dysphagia.
  
  
  METHODS
  Patients were divided into a removal group (n = 8) and a sustaining group (n = 41) depending on the presence of a PEG tube. Patients' demographic data, nutritional status, Charlson's Comorbidity Index (CCI), and video-fluoroscopic swallowing study findings at the time of PEG insertion were compared between the 2 groups.
  
  
  RESULTS
  Eight out of 49 patients (16.3%) removed the PEG tube at a mean of 4.8 months after the insertion. Demographic data, nutritional status, and CCI were comparable between the 2 groups before tube insertion. Video-fluoroscopic swallowing study findings in the removal group showed a lower prevalence of premature bolus loss (50.0% vs 73.2%; p = 0.032), aspiration (37.5% vs 80.6%; p = 0.012) and pharyngeal trigger delay (12.5% vs 74.2%; p = 0.010) than those in the sustaining group.
  
  
  CONCLUSIONS
  The absence of aspiration or pharyngeal trigger delay in video-fluoroscopic swallowing study findings at the time of PEG insertion may be a predictive factor for eventual removal of PEG tubes. Identification of removal factors will assist in determining PEG insertion.
authors.affiliation: Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.
authors.forename: Youbin
authors.initials: Y
authors.lastname: Yi
authors.forename: Eun Joo
authors.initials: EJ
authors.lastname: Yang
authors.forename: Juyong
authors.initials: J
authors.lastname: Kim
authors.forename: Woo Jin
authors.initials: WJ
authors.lastname: Kim
authors.forename: Yusun
authors.initials: Y
authors.lastname: Min
authors.forename: Nam-Jong
authors.initials: NJ
authors.lastname: Paik
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D015897:Comorbidity; D003679:Deglutition; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy*; D004750:Enteral Nutrition; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D005773:Gastroscopy; D005774:Gastrostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D010608:Pharyngeal Diseases; D053120:Respiratory Aspiration; D012189:Retrospective Studies; D020521:Stroke / Q000150:complications / Q000628:therapy*