| Autor: |
Wanden-Berghe Lozano C; Hospital General Universitario De Alicante, Alicante. Fundación Para el Fomento de la Investigación Sanitari ay Biomédica (isabial-fisabio). Alicante., Campos C; Hospital Universitario Virgen Macarena., Burgos Peláez R; Hospital Universitario Vall d'Hebron., Álvarez J; Hospital Universitario Principe De Asturias Universidad De Alcala., Frias Soriano L; 5Hospital General Universitario Gregorio Marañó., Matia Martín MP; Hospital Clínico San Carlos. Madrid., Lobo-Támer G; Hospital Universitario Virgen de las Nieves., de Luis Román DA; Hospital Universitario de Valladolid., Gonzalo Marín M; Hospital Universitario Carlos Haya., Gómez Candela C; Hospital Universitario La Paz., Martínez Olmos MA; C. H. U. De Santiago (santiago De Compostela)., Pintor Calleja B; Complejo Asistencial Universitario de León., Luengo Pérez LM; H. U. Infanta Cristina (badajoz)., Santacruz N; Hospital General Universitario de Alicante. ISABIAL (FISABIO)., Irles Rocamora JA; Hospital Universitario Ntra.Sra. de Valme., Higuera Pulgar I; Unidad De Nutrición Clínica Y Dietética. Instituto De Investigación Sanitaria Gregorio Marañón., Padín S; Hospital Universitario Virgen de las Nieves., Leyes García P; Hospital Clínic., Sánchez R; Hospital Universitario Cruces., Cardona D; Hospital Santa Creu i Sant Pau., Martín MªÁ; Hospital San Pedro. Logroño., Ballesta C; Hospital Universitari Sant Joant d'Alacant., Suárez JP; Hospital Universitario Ntra. Sra. de Candelaria., Tejera C; Complejo Hospitalario Universitario de Ferrol., Bonada A; Hospital Universitario Sant Joan de Reus. Reus., Gardez C; Hospital Universitario Donostia., Penacho MÁ; Hospital del Bierzo. Ponferrada., Martínez MJ; Complejo Hospitalario de Jaén., Virgili Casas MN; Hospital Universitario de Bellvitge., Martín T; Complejo Hospitalario Universitario de Canarias., Cánovas B; Hospital Virgen de la Salud., Díaz MI; Hospital Universitario 12 de Octubre., Del Olmo D; Hospital Universitario Severo Ochoa., Carabaña Pérez F; Hospital Universitario Ramón y Cajal., Parés Marimón RMª; Fundació Sanitària d'Igualada., Mauri Roca S; Hospital Dr. Josep Trueta., Romero V; Hospital San Pedro de Alcántara., García I; Hospital Universitario Gran Canaria Dr. Negrín., Sánchez-Vilar Burdiel O; Hospital Universitario Fundación Jiménez Díaz., García Y; Hospital Universitario Insular de Gran Canaria (HUIGC)., Miserachs N; Fundació Hospital de l'Esperit Sant. Santa Coloma de Gramanet., Tenorio Jiménez C; Hospital Universitario Virgen De Las Nieves., Apezetxea Celaya A; Hospital Universitario de Basurto. Bilbao., Pereira MA; Hospital Clínico Universitario de Santiago de Compostela., Sánchez EA; Consorci Corporació Sanitària Parc Taulí de Sabadell. Sabadell., Ponce González MÁ; Hospital Universitario Gran Canaria Dr. Negrín. |
| Abstrakt: |
Introduction: Objective: to present the results of the Spanish home enteral nutrition (HEN) registry of the NADYA-SENPE group for the year 2016 and 2017. Material and methods: from January 1st 2016 to December 31st 2017, the HEN registry was recorded and afterwards a further descriptive and analytical analysis was done. Results: in 2016, 4,578 active patients were recorded and prevalence was 98.33 patients per one million inhabitants; in 2017, 4,777 patients were recorded, with a prevalence of 102.57 per one million inhabitants; 50.8% were males in 2016 and 50.5% in 2017. During the period 2016-17, median age was 71.5 years (IIQ 57-83), 1,558 HEN episodes were finished and the main cause was death (793 patients, 50.89%). Adult males were younger than females (65.3 vs. 73.3 years, p-value < 0.001). The most frequent diagnosis was the neurological disorder that presents with aphagia or severe dysphagia (59%). Nasogastric tube was the most frequent administration route (48.3%) and it is the most widely used in elderly patients (p < 0.001). One hundred and twenty-six pediatric patients were registered (57.1% females). Median age at the beginning of HEN in children was four months. "Other disorders" was the most recorded diagnostic group (41.3%), followed by the group of neurological disorder that presents with aphagia or severe dysphagia. Regarding children, 57.6% were fed through gastrostomy and the younger ones were fed through nasogastric tube (p-value 0.001). Conclusions: the number of patients in the registry, as well as the number of participating centers, is progressively increasing. The main characteristics of the patients have not changed. Despite the increase in diagnostic possibilities in the pediatric population, the classification within the group of "Other pathologies" is quite significant. |
