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peg tube icd 10
Kumar S; Langmore S; Goddeau RP; Alhazzani A; Selim M; Caplan LR; Zhu L; Safdar A; Wagner C; Frayne C; Searls DE; Schlaug G
This abstraction advised the access of age, National Institutes of Health Achievement Scale (NIHSS) score, time from achievement onset, barricade area and aggregate in admiration acclimation of a percutaneous endoscopic gastrostomy (PEG) tube in patients with astringent dysphagia from an acute-subacute hemispheric infarction. We performed a attendant assay of a hospital-based accommodating accomplice to assay the aftereffect of the above variables on the accommodation of whether or not to abode a PEG tube. Consecutive patients were articular application International Classification of Diseases, Ninth Revision (ICD-9) codes for astute ischemic stroke, Current Procedural Terminology (CPT)-4 codes for a academic burning appraisal by a accent pathologist, and action codes for PEG acclimation over a 5-year aeon from absolute medical annal at our institution. Alone patients with astringent dysphagia were enrolled. A absolute of 77 patients met admittance criteria; 20 of them underwent PEG placement. The accord amid age (dichotomized; < and ≥75 years), time from achievement access (days), NIHSS score, astute barricade bane aggregate (dichotomized; < and ≥100 cc), and barricade area (ie, insula, antecedent insula, periventricular white matter, inferior aboveboard gyrus, motor cortex, or mutual hemispheres) with PEG tube acclimation were analyzed application logistic corruption analysis. In univariate analysis, NIHSS account (P = .005), bane aggregate (P = .022), and attendance of bihemispheric infarction (P = .005) were begin to be the capital predictors of interest. After multivariate adjustment, alone NIHSS account (odds arrangement [OR], 1.15; 90% aplomb breach [CI], 1.02-1.29; P = .04) and attendance of bihemispheric infarcts (OR, 4.67; 90% CI, 1.58-13.75; P = .018) remained significant. Our abstracts indicates that baseline NIHSS account and the attendance of bihemispheric infarcts adumbrate PEG acclimation during analysis from an acute-subacute hemispheric infarction in patients with astringent dysphagia. These after-effects crave added validation in approaching studies.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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