Home enteral tube feeding following cerebrovascular accident

Citation
M. Elia et al., Home enteral tube feeding following cerebrovascular accident, CLIN NUTR, 20(1), 2001, pp. 27-30
Citations number
16
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Endocrynology, Metabolism & Nutrition
Journal title
CLINICAL NUTRITION
ISSN journal
0261-5614 → ACNP
Volume
20
Issue
1
Year of publication
2001
Pages
27 - 30
Database
ISI
SICI code
0261-5614(200102)20:1<27:HETFFC>2.0.ZU;2-H
Abstract
Background and aims: In the UK, cerebrovascular accident (CVA) is the third commonest cause of death and the commonest diagnosis in patients receiving home enteral feeding (HETF). This study aimed to use data from the British Artificial Nutrition Survey (BANS) collected between 1996 and 1999 to asse ss the outcome of patients on HETF, including mortality, return to oral fee ding, level of physical activity, and level of dependency, which has resour ce implications. Results: it is estimated that about 1.7% of all patients suffering a CVA in the UK between 1996 and 1999 received HETF. At one year, 29.6% died while receiving HETF and another 13% returned to oral feeding. Mortality increase d with age and was twice as high in those managed in nursing homes compared to those in their own homes. The patients receiving tube feeding spent onl y 0.6% of their time in hospital. A total of 43.9% of patients were bed-bou nd at home (1.9% unconscious) and an additional 30.3% were house-bound. Onl y 21.2% were independent, and the majority were totally dependent on their carers. In CVA patients on HETF the level of dependency was greater than fo r those with all types of diagnoses (n=12,997). Conclusion:This study has described the outcome of a large number of patien ts receiving HETF in the UK. Since patients spent less than 1% of their tim e in hospital, HETF relieves pressure on the expensive hospital environment , but places more demands on the carers, who have to deal with severely dis abled patients. Recovery of swallowing function should be assessed intermit tently to prevent unnecessary HETF. (C) 2001 Harcourt Publishers Ltd.