Dietitians’ Evaluation of Clearing Luminal Occlusions of Gunk (DECLOG): A Pilot Feasibility Study
| Autor: | Kathleen McLaughlin, Rocio Lopez, Berri Burns, Arlene A. Escuro, Gail A. M. Cresci |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Maintenance 030309 nutrition & dietetics Medicine (miscellaneous) Pilot Projects Care setting 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Standard care Occlusion medicine Humans In patient Nutritionists Intubation Gastrointestinal Aged Parenteral Nutrition Solutions 0303 health sciences Nutrition and Dietetics business.industry Incidence (epidemiology) Emergency department Middle Aged Home Care Services Patient Discharge Enzymes Surgery Parenteral nutrition Feasibility Studies Equipment Failure 030211 gastroenterology & hepatology business Complication |
| Zdroj: | Nutrition in Clinical Practice. 35:142-148 |
| ISSN: | 0884-5336 |
| DOI: | 10.1002/ncp.10318 |
| Popis: | BACKGROUND Tube clogging is the most frequent mechanical complication associated with enteral nutrition. The objective of this study was to assess the efficacy of a protocol incorporating prophylactic use of a declogging system with enhanced patient education and monitoring to proactively reduce the incidence of tube occlusions in the home care setting. METHODS A convenient sample of patients discharged from hospital to home enteral nutrition (HEN) was screened for eligibility and randomized to control group (standard care) or study group (standard care with prophylactic protocol and monitoring). Study patients received 4 enzyme declogging kits before discharge and were instructed to administer them every 7 days for 4 weeks. RESULTS Seventeen of 49 (35%) patients reported tube occlusions. The incidence of tube occlusion in the control group was not statistically different than in the study group (29% vs 39%, P = 0.44). There was no difference between the 2 groups for negative tube outcomes, such as tube occlusion (P = 0.44), emergency department visit (P = 0.24), tube replacement (P = 0.99), or hospital readmission (P = 0.33). Continuous feeding method (P = 0.037), small-bowel feeding tubes (P = 0.016), and tube diameter |
| Databáze: | OpenAIRE |
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