Nasogastric Tube Feeding in Older Patients: A Review of Current Practice and Challenges Faced

Chauhan, Devkishan; Varma, Surabhi; Dani, Melanie; Fertleman, Michael; Koizia, Louis

doi:10.1155/2021/6650675

Cited by 18 publications

(14 citation statements)

References 57 publications

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“… 34 It was a preferable option to select the nasogastric feeding tube when facing uncorrected disease, such as decline in cognition after stroke, dysphagia and so on. 35 Moreover, it is safe and effective to deliver nutrients and/or fluids to the gastrointestinal tract through the nasogastric feeding tube. 36 This idea is supported by many studies, which have shown nutritional support treatment of nasogastric feeding tube played a central role in the management of elderly who were malnourished or at high risk of malnutrition, and significantly improved nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Lv¹,

Shi²,

Pan³

et al. 2022

CIA

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Purpose The study explores a clinical model based on aging-care parameters to predict the mortality of hospitalized patients aged 80-year and above with community-acquired pneumonia (CAP). Patients and methods In this study, four hundred and thirty-five CAP patients aged 80-years and above were enrolled in the Central Hospital of Minhang District, Shanghai during 01,01,2018–31,12,2021. The clinical data were collected, including aging-care relevant factors (ALB, FRAIL, Barthel Index and age-adjusted Charlson Comorbidity Index) and other commonly used factors. The prognostic factors were screened by multivariable logistic regression analysis. Receiver operating characteristic (ROC) curves were used to predict the mortality risk. Results Univariate analysis demonstrated that several factors, including gender, platelet distribution width, NLR, ALB, CRP, pct, pre-albumin, CURB-65, low-density, lipoprotein, Barthel Index, FRAIL, leucocyte count, neutrophil count, lymphocyte count and aCCI, were associated with the prognosis of CAP. Multivariate model analyses further identified that CURB-65 (p < 0.0001, OR = 5.44, 95% CI = 3.021–10.700), FRAIL (p < 0.0001, OR = 5.441, 95% CI = 2.611–12.25) and aCCI (p = 0.003, OR = 1.551, 95% CI = 1.165–2.099) were independent risk factors, whereas ALB (p = 0.005, OR = 0.871, 95% CI = 0.788–0.957) and Barthel Index (p = 0.0007, OR = 0.958, 95% CI = 0.933–0.981) were independent protective factors. ROC curves were plotted to further predict the in-hospital mortality and revealed that combination of three parameters (Barthel Index+ FRAI +CURB-65) showed the best performance. Conclusion This study showed that CURB-65, frailty and aCCI were independent risk factors influencing prognosis. In addition, ALB and Barthel Index were protective factors for in CAP patients over 80-years old. AUC was calculated and revealed that combination of three parameters (Barthel Index+ FRAI +CURB-65) showed the best performance.

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Section: Discussionmentioning

confidence: 99%

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Lv¹,

Shi²,

Pan³

et al. 2022

CIA

View full text Add to dashboard Cite

show abstract

“…The fine-bore, flexible nasogastric feeding tube has been used in elderly patients > 65 years of age with malnutrition or dysphagia [ 42 ] as a short-term solution for enteral feeding. This method has been seen to provide benefit to prevent malnutrition but has risk of dislodgement and potential delay in utilizing the NGT while awaiting placement confirmation by x-ray [ 43 , 44 ].…”

Section: Ngt and Nutritionmentioning

confidence: 99%

Evolving Therapeutic Roles of Nasogastric Tubes: Current Concepts in Clinical Practice

et al. 2023

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Nasogastric tubes (NGT) have been in use for over 100 years and are still considered as essential and resuscitative tools in multiple medical specialties for acute and chronic care. They are vital for decompression of the stomach in the presence of bowel obstruction in the critically ill and useful as a conduit for the administration of medications and sometimes for short term parenteral nutrition. The placement of nasogastric tubes is relatively routine. However, they must be inserted and maintained safely and effectively to avoid serious and possibly even fatal associated complications. This review focuses on recent updates in research regarding nasogastric tubes. Cognizance of the recent advances in indications, contraindications, techniques of insertion, confirmation of correct positioning, securement, complications, management of complications, and state of the art research about the nasogastric tube is crucial for practitioners of all medical and surgical specialties.

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“…A dysfunctional oral cavity may lead to poor oral hygiene care (10) and negatively impact the oral microbial community, further complicating patients’ health condition. Although NG tube-feeding could be beneficial for the patients in the short term to deal with malnutrition (11), patients with prolonged NG-tube indwelling often suffered from dysphagia (12), malnutrition (13), and aspiration pneumonia (14).…”

Section: Introductionmentioning

confidence: 99%

Effects of nasogastric tube on oral microbiome among long-term care patients

Wang

Tsai

et al. 2022

Preprint

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Dysbiosis of oral microbiome causes chronic diseases including dental caries and periodontitis, which frequently affects elderly, frail patients receiving long-term care. Severely disabled patients may require nutritional supply via nasogastric (NG) tube, which impacts patients' oral condition and possibly microbial composition. However, little is known about the effect of NG tube on oral microbes and its potential ramification. Here, by using 16S rRNA next-generation sequencing, we characterized the tongue microbiome of 27 patients fed with NG tubes and 26 others fed orally. The microbial compositions of NG-tube and oral-feeding patients were substantially different, with more Gram-negative aerobes enriched in the presence of NG tube. Specifically, NG-tube patients presented more opportunistic pathogens like Corynebacterium and Pseudomonas associated with pneumonia, and lower levels of commensal Streptococcus and Veillonella. Together, we present a systematic, high-throughput profiling of oral microbiome with regards to NG tube indwelling, providing empirical evidence for better clinical practice.

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Nasogastric Tube Feeding in Older Patients: A Review of Current Practice and Challenges Faced

Cited by 18 publications

References 57 publications

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Evolving Therapeutic Roles of Nasogastric Tubes: Current Concepts in Clinical Practice

Effects of nasogastric tube on oral microbiome among long-term care patients

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