Article Text

PDF

Enteral nutrition
PMO-074 A 10 year retrospective review of nasogastric tube use in a district general hospital
  1. E Tash,
  2. A Cartwright,
  3. L Steel,
  4. J Subhani
  1. Department of Gastroenterology, Basildon and Thurrock University Hospitals NHS Foundation Trust, London, UK

Abstract

Introduction A Nasogastric tube (NGT) is a commonly used device for administration of enteral feeding. It may be used as a bridge to a more definitive procedure (eg, Percutaneous Endoscopic Gastrostomy; PEG) or until patient recovery. The NPSA estimates that “thousands of NGT are placed each day” throughout the UK.1 However, following a literature review we were unable to find any outcome data for this procedure.

Methods We performed a retrospective review of our nutrition database at Basildon and Thurrock University Hospitals NHS Foundation Trust, that serves a population of 375 000, for all patients who had an NGT inserted between years 2001 and 2011 and analysed the insertion reason and outcome.

Results Over a 10-year period, 2526 patients underwent 2715 episodes of NGT insertions, with a male to female ratio of 49.5% and 50.5%, respectively. The total number of feeding days was 50 584, with a median and mean length of insertion of 10 and 18.7 days, respectively. 189 patients required a repeat NG feeding episode, either within the same or subsequent hospital admission. The referral reasons and outcome data are shown in the Abstract PMO-074 table 1 below.

Conclusion Data analysis revealed that two thirds of all NGT insertions were for patients with dysphagia secondary to a neurological condition, mechanical obstruction or artificial ventilation. Despite these patients being unwell and high risk for complications 46.9% were able to restart oral feeding. However, almost an equal number died while receiving NGT enteral feeding. 2.7% of our cohort were discharged home with some form of long term enteral feeding; either via a PEG or longterm NGT.

Abstract PMO-074 table 1

Competing interests None declared.

Reference 1. Patient safety alert NPSA/2011/PSA002: reducing the harm caused by misplaced nasogastric feeding tubes in adults, children and infants. 2011. Supporting Information.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.