Page 106 - Effects and Efficacy of (Laparoscopic) Gastrostomy Placement in Children - Josephine Franken

catheter (43.3%) and obstruction of the catheter (23.3%). General satisfaction with the gastrostomy was graded as 8.2 (± 1.8) on a 10-point scale. After GP, some children did not tolerate feeding directly into the stomach and needed to be fed through a jejunal tube (n=4; 3.4%).
Table 3. Patient characteristics.
Demographics
Responders (n=150)
non-responders (n=150)
Male gender (n; %)
82 (54.7%)
76 (50.7%)
Age in years at operation (median with IQR)
2.7 (1.4 – 6.1)
2.7 (1.1 – 7.6)
Elapsed time since GP in years (median with IQR)
2.9 (1.4 – 4.7)
2.0 (0.8 – 5.0)
Patient deceased
0 (0.0%)
26 (17.3%)
Gastrostomy removed
14 (9.3%)
20 (13.3%)
Indication for GP
Neurologic impaired development (n; %)
111 (74.0%)
106 (70.7%)
Cystic fibrosis
17 (11.3%)
12 (8.0%)
Cardiac disease
4 (2.7%)
6 (4.0%)
Gastrointestinal
4 (2.7%)
5 (3.3%)
Renal disease
5 (3.3%)
2 (1.3%)
Psychiatric/ behavioral disease
3 (2.0%)
5 (3.3%)
Failure to thrive (undiagnosed)
4 (2.7%)
3 (2.0%)
Metabolic disorder
2 (1.3%)
3 (2.0%)
Dysmorphic facial features
0 (0.0%)
3 (2.0%)
Muscle disease
0 (0.0%)
2 (1.3%)
Lung disease
0 (0.0%)
2 (1.3%)
Oesophagotracheal fistula due to foreign body
0 (0.0%)
1 (0.7%)
Legend: GP: gastrostomy placement; IQR: interquartile range
Health-related quality of life (HRQoL)
After GP, the mean total HRQoL score was 53.0 out of 100 (± 21.1). The mean psychosocial health summary score was 62.9 (± 34.0) and physical health summary score was 43.4 (± 17.2). Between the three subdomains of psychosocial health, the children scored best in the subdomain of emotional functioning (66.9 ± 17.5), followed by social functioning (64.9 ± 25.0) and school functioning (57.5 ± 24.7). These scores are all based on the observed data (n=128).
Comparing our sample with the sample of Varni et al.16 which we used as a reference standard (with a mean HRQoL score of 82.70 (SD 15.40)), resulted in a mean difference of 29.7 points (27.6 – 31.2).
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