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May 1994, Vol 148, No. 5 >
Article | May 1994

The Role of Tube Feeding in the Mortality of Profoundly Disabled People With Severe Mental Retardation FREE

Theodore Kastner, MD; Ten Criscione, MPA; Kevin Walsh, PhD
Arch Pediatr Adolesc Med. 1994;148(5):537-538. doi:10.1001/archpedi.1994.02170050095022.
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Eyman et al1 make a substantial contribution to our understanding of the survival of people with profound disabilities and severe mental retardation. The grouping of patients into cohorts characterized by the presence of clinical findings is valuable in that it allows clinicians to counsel families more effectively as to the life expectancy of their loved ones and to assist in determining the appropriateness of health care interventions planned for these individuals. In considering the data included in the table of their report, we were struck by the apparent strength of the association between mortality and the presence of a feeding tube. We believe that this association, while briefly mentioned in Eyman et al, merits further consideration. The following discussion is intended to describe the association based on a statistical analysis of the data contained in their report and to suggest further lines of research using the database developed by

REFERENCES

1 +
Eyman R, Grossman H, Chaney R, Call T.  Survival of profoundly disabled people with severe mental retardation . AJDC . 1993;;147:329-336.
2 +
Bui HD, Dang CV, Chaney RH, Vergara LM.  Does gastrostomy and fundoplication prevent aspiration pneumonia in mentally retarded persons? Am J Ment Retard . 1989;;94:16-19.
3 +
Raventos JM, Kralemann H, Gray DB.  Mortality risks of mentally retarded and mentally ill patients after a feeding gastrostomy . Am J Ment Defic . 1982;;86: 439-444.
4 +
Kastner T.  Association between gastrostomy and death: cause or effect? Am J Ment Retard . 1992;;97:351-353.
5 +
O'Brien KF, Tate K, Zaharia ES.  Mortality in a large southeastern facility for persons with mental retardation . Am J Ment Retard . 1991;;95:497-503.
6 +
Kastner T, Nathanson R, Friedman D.  Mortality in persons with mental retardation living in the community . Am J Ment Retard . 1993;;98:285-292.
7 +
Ziring P, Kastner T, Friedman D, Pond W, Barnett W, Sonnenberg E.  Provision of health care for persons with developmental disabilities living in the community: the Morristown model . JAMA . 1988;;26:1439-1444.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Eyman R, Grossman H, Chaney R, Call T.  Survival of profoundly disabled people with severe mental retardation . AJDC . 1993;;147:329-336.
2 +
Bui HD, Dang CV, Chaney RH, Vergara LM.  Does gastrostomy and fundoplication prevent aspiration pneumonia in mentally retarded persons? Am J Ment Retard . 1989;;94:16-19.
3 +
Raventos JM, Kralemann H, Gray DB.  Mortality risks of mentally retarded and mentally ill patients after a feeding gastrostomy . Am J Ment Defic . 1982;;86: 439-444.
4 +
Kastner T.  Association between gastrostomy and death: cause or effect? Am J Ment Retard . 1992;;97:351-353.
5 +
O'Brien KF, Tate K, Zaharia ES.  Mortality in a large southeastern facility for persons with mental retardation . Am J Ment Retard . 1991;;95:497-503.
6 +
Kastner T, Nathanson R, Friedman D.  Mortality in persons with mental retardation living in the community . Am J Ment Retard . 1993;;98:285-292.
7 +
Ziring P, Kastner T, Friedman D, Pond W, Barnett W, Sonnenberg E.  Provision of health care for persons with developmental disabilities living in the community: the Morristown model . JAMA . 1988;;26:1439-1444.

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