无伴侣的头颈部癌症幸存者长期依赖胃管的可能性增加。
Increased likelihood of long-term gastrostomy tube dependence in head and neck cancer survivors without partners.
机构信息
Department of Surgery, Division of Otolaryngology Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
出版信息
Head Neck. 2013 Mar;35(3):420-5. doi: 10.1002/hed.22996. Epub 2012 Apr 14.
BACKGROUND
We evaluated factors associated with long-term dependence on percutaneous endoscopic gastrostomy (PEG) tubes.
METHODS
One hundred fifty-four patients receiving treatment at the University of Alabama at Birmingham between 2002 and 2004 who underwent PEG tube placement were identified through retrospective review of medical records. Using binary logistic regression, we evaluated the association of various factors on long-term dependence on PEG tubes.
RESULTS
A total of 25.3% of survivors remained PEG tube-dependent at 12 months. The odds of long-term PEG tube-dependence were greater for those who did not have partners compared with those who had partners (odds ratio [OR], 3.33; p = .004), for patients who received radiation therapy (OR, 6.21; p = .018), and for those who had a tracheotomy in place for longer than 30 days (OR, 4.328; p = .035).
CONCLUSION
Data suggest that interventions targeted at reducing long-term dependence on PEG tubes take into account not only treatment-related factors, but also the important role that social support plays.
背景
我们评估了与长期依赖经皮内镜胃造口术（PEG）管相关的因素。
方法
通过对医疗记录的回顾性审查，确定了 2002 年至 2004 年期间在阿拉巴马大学伯明翰分校接受治疗的 154 名接受 PEG 管放置的患者。我们使用二项逻辑回归评估了各种因素与长期依赖 PEG 管之间的关系。
结果
在 12 个月时，幸存者中有 25.3%仍然依赖 PEG 管。与有伴侣的患者相比，没有伴侣的患者（比值比[OR]，3.33；p =.004）、接受放疗的患者（OR，6.21；p =.018）和气管切开术时间超过 30 天的患者（OR，4.328；p =.035）长期依赖 PEG 管的可能性更大。
结论
数据表明，旨在减少对 PEG 管长期依赖的干预措施不仅要考虑治疗相关因素，还要考虑社会支持所起的重要作用。
Zotero 插件