Patients Discharged with Home Enteral Nutrition from a Third-Level Hospital in 2018

Nutrients. 2019 Oct 24;11(11):2570. doi: 10.3390/nu11112570.

Abstract

Patients who, during admission, begin to use enteral nutrition (EN) and do not recover adequate oral intake need proper planning prior to discharge. The present study is a descriptive analysis of patients discharged with EN from our hospital in 2018. In all, the study included 141 patients (50.3% male) with an average age of 76.18 ± 14 years with the most frequent reasons for enteral support being neurological disease (71.3%) and ear, nose, and throat (ENT) and maxillofacial surgery (17.02%) (others accounted for 11.68%). In these two groups, differences were observed in both the average age (77 vs. 70.5 years) and sex of patients-mostly women (58%) in the first group and men (70%) in the second. Overall, the access routes used were nasogastric tube (76.4%), and percutaneous endoscopic gastrostomy (18.4%); 67.1% of the episodes ended by 30 June, 60.6% of patients died (47% of neurological patients), and 39.3% patients recovered function of the oral passage (85% of surgical/head and neck tumor). The duration of support was as follows: 1-3 months, 32%; 6-12 months, 26.9%; more than 12 months, 18.5%. This indicated some frequent and clearly differentiated profiles in the patients studied, which may contribute to better care and support in order to maintain long-term treatment.

Keywords: dysphagia; head and neck tumor; home enteral nutrition; nutritional support; stroke.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Enteral Nutrition*
  • Female
  • Gastrostomy
  • Home Care Services*
  • Humans
  • Long-Term Care
  • Male
  • Middle Aged
  • Patient Discharge*
  • Retrospective Studies
  • Tertiary Care Centers*