Warwick Medical School, University of Warwick CV4 7AL.
J Nutr Health Aging. 2013 Jan;17(1):16-8. doi: 10.1007/s12603-012-0078-0.
To investigate the level of percutaneous endoscopic gastrostomy (PEG) feeding in elderly people with diabetes resident in Nursing homes in one area of the U.K., to describe their degree of disability, co-morbidities and to estimate medication costs of these residents.
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.
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.
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.
调查英国某地区养老院中患有糖尿病的老年人经皮内镜下胃造口术（PEG）喂养的水平，描述他们的残疾程度、合并症，并估计这些居民的药物治疗费用。
从 2010 年初驻考文垂教学 PCT 的 11 家养老院的已知糖尿病患者的病历回顾中收集数据。
14 名居民（总样本的 19%）有原位 PEG 喂养管，1 名（1.3%）有原位鼻胃管。这 14 名居民共服用 80 种日常药物，平均每位居民每天服用 5.7 种药物（范围为 3-10）。这些 14 名居民常规药物的总药物费用为每月 2410 欧元，平均每月 172 欧元（范围为每月 14-935 欧元）。所有 14 名居民都被记录为卧床不起、无法说话和双重失禁。
所有接受 PEG 喂养的 14 名居民都有严重的残疾程度。中风和痴呆是主要记录的合并症。每月最昂贵的药物费用是用于特殊订单的液体药物，其中许多用于心血管疾病预防，这在如此严重残疾的居民中可能被认为是不适当的。
