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)
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