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Percutaneous endoscopic gastrostomy (PEG) feeding in elderly people with diabetes resident in nursing homes

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Gadsby, Roger (2013) Percutaneous endoscopic gastrostomy (PEG) feeding in elderly people with diabetes resident in nursing homes. The journal of nutrition, health & aging, Volume 17 (Number 1). pp. 16-18. doi:10.1007/s12603-012-0078-0 ISSN 1279-7707.

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Official URL: http://dx.doi.org/10.1007/s12603-012-0078-0

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Abstract

Aim
To investigate the level of Percutaneous Endoscopic Gastrostomy (PEG) feeding in elderly people with diabetes resident in Nursing homes in one area of the UK, to describe their degree of disability, comorbidities and to estimate medication costs of these residents.
Methods
The data was collected from a retrospective case notes review of the 75 people with known diabetes who were resident in the 11 Nursing homes in the Coventry Teaching PCT in early 2010.
Results
14 residents (19% of the total sample) had PEG feeds in situ and one (1.3%) had a nasogastric feeding tube in situ. The 14 residents were taking a total of 80 daily medications, a mean of 5.7 daily medications per resident (range 3–10). The total medication costs for the regular medications for these 14 residents was 2410 euros per month giving a mean of 172 euros/month (range 14–935 euros per month). All of the 14 were recorded as being bedbound, having no speech and being doubly incontinent.
Conclusion
All 14 residents being PEG fed have severe levels of disability. Cerebro Vascular Accident and Dementia are the main recorded co-morbidities. The most expensive monthly medication costs were for special order liquid medications, many for cardio vascular disease prevention, which may be considered as inappropriate in such severely disabled residents.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: The journal of nutrition, health & aging
Publisher: Editions S E R D I
ISSN: 1279-7707
Official Date: January 2013
Dates:
DateEvent
January 2013Published
Volume: Volume 17
Number: Number 1
Page Range: pp. 16-18
DOI: 10.1007/s12603-012-0078-0
Status: Not Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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