Sage Journals: Discover world-class research

Abstract

Objectives

To develop a predictive model for nasogastric tube (NGT) removal and examine survival-related factors among community-dwelling residents.

Design

Retrospective cohort study (2016–2020) using medical records.

Setting and Participants

A total of 255 home care residents with NGTs from a regional hospital in Taiwan.

Methods

This retrospective study was conducted to identify predictors across 30 variables from clinical records and nursing assessments. Logistic regression and Cox proportional hazards models assessed predictors of successful NGT removal, with model performance evaluated using ROC curve.

Results

Key predictors of successful NGT removal (18.0%, n = 46) and 12-month survival were activities of daily living, instrumental activities of daily living, and upper limb strength. Survival was higher in the removal group, and the model showed good accuracy (AUC = 0.811).

Conclusion

This model provides a clinically applicable tool that incorporates functional and medical indicators to assess NGT removal readiness, demonstrating strong predictive validity.

Keywords

predictive factors survival outcomes nasogastric tube removal community-dwelling residents

Get full access to this article

View all access options for this article.

References

Blumenstein

Shastri

Y. M.

Stein

(2014). Gastroenteric tube feeding: Techniques, problems and solutions. World Journal of Gastroenterology, 20(26), 8505–8524. https://doi.org/10.3748/wjg.v20.i26.8505

Boeykens

Holvoet

Duysburgh

(2023). Nasogastric tube insertion length measurement and tip verification in adults: A narrative review. Critical Care, 27(1), 317. https://doi.org/10.1186/s13054-023-04611-6

Central Health Insurance Agency . (2019). National health insurance statistics trend. Ministry of Health and Welfare. Retrieved September 02, 2024, from. https://www.mohw.gov.tw/dl-13470-823b78cf-a7f6-41ae-9a1d-2b56bbbb6eb1.html

Gomes

C. A.

Andriolo

R. B.

Bennett

Lustosa

S. A.

Matos

Waisberg

D. R.

Waisberg

(2015). Percutaneous endoscopic gastrostomy versus nasogastric tube feeding for adults with swallowing disturbances. The Cochrane Database of Systematic Reviews, 2015(5), CD008096. https://doi.org/10.1002/14651858.CD008096.pub4

Hung

M. H.

Cheng

S. Y.

(2024). Intracranial nasogastric tube placement in a nontrauma patient: Comment. Anesthesiology, 140(5), 1054. https://doi.org/10.1097/ALN.0000000000004917

Lee

K. C.

Liu

C. T.

Tzeng

I. S.

Chie

W. C.

(2021). Predictors of nasogastric tube removal in patients with stroke and dysphagia. International Journal of Rehabilitation Research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue Internationale de Recherches de Readaptation, 44(3), 205–208. https://doi.org/10.1097/MRR.0000000000000471

Zhang

Zhao

(2023). Can non-swallowing function assessment predict nasogastric tube removal in patients with poststroke dysphagia? A clinical study. Frontiers in Neurology, 13, Article 984707. https://doi.org/10.3389/fneur.2022.984707

Liu

W. M.

Chiang

C. K.

Hwu

Y. J.

(2019). Oral care for clients in long-term care. Hu Li Za Zhi The Journal of Nursing, 66(1), 21–26. https://doi.org/10.6224/JN.201902_66(1).04

Pendharkar

S. A.

Plank

L. D.

Windsor

J. A.

Petrov

M. S.

(2016). Quality of life in a randomized trial of nasogastric tube feeding in acute pancreatitis. JPEN. Journal of Parenteral and Enteral Nutrition, 40(5), 693–698. https://doi.org/10.1177/0148607115574290

10.

Smithard

D. G.

Smeeton

N. C.

Wolfe

C. D. A.

(2007). Long-term outcome after stroke: Does dysphagia matter? Age and Ageing, 36(1), 90–94. https://doi.org/10.1093/ageing/afl149

11.

Sun

Xie

Chen

Xiao

Zhao

Zeng

Peng

Shu

Mao

(2020). Development and validation of two aspiration prediction models in patients receiving nasogastric feeding. Journal of Nursing Management, 28(6), 1372–1380. https://doi.org/10.1111/jonm.13093

12.

Ueshima

Momosaki

Shimizu

Motokawa

Sonoi

Shirai

Uno

Kokura

Shimizu

Nishiyama

Moriyama

Yamamoto

Sakai

(2021). Nutritional assessment in adult patients with dysphagia: A scoping review. Nutrients, 13(3), 778. https://doi.org/10.3390/nu13030778

13.

Wen

H. C.

(2015). Factors associated with nasogastric tube removal in patients with post-stroke dysphagia following acute/subacute stroke. Rehabilitation Practice and Science, 43(4), 217–223. https://doi.org/10.6315/2015.43(4)02

14.

Yang

Chen

Zhang

(2023). Effectiveness of home-based telerehabilitation interventions for dysphagia in patients with head and neck cancer: Systematic review. Journal of Medical Internet Research, 25, Article e47324. https://doi.org/10.2196/47324

15.

Yang

E. J.

Kim

W. J.

Min

Paik

N. J.

(2012). Predictive factors for removal of percutaneous endoscopic gastrostomy tube in post-stroke dysphagia. Journal of Rehabilitation Medicine, 44(11), 922–925. https://doi.org/10.2340/16501977-1050

Predictive Factors and Survival Outcomes of Nasogastric Tube Removal in Community-Dwelling Residents: A Retrospective Cohort Study