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[2007年西班牙家庭肠内营养国家登记处]

[National registry of home enteral nutrition in Spain 2007].

作者信息

Luengo Pérez L M, Chicharro M L, Cuerda C, García Luna P P, Rabassa Soler A, Romero A, Irles J A, Penacho M A, Camarero E, Martínez Olmos M A, Calañas A, Parés R M, Lecha M, Gómez Candela C, Zapata A, Pérez de la Cruz A, Luis D de, Wanden-Berghe C, Cantón A, Laborda L, Matía P, Martí E

机构信息

Unidad de Nutrición Clínica y Dietética, Hospital Universitario Infanta Cristina, Badajoz, España.

出版信息

Nutr Hosp. 2009 Nov-Dec;24(6):655-60.

Abstract

OBJECTIVE

To communicate the results from the registry of Home-Based Enteral Nutrition of the NADYASENPE group in 2007.

MATERIAL AND METHODS

We included every patient in the registry with home enteral nutrition any time from January 1st to December 31st of 2007.

RESULTS

The number of patients with home enteral nutrition in 2007 was 5,107 (52% male) from 28 different hospitals. 95.4% of them were 15 yr or older, with a mean age of 67.96 +/- 18.12, and 4.2 +/- 3.38 among patients aged 14 yr or less. The most common underlying diseases were neurological (37.8%) and neoplastic diseases (29.3%). Enteral nutrition was administered p.o. in most patients (63.5%), followed by nasogastric tube (25.9%), while gastrostomy was only used in 9.2%. The mean time in enteral nutrition support was 9.4 months and the most common reasons for withdrawal were death (58.7%) and switching to oral intake (32%). Activity was limited in 31.4% of patients and 36.01% were house-bound. Most patients needed partial (26.51%) or total (37.68%) care assistance. Enteral formula was provided by hospitals to 69.14% of patients and by pharmacies to 30.17% of them, while disposable material was provided by hospitals to 81.63% and by Primary Care to the remaining patients.

CONCLUSIONS

In 2007, there has been an increase of more than 30% of patients registered with home enteral nutrition comparing with 2006, without any big difference in other data, but a higher proportion of patients with enteral nutrition p.o.

摘要

目的

汇报2007年NADYASENPE组家庭肠内营养登记结果。

材料与方法

纳入2007年1月1日至12月31日期间登记的所有接受家庭肠内营养的患者。

结果

2007年来自28家不同医院的接受家庭肠内营养的患者有5107例(52%为男性)。其中95.4%的患者年龄在15岁及以上,平均年龄为67.96±18.12岁,14岁及以下患者的平均年龄为4.2±3.38岁。最常见的基础疾病是神经系统疾病(37.8%)和肿瘤性疾病(29.3%)。大多数患者(63.5%)通过口服给予肠内营养,其次是鼻胃管(25.9%),而胃造口术仅用于9.2%的患者。肠内营养支持的平均时间为9.4个月,撤管的最常见原因是死亡(58.7%)和改为经口摄入(32%)。31.4%的患者活动受限,36.01%的患者居家不出。大多数患者需要部分(26.51%)或全部(37.68%)护理协助。69.14%的患者的肠内营养制剂由医院提供,30.17%由药房提供,而81.63%的患者的一次性材料由医院提供,其余患者由初级保健机构提供。

结论

与2006年相比,2007年登记的接受家庭肠内营养的患者增加了30%以上,其他数据无显著差异,但经口给予肠内营养的患者比例更高。

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