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Serum Albumin Is Predictive of 30-Day Survival After Percutaneous Endoscopic Gastrostomy

Department of Medicine, Division of Gastroenterology and Nutrition, Albert Einstein Medical Center, Philadelphia, Pennsylvania

Georgina Jensen, MD

Department of Medicine, Division of Gastroenterology and Nutrition, Albert Einstein Medical Center, Philadelphia, Pennsylvania

Navjyot Gujral, MD

Department of Medicine, Division of Gastroenterology and Nutrition, Albert Einstein Medical Center, Philadelphia, Pennsylvania

Leonard E. Braitman, PHD

Division of Biostatistics, Office of Research and Technology, Albert Einstein Medical Center, Philadelphia, Pennsylvania

Gary M. Levine, MD

Department of Medicine, Division of Gastroenterology and Nutrition, Albert Einstein Medical Center, Philadelphia, Pennsylvania

Background: Percutaneous endoscopic gastrostomy (PEG) tubes have been used since 1980 in patients who require prolonged enteral feeding. Purpose: To identify factors associated with poor survival (defmed as survival <30 days) post-PEG. Methods : We assessed a cohort of 64 patients consecutively referred for a percutaneous endoscopic gastrostomy tube in a single, tertiary care hospital. Prior to PEG tube placement, we evaluated relevant clinical variables in each patient to determine their effect on 30-day mortality. Results: Of the cohort, 43 of 64 (67.2%) survived at least 30 days after tube placement. One death was attributable to tube placement. Bivariate analyses showed that 30-day survival correlated directly with serum albumin (r = .253; p = .049) and inversely with creatinine (r = —0.255; p = .042). Using multivariable logistic regression analysis, only albumin was identified as an independent predictor of 30-day survival (p =.044). Eighty-three percent of patients with a serum albumin 3.0 g/dL survived 30 days compared with 58% with an albumin <3.0, a difference of 25% (95% CI, -2% to 54%; p = .07). Conclusions: In conclusion, serum albumin appears to be a predictor of early survival in individuals undergoing percutaneous endoscopic gastrostomy tube placement. (Journal of Parenteral and Enteral Nutrition 21: 72-74, 1997)

Journal of Parenteral and Enteral Nutrition, Vol. 21, No. 2, 72-74 (1997)
DOI: 10.1177/014860719702100272


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