Predictors for 30-day mortality and complications following radiologically inserted gastrostomies: A single centre, large cohort review
Clinical Radiology Jan 31, 2020
Delf J, Jepson S, Ramachandran S, et al. - Researchers performed a single centre, large cohort study to evaluate the 30-day mortality and delayed complication rates following radiologically inserted gastrostomy (RIG) placement and ascertain the predictive risk factors for 30-day mortality and delayed complications to aide pre-procedure informed consent. In this retrospective analysis, a total of 373 individuals (56% male; median age: 65 years, range: 19–92 years) were recruited between July 2012 and August 2017 at a single tertiary centre. Data were obtained from electronic databases on individual demographics, RIG indication, all-cause mortality, complication rates, individual co-morbidities, and biochemical/haematological parameters. They conducted a multivariate analysis to distinguish predictive risk factors for complications and mortality. The data indicated that, in comparison with outpatient, RIG 30-day mortality was significantly correlated with inpatient procedures and a range of biochemical/haematological parameters that suggest infection pre-intervention. It is recommended that the markers of infection and catabolism are examined pre-intervention, which may decrease mortality and complication rates.
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