To identify possible clinical predictors of intermittent oro-esophageal (OE) tube feeding success, and evaluate the clinical factors associated with OE tube treatment.
A total of 135 dysphagic patients were reviewed, who received OE tube treatment and were hospitalized in the department of rehabilitation medicine between January 2005 and December 2014. The 76 eligible cases enrolled were divided into two groups, based on the OE tube training success. Clinical factors assessed included age, cause of brain lesion, gag reflex, cognitive function and reasons for OE tube training failure.
Of the 76 cases enrolled, 56 study patients were assigned to the success group, with the remaining 20 in the failure group. There were significant differences between these two groups in terms of age, gag reflex, ability to follow commands, and the score of Korean version of Mini-Mental Status Examination (K-MMSE). Location of the brain lesion showed a borderline significance. Multivariable analysis using logistic regression revealed that age, cause of brain lesion, gag reflex, and K-MMSE were the main predictors of OE tube training success.
A younger age, impaired gag reflex and higher cognitive function (specifically a K-MMSE score ≥19.5) are associated with an increased probability of OE tube training success in dysphagic patients.
Citations
Objective: Nasogastric (NG) tube feeding and percutaneous endoscopic gastrostomy (PEG) feeding have been used for dysphagic patients as tube feeding methods. In 1988, Campbell introduced oro-esophageal (OE) tube feeding as a new feeding method, but there are no reports of safety or complications of this method.
Method: The patients 1) who could not do oral feeding and reject other tube feedings, or started oral feeding but could not be provided enough calories by this methods, 2) who had the reduced gag reflex, and 3) who had intact cognitive functions, were applied OE tube feeding and twenty patients from March 1998 to May 1999 were selected and followed up. We retrospectively reviewed their average using time, final feeding methods and complications of long term OE tube feedings.
Results: The average using time was 74⁑107 days. 13 patients used OE tube feedings continuously, and seven changed their feeding methods (two used NG tube feedings, one PEG, and 4 oral feedings). Only one patient was developed aspiration pneumonia, so he was prescribed for NG tube feeding, but others had no problems such as diarrhea.
Conclusion: The complication rate of OE tube feeding was 5%, and it was relatively safe for long term users.
First
Prev
