Home enteral nutrition (hen) in our country, during the year 2001

Identifier:  PC:1665

Handle: https://hdl.handle.net/20.500.11797/PC1665

Authors:  Jordi Salas; M. Planas; M. Castellà; P. P. García Luna; R. M. Parés; J. Chamorro; E. Camarero; A. J. Calañas; A. Bonada; J. A. Irles; G. Adrio; M. Jiménez; M. A. Bobis; A. Rodríguez; A. Pérez de la Cruz; P. Gómez Enterría; I. Zamarrón; A. Cos; A. Mancha; I. Martínez; E. Martí; D. de Luis; N. Virgili; J. M. Moreno; L. M. Luengo; C. de la Cuerda; M. T. Forga; M. A. Goenaga; J. A. Carrera

Abstract:
Goal: The NADYA-SENPE Working Group analysed the registered data of patients on Home Enteral Nutrition (HEN) in our country, during year 2001. Material and methods: The data were collected through a closed questionnaire included on our web site (www.nadya-senpe.com). Apart from epidemiological information, the form includes the indication to prescribe this treatment, the specific nutritional treatment used and its duration, access path, complications and readmission rate in hospital, follow-up of the treatment, patient's quality of life and progress. All data were precessed and analyzed by the coordinating team. Results: Twenty two hospitals participated and 3,458 patients, aged 5.6 ± 4.0 y for those younger than 14 y, and 67.1 ± 19.5 y for those older than 14 y, were enrolled. Of these patients, 43.4% were diagnosed with neurological diseases and 33.5% with cancer. The mean time on HEN was 6.5 ± 4.5 months. Oral nutrition was the preferential route (54.5%), followed by nasoenteral tube (32.3%), and in 13.3% ostomy tubes were placed. Polymeric was the formula composition mainly used (85.9%). Patients were followed (71.1%) by the hospital reference Nutritional Support Unit. The complications related to nutrition included mainly the gastrointestinal (0.16 complications/patient), and the mechanical one (0.15 complications/patient). At the end for the year, 48.3% of the patients were in the HEN program, and in 33.3% HEN was finish due to different reasons. In 22.9% of the patients no, o light, discapacity degree was found. Conclusions: Neurological diseases and cancer were the more frequent diagnoses in HEN patients. Oral access was the higher feeding route due, probably, to the high prevalence of cancer patients. In spite of the elevated prevalence of neurological diseases, a few number of patients, as previous years, were feed with ostomy tube. Due to the fwe complications observed, HEN is a safe treatment in our country.