In this large retrospective cohort of elderly (age>66) nursing home residents with cognitive impairment, the mean rate of PEG insertions was 7 per 100 hospital stays (range from 0-39 per 100 hospital stay). Hospital characteristics associated with higher insertion rates were larger, for-profit, and with higher ICU utilization. Both the high insertion rate and the variability are disturbing, as there is little evidence of benefit of PEG insertions in elderly demented nursing home patients (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.