HEN was prescribed for the following pathologies: 26.7 % neurovascular, 40.9 % neurodegenerative, 11.5 % head-neck cancer, 9.8 % abdominal cancer, 1.5 % head injury, 2.6 % congenital anomaly, 7.0 % other pathologies. Before commencement of enteral feeding an average of 22.9 % weight loss from past weight was observed across all indications for HEN. Mean incidence (cases/106 inhabitants/year) and prevalence (cases/106 inhabitants) were respectively 308.7 (range 80.7–355.6) and 379.8 (range 138.7–534.6). The median length of HEN was 196 days; only 7.9 % of patients resumed oral nutrition. The median survival rate was 9.1 months and resulted influenced by age (Odds ratio: 1.80; 95 % Confidence Interval: 1.19–2.72), sex (0.22; 0.08–0.59), and Karnofsky index (0.65; 0.43–0.97). Resumption of oral nutrition was influenced by age (0.50; 0.36–0.68), sex (2.50; 1.23–5.06), Karnofsky index (1.55; 1.15–2.10) and type of enteral access device (0.44; 0.26–0.76).
Efficient organisation means being able to look after a greater number of patients undergoing HEN, raising awareness regarding the nutritional treatment.
12 Home enteral and parenteral nutrition in children Bailliere's Clinical Gastroenterology |
Bailliére’s Clinical Gastroenterology, Volume 12, Issue 4, December 1998, Pages 877-894 Virginie Colomb, Olivier Goulet, Claude Ricour Abstract The prevalence of home enteral and parenteral nutrition programmes is rising rapidly all over the world, in children as in adults. Home artificial nutrition, especially parenteral nutrition, is an expensive technology but is life-saving for many patients. The only possible alternative to home treatment is keeping patients in hospital, and cost-benefit studies have demonstrated that home nutrition is about 70 % more cost-effective than hospital-based therapy. Although home nutrition is usually considered by children and families to lead to an improvement in their quality of life, the complications of these techniques, including psychological consequences, have to be carefully assessed and prevented. |
View More Related Articles |
Patient satisfaction and quality of life of home enteral nutrition clients