Prognosen for patienter med apopleksi og PEG-sonde
- Side: 15-22
- Publisert på Idunn: 2015-02-11
- Publisert: 2014-02-11
PEG tubes are increasingly used in stroke rehabilitation. The prognosis for patients discharged with a PEG tube after their completion of stroke rehabilitation has, however, not yet been investigated in Denmark.
Retrospectively, we studied the functional status of stroke patients upon admission/discharge as indicated by the Barthel Indeks (BI 0-100) and the discharge destination for stroke patients discharged from a Danish stroke unit from 2003-2011.
In total, 34 patients had a PEG tube inserted when discharged. Nine per cent died in hospital while using PEG, 82 per cent were discharged to nursing homes while nine per cent were discharged to their own homes. Median admission BI 0 (range 0-20); median discharge BI 0 (range 0-30). Median length of hospital stay was 60 days. Between 2003-2005 and 2009-2011, respectively 0.4 per cent and 3.2 per cent of the patients were discharged with a PEG tube. PEG tubes saved lives, but survival was at the expense of a bad prognosis: 91 per cent of the patients either died or were discharged to nursing homes totally dependant on others in all Activity of Daily Living functions. Patients and caretakers should be informed about the functional consequences of survival with a PEG tube.