Home Enteral Nutrition

Abstract

Indications for HEN are related to outcome-specifically, time to discontinuation of enteral nutrition and reason for discharge, including return to oral intake and death.

Home Enteral Nutrition: Towards a Standard of Care

“…In this study the majority of patients were fed by a percutaneous endoscopic gastrostomy (PEG) (58.2%) or a nasogastric tube (29.3%) and most infusions were cyclical (61.5%) rather than bolus (34.1%). In another retrospective cohort study of 727 adults admitted to a comprehensive, publicly funded HEN program where all patients had feeding via PEG tube, 46% of patients had cancer (largely head and neck and esophagus), 32% had neurologic disease (neurovascular or neurodegenerative) and 15% had gastrointestinal diseases [ 5 ].…”

“…A European multicenter survey from 2003 found the median incidence of HEN from a variety of centers to be 163 per million population per year with a range of 62–457 [ 4 ]. In a study of all patients in Northern Alberta, Canada on HEN, the incidence was 150/million population [ 5 ].…”

“…Both the underlying indication for HEN and the provision of HEN itself impact the outcome of patients on HEN. In a study that looked at outcome on HEN relative to indications it was noted that patients who start on HEN have high mortality rates with death accounting for over 50% of all discharges in patients with both cancer and neurological indications for HEN [ 5 ]. Patients with neurological disorders remained on HEN program significantly longer than patients with cancer as patients with cancer are more likely to transition to oral intake.…”

Caring for patients on home enteral nutrition: Reported complications by home carers and perspectives of community nurses

“…Home enteral nutrition (HEN) is one of the commonest home infusion therapy being used worldwide (Jukic, Gagliardi, Fagnani, Venturini, & Orlandoni, 2017). It allows patients to receive nutritional therapy at home, in a familiar environment and with their family (Cawsey, Soo, & Gramlich, 2010). The number of patients on HEN is on the increase due to advancement in technology, development of percutaneous endoscopic gastrostomy (PEG) techniques and shift in focus of providing care from acute to community care settings (De Luis et al, 2013;Ojo, 2012).…”

Cross‐sectional Evaluation of Home Enteral Nutrition Practice in the United States in the Context of the New Enteral Connectors

“…The combination of the high prevalence of malnutrition and increased awareness by clinicians as well as the clinical benefits and significant cost reduction associated with the use of nutrition support has led to an increased prevalence of home enteral nutrition (HEN) in the United States . Similar trends have also been reported from many developed countries with nationalized healthcare systems for both the pediatric and adult populations .…”