Prognosis after percutaneous endoscopic gastrostomy (PEG) in patients at home

Percutaneous endoscopic gastrostomy(PEG)is a frequently performed operation. However, prognosis after PEG is sometimes poor. We investigated the survival rate after PEG and prognostic factors in patients at home. The subjects were 75 patients treated at home who had undergone PEG between January 2006 and December 2013. Forty-one of the 75 subjects were male and 45 were over 80 years old. The surgery was performed because of cerebral infarction in 37 patients, hemorrhagic stroke in 13, brain and cervical injuries in 4, encephalitis in 2, and other conditions in 19. The survival rate after PEG was 69.4% at 1 year, 34.3% at 3 years, and 10.3% at 5 years. These scores were lower than the reported survival rate of hospital patients. Poor prognostic factors were age ≥80, male sex, a serum albumin level≤2.5mg/dL, repeat occurrences of pneumonia, and disturbance of consciousness.