Home Enteral Nutrition in Adults—Nationwide Multicenter Survey

Autor: Bogna Kwella, Marcin Folwarski, Agata Zoubek-Wojcik, Lidia Bartoszewska, Stanislaw Klek, Anna Jurczuk, Joanna Sonsala-Wołczyk, Zbigniew Kamocki, Jacek Szopiński, Waldemar Szafrański, Marlena Jakubczyk, Przemysław Matras, Krzysztof Figula, Tomasz Kowalczyk, Anna Zmarzly, Krystyna Urbanowicz, Karolina Skonieczna-Żydecka, Karolina Kaźmierczak-Siedlecka
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Male
Pediatrics
Time Factors
medicine.medical_treatment
Primary disease
Enteral administration
Cohort Studies
0302 clinical medicine
Multicenter Studies as Topic
Nutritional Physiological Phenomena
Intubation
Gastrointestinal
Aged
80 and over
Gastrostomy
education.field_of_study
Nutrition and Dietetics
Middle Aged
Nutrition Surveys
artificial nutrition
Home Care Services
Head and Neck Neoplasms
home enteral nutrition
Female
lcsh:Nutrition. Foods and food supply
Adult
medicine.medical_specialty
Population
lcsh:TX341-641
030209 endocrinology & metabolism
Common method
Article
03 medical and health sciences
Enteral Nutrition
medicine
Humans
education
tube feeding
Aged
Food
Formulated
030109 nutrition & dietetics
business.industry
Cancer
medicine.disease
Parenteral nutrition
Jejunostomy
Multicenter survey
Poland
Nervous System Diseases
business
Energy Intake
home care
Food Science
Zdroj: Nutrients
Volume 12
Issue 7
Nutrients, Vol 12, Iss 2087, p 2087 (2020)
ISSN: 2072-6643
DOI: 10.3390/nu12072087
Popis: Home enteral nutrition (HEN) is an important part of the health care system, with a growing population of patients around the world. The aim of our study was to analyze one of the largest cohorts of HEN patients to provide the most recent data available in European literature. A multicenter, nation-wide survey in the period of 1 January 2018&ndash
1 January 2019 was performed in Poland. Data concerning adult patients on HEN in 2018 during 1 year of observation time were analyzed: demographic characteristics, primary disease, technique of enteral feeding, diet formulation and amount of energy provided. A total of 4586 HEN patients (F: 46.7%, M: 53.3%) were included in the study. The primary diseases were: 54.5% neurological (17.4%&mdash
neurovascular, 13.7%&mdash
neurodegenerative), 33.9% cancer (20.2%&mdash
head and neck, 11.7%&mdash
gastrointestinal cancer), 2.5%-gastroenterology, 1.5%&mdash
inherited diseases. Of new registrations in 2018&mdash
cancer patients 46.3%, neurological patients 45.1%. The median age overall was: 64 yr., BMI-20.2 kg/m2, NRS 2002 score&mdash
4.28. A total of 65% of patients were treated with PEG, 11.6% with surgical gastrostomy, 14.3% with naso-gastric tube and 7% with jejunostomy. Boluses were the most common method of feeding (74.4%). Gravity flow was used in 17.6% and peristaltic pump was used in 8% patients. The median energy provision was 1278 kcal/day and 24 kcal/kg/day. The most commonly used diets were: isocaloric (28.1%), protein-enriched isocaloric (20%) and protein-enriched hypercaloric (12%). The median overall duration of HEN was 354 days, 615 days for neurological and 209 days for cancer patients. A number of new registrations of cancer patients was significant and long duration of HEN in this group is encouraging. A developing spectrum of enteral formulas available enables more specified nutritional interventions.
Databáze: OpenAIRE
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