Enteral Nutrition by Nasogastric Tube in Adult Patients under Palliative Care: A Systematic Review
| Autor: | Eduardo Sánchez-Sánchez, Francisco Javier Ordonez, Antonio Diaz, Jara Díaz-Jimenez, María Araceli Ruano-Álvarez |
|---|---|
| Přispěvatelé: | [Sánchez-Sánchez,E] Internal Medicine Department, Punta de Europa Hospital, Algeciras, Cádiz, Spain. [Sánchez-Sánchez,E] Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Hospital Universitario Puerta del Mar, Universidad de Cádiz, Cádiz, Spain. [Ruano-Álvarez,MA] Punta de Europa Hospital, Algeciras, Cádiz, Spain. [Díaz-Jiménez,J] Faculty of Education Sciences, University of Cádiz, Puerto Real, Spain. [Díaz,AJ] Medicine Department, School of Nursing, University of Cadiz, Cadiz, Spain. [Ordonez,FJ] Human Anatomy, School of Medicine, University of Cádiz, Cadiz, Spain., Anatomía y Embriología Humana, Medicina |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
nasogastric feeding Male Palliative care Statistical difference Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Patient Care::Palliative Care [Medical Subject Headings] Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] 0302 clinical medicine Quality of life Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Patient Care::Hospitalization::Length of Stay [Medical Subject Headings] Medicine TX341-641 030212 general & internal medicine Intubation Gastrointestinal Nutrition and Dietetics palliative care Communication artificial nutrition Cuidados paliativos Treatment Outcome Anthropology Education Sociology and Social Phenomena::Social Sciences::Quality of Life [Medical Subject Headings] Inclusion and exclusion criteria Female nasogastric tube Adult medicine.medical_specialty Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Feeding Methods::Enteral Nutrition [Medical Subject Headings] MEDLINE Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Intubation::Intubation Gastrointestinal [Medical Subject Headings] 03 medical and health sciences Enteral Nutrition Persons::Persons::Adult [Medical Subject Headings] Health Care::Health Care Quality Access and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Outcome and Process Assessment (Health Care)::Outcome Assessment (Health Care)::Treatment Outcome [Medical Subject Headings] Humans Intensive care medicine 030109 nutrition & dietetics Adult patients Nutrition. Foods and food supply business.industry Revisión sistemática Emergency department Length of Stay Intubación gastrointestinal Parenteral nutrition Check Tags::Female [Medical Subject Headings] Nutrición enteral Systematic review Quality of Life business Food Science |
| Zdroj: | Nutrients Nutrients 2021, 13(5), 1562 Nutrients, Vol 13, Iss 1562, p 1562 (2021) RODIN. Repositorio de Objetos de Docencia e Investigación de la Universidad de Cádiz instname |
| Popis: | Nutritional management of patients under palliative care can lead to ethical issues, especially when Enteral Nutrition (EN) is prescribed by nasogastric tube (NGT). The aim of this review is to know the current status in the management of EN by NG tube in patients under palliative care, and its effect in their wellbeing and quality of life. The following databases were used: PubMed, Web of Science (WOS), Scopus, Scielo, Embase and Medline. After inclusion and exclusion criteria were applied, as well as different qualities screening, a total of three entries were used, published between 2015 and 2020. In total, 403 articles were identified initially, from which three were selected for this review. The use of NGT caused fewer diarrhea episodes and more restrictions than the group that did not use NG tubes. Furthermore, the use of tubes increased attendances to the emergency department, although there was no contrast between NGT and PEG devices. No statistical difference was found between use of tubes (NGT and PEG) or no use, with respect to the treatment of symptoms, level of comfort, and satisfaction at the end of life. Nevertheless, it improved hospital survival compared with other procedures, and differences were found in hospital stays in relation to the use of other probes or devices. Finally, there are not enough quality studies to provide evidence on improving the health status and quality of life of the use of EN through NGT in patients receiving palliative care. For this reason, decision making in this field must be carried out individually, weighing the benefits and damages that they can cause in the quality of life of the patients. |
| Databáze: | OpenAIRE |
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