Home enteral nutrition in patients with neurological disease in a health area of the southeast of Spain
| Autor: | María Victoria García Zafra, Víctor José Rausell Rausell, Marta Arraez Monllor, Ana Aranda García, Mercedes Ferrer Gómez, Ana Belén Hernández Cascales, Juan Francisco Sánchez Romera |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Nutrition and Dietetics business.industry Malnutrition Medicine (miscellaneous) Artificial nutrition Home Care Services Cross-Sectional Studies Enteral Nutrition Spain Humans Medicine Female In patient Prospective Studies Nervous System Diseases Nutricion enteral business Humanities Aged Retrospective Studies |
| Zdroj: | Nutrición Hospitalaria. |
| ISSN: | 1699-5198 0212-1611 |
| DOI: | 10.20960/nh.02575 |
| Popis: | espanolIntroduccion: la desnutricion en el paciente neurologico presenta una alta prevalencia, aumentando las complicaciones y disminuyendo la calidad de vida. La nutricion artificial minimiza el riesgo de malnutricion. En los ultimos anos, en Murcia, se pone en marcha una via clinica de adecuacion a la Guia Nacional de Nutricion Enteral Domiciliaria (NED) para optimizar este recurso y reducir la variabilidad de prescripcion. Objetivo: analizar las caracteristicas de la NED en el paciente neurologico, de un area de salud de Murcia, antes y despues de la adecuacion a las directrices nacionales. Metodo: diseno observacional de corte transversal. Analisis y comparacion de las muestras NED de adultos del Area 1 de salud de Murcia, en 2010 y 2014. Resultados: la patologia mas asociada a las prescripciones de NED fue la neurologica. La via de administracion mas utilizada fue la oral, aunque desciende en la muestra de 2014 a favor de la sonda de nutricion y ostomia. El tipo de formula mas usado en 2010 fue la no especifica. Tras la via clinica se reduce el uso de formulas especificas, disminuyendo especialmente las formulas hiperproteicas y/o hipercaloricas. Conclusiones: la implementacion de una via clinica de adecuacion a la Guia Nacional NED ha provocado un cambio en la realidad de este tipo de nutricion artificial en el Area 1 de salud del Servicio Murciano de Salud, consiguiendo normalizar su uso bajo criterios unificados y profesionales especializados. Finalmente, estos logros se han generalizado a toda la region. EnglishIntroduction: malnutrition in patients with neurological disease is very prevalent, worsening their complications and diminishing their quality of life. For that reason, nutritional support can provide a reduction in comorbidities. Over the past years, in Murcia (southeast of Spain), a clinical pathway has been stablished in accordance to the National Home Enteral Nutrition guide (HEN) to optimize this resource and reduce the prescription gap. Objective: to analyze the HEN characteristics in neurological patients in an area of Murcia, before and after the adequacy of the national recommendations. Method: observational cross-sectional study. Analysis and comparison of HEN in health area no. 1 in Murcia in 2010 and 2014. Results: the most prevalent cause for HEN was neurological disease. In 2010, oral nutrition was the most used way compared with 2014, when it had changed to enteral nutrition through feeding tube or ostomy. Non-specific formula was the most frequently used in 2010. However, after the establishment of the clinical pathway there was a reduction in specific enteral formula use, specially hypercaloric and hyperproteic. Conclusions: the implementation of a clinical pathway according to the National HEN guide has caused a change in the reality of artificial nutrition in health area no. 1 in Murcia (Spain), which means a standardization of its use under unified criteria made by specialized professionals. Finally, due to these results, this clinical pathway has been generalized to the rest of the region. |
| Databáze: | OpenAIRE |
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