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西班牙的家庭肠内营养;NADYA注册研究(2011 - 2012年)

Home enteral nutrition in Spain; NADYA registry 2011-2012.

作者信息

Wanden-Berghe Carmina, Matía Martín P, Luengo Pérez L M, Cuerda Compes C, Burgos Peláez R, Alvarez Hernández J, Calleja Fernández A, Pérez de la Cruz A, Gómez Candela C, Leyes García P, Laborda González L, Martínez Olmos M A, Campos Martín C, Suárez Llanos J P, Penacho Lázaro M A, Gonzalo Marín M, Salas Salvadó J, Irles Rocamora J A, Cánovas Gaillemin B, Carrero Caballero M C, Moreno Villares J M, Garde Orbaiz C, Miserachs Aranda N, Del Olmo García M D, Apezetxea Celaya A, Mauri S

机构信息

Hospital Clínico San Carlos. Madrid..

Hospital General Universitario de Alicante. Universidad CEU Cardenal Herrera. Elche. Alicante..

出版信息

Nutr Hosp. 2014 Jun 1;29(6):1339-44. doi: 10.3305/nh.2014.29.6.7360.

Abstract

OBJECTIVE

To describe the results of the home enteral nutrition (HEN) registry of the NADYA-SENPE group in 2011 and 2012.

MATERIAL AND METHODS

We retrieved the data of the patients recorded from January 1st 2011 to December 31st 2012.

RESULTS

There were 3021 patients in the registry during the period from 29 hospitals, which gives 65.39 per million inhabitants. 97.95% were adults, 51.4% male. Mean age was 67.64 ± 19.1, median age was 72 years for adults and 7 months for children. Median duration with HEN was 351 days and for 97.5% was their first event with HEN. Most patients had HEN because of neurological disease (57.8%). Access route was nasogastric tube for 43.5% and gastrostomy for 33.5%. Most patients had limited activity level and, concerning autonomy, 54.8% needed total help. Nutritional formula was supplied from chemist's office to 73.8% of patients and disposables, when necessary, was supplied from hospitals to 53.8% of patients. HEN was finished for 1,031 patients (34.1%) during the period of study, 56.6% due to decease and 22.2% due to recovery of oral intake.

CONCLUSIONS

Data from NADYA-SENPE registry must be explained cautiously because it is a non-compulsory registry. In spite of the change in the methodology of the registry in 2010, tendencies regarding HEN have been maintained, other than oral route.

摘要

目的

描述2011年和2012年NADYA-SENPE组家庭肠内营养(HEN)登记处的结果。

材料与方法

我们检索了2011年1月1日至2012年12月31日记录的患者数据。

结果

在该期间,来自29家医院的登记处中有3021名患者,即每百万居民中有65.39人。97.95%为成年人,51.4%为男性。成年人的平均年龄为67.64±19.1岁,中位数年龄为72岁,儿童为7个月。HEN的中位持续时间为351天,97.5%的患者是首次接受HEN。大多数患者接受HEN是因为神经系统疾病(57.8%)。置管途径为鼻胃管的占43.5%,胃造口术的占33.5%。大多数患者活动水平有限,在自主性方面,54.8%的患者需要完全帮助。73.8%的患者营养配方由药店提供,必要时,53.8%的患者一次性用品由医院提供。在研究期间,1031名患者(34.1%)完成了HEN,56.6%是因为死亡,22.2%是因为恢复经口进食。

结论

NADYA-SENPE登记处的数据必须谨慎解读,因为它是一个非强制性登记处。尽管2010年登记方法有所改变,但除经口途径外,HEN的趋势得以保持。

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