Home enteral nutrition in adults: A five-year (2001–2005) epidemiological analysis

Paccagnella, Agostino; Baruffi, Carla; Pizzolato, D.; Favaro, Vittorino; Marcon, Maria Lisa; Morello, Michela; Semenzin, Mariateresa; Rebuffi, Stefania; Fossa, Elena; Faronato, Pierpaolo; Spinella, Nello; Tessarin, Michele; Foscolo, G

doi:10.1016/j.clnu.2008.03.005

Cited by 45 publications

(63 citation statements)

References 19 publications

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“…This result correlates with the results of a multicenter European study on HAN [11,13]. However, other authors have stated that the main underlying diseases were afflictions of the nervous system [4,5,6,14]. Neoplasms often make nutrition by the normal route impossible [15].…”

Section: Discussionsupporting

confidence: 79%

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Shaw

Rühlin

Wagener³

et al. 2013

Ann Nutr Metab

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Background and Aims: Home artificial nutrition (HAN), including oral nutritional supplements (ONS) and enteral (HEN) and parenteral (HPN) nutrition, is an established, important treatment for malnourished patients. The aim of this study was to analyze the epidemiological data of patients on HAN in Switzerland. Methods: This retrospective study recorded all new cases of HAN in Switzerland from January 2005 to December 2009. Results: A total of 12,917 cases were recorded: 6,731 (52%) males and 6,186 (48%) females, with a mean age of 65.0 ± 17.6 years. The number of patients on ONS was 7,827 (57.4%), on HEN 3,966 (39.4%) and on HPN 433 (3.2%). The most common underlying disease category was neoplasms (6,519, 50.7%). The number of patients on ONS increased from 57.0% (n = 1,252) to 60.8% (n = 2,039), and on HPN from 2.1% (n = 45) to 4.0% (n = 134) between 2005 and 2009. Conclusions: This first analysis of the large-scale Swiss registry of HAN shows that approximately half of the patients received ONS, whereas HPN was rarely delivered. The frequency of ONS and HPN increased from the year 2005 to 2009. In accordance with previous European studies, malignant tumors were by far the most frequent indication for HAN.

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Section: Discussionsupporting

confidence: 79%

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Shaw

Rühlin

Wagener³

et al. 2013

Ann Nutr Metab

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“…HEN is a mandatory procedure in all children with inadequate oral intake that allows to meet their feeding requirements, 1,2 whereas in adults, HEN is often used as a way to improve the quality of life of patients with short life expectancy. 14,15 As a consequence, in the paediatric age we observed many long-lasting HEN programs, with several patients affected by neurological disorders becoming permanently dependent on HEN. In our 2009 survey, the prevalence and incidence of HEN were 3.47 and 2.45, respectively.…”

Section: Discussionmentioning

confidence: 98%

“…5,6 Surprisingly, the naso-gastric tube also seems to be the preferred access in the adult population at the start of HEN programs. 14,17 Gastrostomy represents only 25% of non-oral access in Spanish 16 surveys and 42.5% in Italian ones. 14 It is only in a North American study that PEG was the only enteral access route used in all 727 patients followed on HEN.…”

Section: Discussionmentioning

confidence: 99%

Home enteral nutrition in children: a 14-year multicenter survey

et al. 2012

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“…Epidemiological data show that the incidence of home enteral nutrition (HEN) in Spain is 40 patients per million inhabitants/year (8) . Prevalence data of HEN in the United States, show values of 460 patients per million inhabitants and in Great Britain of 280 cases per million inhabitants (9)(10) . Home enteral nutrition is a safe and economical treatment, because it eliminates the cost of hospitalization, prevents hospital contamination and enables the users/patients to remain with their families.…”

Section: Introductionmentioning

confidence: 99%

Incidence of gastric extubation of users in a home care program of a university hospital

Naves

Tronchin

2012

Rev. Latino-Am. Enfermagem

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This quantitative, prospective study, aimed to characterize the profile of users and caregivers and to measure the incidence of gastric extubation, identifying the type and the reasons for the extubation of these users in a Home Care Program of a university hospital. The population consisted of 37 subjects and the data were collected from April to August 2010. For the analysis, descriptive statistics, test of significance of 5% and calculation of indicators were adopted. It was found that 51.4% of the users were female, 67.5% in the age group ≥60 years and 67.6% presented neurological diseases. Regarding the caregivers 89.2% were female and their mean age was 50.6 years. The incidence of extubation, considering 100 days of intubation, corresponded to 1.08, with 0.26 planned and 0.82 unplanned (p=0.009). These results allowed the rates to be calculated of the extubation of patients with gastric intubation for nutritional support in domicile care, providing support in establishing care and management goals for the continuous improvement of quality. La incidencia de la extubación gástrica de los usuarios en el programa de atención domiciliaria en un hospital universitarioEstudio cuantitativo, prospectivo cuyo objetivo de caracterizar el perfil de los usuarios y cuidadores y para medir la incidencia de extubación gástrica, la identificación del tipo y las causas de la extubación de estos usuarios en un Programa de Atención Domiciliaria en un hospital universitario. La muestra constó de 37 sujetos y los datos fueron colectados entre abril y agosto de 2010, según formularios. Para análisis, se adoptó estadística descriptiva, prueba de significancia 5% y cálculo de indicadores. Se observó que 51,4% de los usuarios eran mujeres, 67,5% edad ≥60 años y 67,6% tenían enfermedades neurológicas. Los cuidadores 89,2% eran mujeres, edad media de 50,6 años. Incidencia de extubación, considerando 100 días de intubación, correspondió a 1.08, 0.26 con planificadas y 0.82 no planificadas (p=0,009).Estos resultados permitieron calcular las tasas de extubaciones de los pacientes con intubación gástrica para el aporte nutricional en la atención domiciliaria, forneciendo subsidios para el establecimiento de las metas asistenciales y de gestión para la mejora continua de la calidad.Descriptores:

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Home enteral nutrition in adults: A five-year (2001–2005) epidemiological analysis

Cited by 45 publications

References 19 publications

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Home Artificial Nutrition in Switzerland: An Epidemiological Survey from 2005 to 2009

Home enteral nutrition in children: a 14-year multicenter survey

Incidence of gastric extubation of users in a home care program of a university hospital

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