Gastrostomy, Neuro-Degenerative Disease, Nutritional Deficiency
Conditions
Brief summary
Background. Several nutritional factors have been evaluated as prognostic factors for survival in ALS patients at earlier stages of the disease \[body mass index (BMI), body composition expressed as fat free mass (FFM), fat mass (FM), phase angle (PhA), low-density lipoprotein/high-density lipoprotein (LDL/HDL) ratio, cholesterol levels\], while only two studies have evaluated some of these parameters after PEG placement. Aim. BMI and cholesterol levels were evaluated as prognostic factors for survival after percutaneous endoscopic gastrostomy (PEG) placement Moreover, the relationship between body composition and BMI in a subgroup of ALS patients was evaluated.
Detailed description
Methods. Nutritional and neurological parameters were assessed at the time of PEG placement (T0) in 47 consecutive patients. Body composition and PhA were measured in only 22 patients within 2 months from T0. Survival was calculated as the time from the PEG placement to tracheostomy or death.
Interventions
BMI and cholesterol levels evaluation
Sponsors
Study design
Eligibility
Inclusion criteria
* ALS patients who underwent PEG tube placement from 2006 to 2015 and were referred to the artificial nutrition team of the Gastroenterology Unit
Exclusion criteria
* ALS patients without PEG
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| nutritional assessment | at the time of PEG placement (one day) | Weight and height (combined to report BMI in kg/m\^2) |
| biochemical nutritional assessment | only at the time of PEG placement (one day) | cholesterol levels |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| body composition assessment | within 2 months from the PEG implantation (one day) | Evaluation of fat mass and fat free mass |
Countries
Italy