View in EDS HTML Full Text PDF Full Text

Survival of children and adolescents with intellectual disability following gastrostomy insertion.

Saved in:
Bibliographic Details
Title: Survival of children and adolescents with intellectual disability following gastrostomy insertion.
Authors: Wong, K., Glasson, E. J., Jacoby, P., Srasuebkul, P., Forbes, D., Ravikumara, M., Wilson, A., Bourke, J., Trollor, J., Leonard, H., Nagarajan, L., Downs, J.
Source: Journal of Intellectual Disability Research. Jul2020, Vol. 64 Issue 7, p497-511. 15p. 6 Charts, 1 Graph.
Subjects: Mortality risk factors, Confidence intervals, Enteral feeding, Gastrostomy, Longitudinal method, People with intellectual disabilities, Gastric intubation, Survival, Retrospective studies, Feeding tubes, Data analysis software, Descriptive statistics
Abstract: Background: Positive health outcomes have been observed following gastrostomy insertion in children with intellectual disability, which is being increasingly used at younger ages to improve nutritional intake. This study investigated the effect of gastrostomy insertion on survival of children with severe intellectual disability. Methods: We used linked disability and health data of children and adolescents who were born in Western Australia between 1983 and 2009 to compare survival of individuals with severe intellectual disability by exposure to gastrostomy status. For those born in 2000–2009, we employed propensity score matching to adjust for confounding by indication. Effect of gastrostomy insertion on survival was compared by pertinent health and sociodemographic risk factors. Results: Compared with children born in the 1980s–1990s, probability of survival following first gastrostomy insertion for those born in 2000–2009 was higher (2 years: 94% vs. 83%). Mortality risk was higher in cases than that in their matched controls (hazard ratio 2.9, 95% confidence interval 1.1, 7.3). The relative risk of mortality (gastrostomy vs. non‐gastrostomy) may have differed by sex, birthweight and time at first gastrostomy insertion. Respiratory conditions were a common immediate or underlying cause of death among all children, particularly among those undergoing gastrostomy insertion. Conclusions: Whilst gastrostomy insertion was associated with lower survival rates than children without gastrostomy, survival improved with time, and gastrostomy afforded some protection for the more vulnerable groups, and earlier use appears beneficial to survival. Specific clinical data that may be used to prioritise the need for gastrostomy insertion may be responsible for the survival differences observed. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 143703781
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Survival of children and adolescents with intellectual disability following gastrostomy insertion.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Wong%2C+K%2E%22">Wong, K.</searchLink><br /><searchLink fieldCode="AR" term="%22Glasson%2C+E%2E+J%2E%22">Glasson, E. J.</searchLink><br /><searchLink fieldCode="AR" term="%22Jacoby%2C+P%2E%22">Jacoby, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Srasuebkul%2C+P%2E%22">Srasuebkul, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Forbes%2C+D%2E%22">Forbes, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Ravikumara%2C+M%2E%22">Ravikumara, M.</searchLink><br /><searchLink fieldCode="AR" term="%22Wilson%2C+A%2E%22">Wilson, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Bourke%2C+J%2E%22">Bourke, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Trollor%2C+J%2E%22">Trollor, J.</searchLink><br /><searchLink fieldCode="AR" term="%22Leonard%2C+H%2E%22">Leonard, H.</searchLink><br /><searchLink fieldCode="AR" term="%22Nagarajan%2C+L%2E%22">Nagarajan, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Downs%2C+J%2E%22">Downs, J.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Intellectual+Disability+Research%22">Journal of Intellectual Disability Research</searchLink>. Jul2020, Vol. 64 Issue 7, p497-511. 15p. 6 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Mortality+risk+factors%22">Mortality risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Enteral+feeding%22">Enteral feeding</searchLink><br /><searchLink fieldCode="DE" term="%22Gastrostomy%22">Gastrostomy</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+intellectual+disabilities%22">People with intellectual disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Gastric+intubation%22">Gastric intubation</searchLink><br /><searchLink fieldCode="DE" term="%22Survival%22">Survival</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Feeding+tubes%22">Feeding tubes</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Positive health outcomes have been observed following gastrostomy insertion in children with intellectual disability, which is being increasingly used at younger ages to improve nutritional intake. This study investigated the effect of gastrostomy insertion on survival of children with severe intellectual disability. Methods: We used linked disability and health data of children and adolescents who were born in Western Australia between 1983 and 2009 to compare survival of individuals with severe intellectual disability by exposure to gastrostomy status. For those born in 2000–2009, we employed propensity score matching to adjust for confounding by indication. Effect of gastrostomy insertion on survival was compared by pertinent health and sociodemographic risk factors. Results: Compared with children born in the 1980s–1990s, probability of survival following first gastrostomy insertion for those born in 2000–2009 was higher (2 years: 94% vs. 83%). Mortality risk was higher in cases than that in their matched controls (hazard ratio 2.9, 95% confidence interval 1.1, 7.3). The relative risk of mortality (gastrostomy vs. non‐gastrostomy) may have differed by sex, birthweight and time at first gastrostomy insertion. Respiratory conditions were a common immediate or underlying cause of death among all children, particularly among those undergoing gastrostomy insertion. Conclusions: Whilst gastrostomy insertion was associated with lower survival rates than children without gastrostomy, survival improved with time, and gastrostomy afforded some protection for the more vulnerable groups, and earlier use appears beneficial to survival. Specific clinical data that may be used to prioritise the need for gastrostomy insertion may be responsible for the survival differences observed. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=143703781
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jir.12729
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 497
    Subjects:
      – SubjectFull: Mortality risk factors
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Enteral feeding
        Type: general
      – SubjectFull: Gastrostomy
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: People with intellectual disabilities
        Type: general
      – SubjectFull: Gastric intubation
        Type: general
      – SubjectFull: Survival
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Feeding tubes
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
    Titles:
      – TitleFull: Survival of children and adolescents with intellectual disability following gastrostomy insertion.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Wong, K.
      – PersonEntity:
          Name:
            NameFull: Glasson, E. J.
      – PersonEntity:
          Name:
            NameFull: Jacoby, P.
      – PersonEntity:
          Name:
            NameFull: Srasuebkul, P.
      – PersonEntity:
          Name:
            NameFull: Forbes, D.
      – PersonEntity:
          Name:
            NameFull: Ravikumara, M.
      – PersonEntity:
          Name:
            NameFull: Wilson, A.
      – PersonEntity:
          Name:
            NameFull: Bourke, J.
      – PersonEntity:
          Name:
            NameFull: Trollor, J.
      – PersonEntity:
          Name:
            NameFull: Leonard, H.
      – PersonEntity:
          Name:
            NameFull: Nagarajan, L.
      – PersonEntity:
          Name:
            NameFull: Downs, J.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 07
              Text: Jul2020
              Type: published
              Y: 2020
          Identifiers:
            – Type: issn-print
              Value: 09642633
          Numbering:
            – Type: volume
              Value: 64
            – Type: issue
              Value: 7
          Titles:
            – TitleFull: Journal of Intellectual Disability Research
              Type: main
ResultId 1