Back to Search
Start Over
Home enteral nutrition in adults: a European multicentre survey
- Source :
- Clinical Nutrition. 22:261-266
- Publication Year :
- 2003
- Publisher :
- Elsevier BV, 2003.
-
Abstract
- Aims: This study was undertaken to report indications and practice of home enteral nutrition (HEN) in Europe. Methods: A questionnaire on HEN practice was sent to 23 centres from Belgium (B), Denmark (D), France (F), Germany (G), Italy (I), Poland (P), Spain (S) and the United Kingdom (UK). This involved adult patients newly registered in HEN programme from 1 January 1998 to 31 December 1998. Results: A total of 1397 patients (532 women, 865 men) were registered. The median incidence of HEN was 163 patients/million inhabitants/year (range: 62–457). Age distribution was 7.5%, 16–40 years; 37.1%, 41–65 years; 34.5%, 66–80 years and 20.9% >80 years. The chief underlying diseases were a neurological disorder (49.1%), or head and neck cancer (26.5%); the main reason for HEN was dysphagia (84.6%). A percutaneous endoscopic gastrostomy (58.2%) or a naso-gastric tube (29.3%) were used to infuse commercial standard or high energy diets (65.3%), or fibre diets (24.5%); infusion was cyclical (61.5%) or bolus (34.1%). Indications and feeds were quite similar throughout the different centres but some differences exist concerning the underlying disease. There was greater variation in the choice of tubes and mode of infusion. In F, G, I, S, and UK, costs of HEN are fully funded. In B, D, and P patients have to pay part or all of the charges. Conclusions: In Europe, HEN was utilised mainly in dysphagic patients with neurological disorders or cancer, using a standard feed via a PEG. However, there were important differences among the countries in the underlying diseases treated, the routes used, the mode of administration and the funding.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Neurological disorder
Critical Care and Intensive Care Medicine
Age Distribution
Enteral Nutrition
Bolus (medicine)
Surveys and Questionnaires
Percutaneous endoscopic gastrostomy
Prevalence
medicine
Humans
Intubation, Gastrointestinal
Aged
Retrospective Studies
Aged, 80 and over
Gastrostomy
Nutrition and Dietetics
business.industry
Retrospective cohort study
Middle Aged
medicine.disease
Home Care Services
Dysphagia
Europe
Malnutrition
Parenteral nutrition
Female
medicine.symptom
Deglutition Disorders
business
Subjects
Details
- ISSN :
- 02615614
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Clinical Nutrition
- Accession number :
- edsair.doi.dedup.....ecf26fa5db23c1d2d8f8f725d2a992a3