Home Enteral Nutrition in Adults—Nationwide Multicenter Survey

Folwarski, Marcin; Kłęk, Stanisław; Zoubek-Wójcik, Agata; Szafrański, Waldemar; Bartoszewska, Lidia; Figuła, Krzysztof; Jakubczyk, Marlena; Jurczuk, Anna; Kamocki, Zbigniew; Kaźmierczak-Siedlecka, Karolina; Kowalczyk, Tomasz; Kwella, Bogna; Matras, Przemysław; Skonieczna-Żydecka, Karolina; Sonsala-Wołczyk, Joanna; Szopiński, Jacek; Urbanowicz, Krystyna; Zmarzły, Anna

doi:10.3390/nu12072087

Open AccessArticle

Home Enteral Nutrition in Adults—Nationwide Multicenter Survey

by

Marcin Folwarski

^1,*

,

Stanisław Kłęk

²,

Agata Zoubek-Wójcik

³,

Waldemar Szafrański

⁴,

Lidia Bartoszewska

⁵,

Krzysztof Figuła

⁶,

Marlena Jakubczyk

⁷,

Anna Jurczuk

⁸

,

Zbigniew Kamocki

⁹,

Karolina Kaźmierczak-Siedlecka

¹⁰,

Tomasz Kowalczyk

⁶,

Bogna Kwella

¹¹,

Przemysław Matras

⁵

,

Karolina Skonieczna-Żydecka

¹²

,

Joanna Sonsala-Wołczyk

¹³,

Jacek Szopiński

¹⁴,

Krystyna Urbanowicz

¹¹ and

Anna Zmarzły

¹³

¹

Department of Clinical Nutrition and Dietetics, Medical University of Gdansk, 80-210 Gdansk, Poland

²

General Surgery Unit with Intestinal Failure Center, Stanley Dudrick’s Memorial Hospital, 32-050 Skawina, Poland

³

Nutrimed Home Nutrition Center, 35-201 Rzeszow, Poland

⁴

Home Enteral and Parenteral Nutrition Unit, General Surgery Department, Nicolaus Copernicus Hospital, 80-803 Gdansk, Poland

⁵

First Department General and Transplant Surgery and Clinical Nutrition Medical University of Lublin, Home Enteral and Parental Nutrition Unit SPSK4, 20-954 Lublin, Poland

⁶

Nutricare Clinical Nutrition Center, 31-559 Krakow, Poland

⁷

Department of Anaesthesiology and Intensive Care Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 85-067 Torun, Poland

⁸

Outpatient Clinic of Nutritional Therapy Clinical Hospital, 15-001 Bialystok, Poland

⁹

2nd Department of General and Gastroenterological Surgery Medical University, 15-276 Bialystok, Poland

¹⁰

Department of Surgical Oncology, Medical University of Gdansk, 80-210 Gdansk, Poland

¹¹

Department of Clinical Nutrition, Provincial Specialist Hospital, 10-561 Olsztyn, Poland

¹²

Department of Human Nutrition and Metabolomics, Pomeranian Medical University, 70-204 Szczecin, Poland

¹³

Clinical Nutrition Unit, Gromkowski Citi Hospital, 51-149 Wroclaw, Poland

¹⁴

Department of General Hepatobiliary and Transplant Surgery, Collegium Medicum, Nicolaus Copernicus University in Torun, 85-094 Bydgoszcz, Poland

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Nutrients 2020, 12(7), 2087; https://doi.org/10.3390/nu12072087

Submission received: 10 June 2020 / Revised: 8 July 2020 / Accepted: 9 July 2020 / Published: 14 July 2020

(This article belongs to the Special Issue Advances in Enteral Nutrition)

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Abstract

Home enteral nutrition (HEN) is an important part of the health care system, with a growing population of patients around the world. The aim of our study was to analyze one of the largest cohorts of HEN patients to provide the most recent data available in European literature. A multicenter, nation-wide survey in the period of 1 January 2018–1 January 2019 was performed in Poland. Data concerning adult patients on HEN in 2018 during 1 year of observation time were analyzed: demographic characteristics, primary disease, technique of enteral feeding, diet formulation and amount of energy provided. A total of 4586 HEN patients (F: 46.7%, M: 53.3%) were included in the study. The primary diseases were: 54.5% neurological (17.4%—neurovascular, 13.7%—neurodegenerative), 33.9% cancer (20.2%—head and neck, 11.7%—gastrointestinal cancer), 2.5%—gastroenterology, 1.5%—inherited diseases. Of new registrations in 2018—cancer patients 46.3%, neurological patients 45.1%. The median age overall was: 64 yr., BMI-20.2 kg/m², NRS 2002 score—4.28. A total of 65% of patients were treated with PEG, 11.6% with surgical gastrostomy, 14.3% with naso-gastric tube and 7% with jejunostomy. Boluses were the most common method of feeding (74.4%). Gravity flow was used in 17.6% and peristaltic pump was used in 8% patients. The median energy provision was 1278 kcal/day and 24 kcal/kg/day. The most commonly used diets were: isocaloric (28.1%), protein-enriched isocaloric (20%) and protein-enriched hypercaloric (12%). The median overall duration of HEN was 354 days, 615 days for neurological and 209 days for cancer patients. A number of new registrations of cancer patients was significant and long duration of HEN in this group is encouraging. A developing spectrum of enteral formulas available enables more specified nutritional interventions.

Keywords: home enteral nutrition; tube feeding; artificial nutrition; home care

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MDPI and ACS Style

Folwarski, M.; Kłęk, S.; Zoubek-Wójcik, A.; Szafrański, W.; Bartoszewska, L.; Figuła, K.; Jakubczyk, M.; Jurczuk, A.; Kamocki, Z.; Kaźmierczak-Siedlecka, K.; et al. Home Enteral Nutrition in Adults—Nationwide Multicenter Survey. Nutrients 2020, 12, 2087. https://doi.org/10.3390/nu12072087

AMA Style

Folwarski M, Kłęk S, Zoubek-Wójcik A, Szafrański W, Bartoszewska L, Figuła K, Jakubczyk M, Jurczuk A, Kamocki Z, Kaźmierczak-Siedlecka K, et al. Home Enteral Nutrition in Adults—Nationwide Multicenter Survey. Nutrients. 2020; 12(7):2087. https://doi.org/10.3390/nu12072087

Chicago/Turabian Style

Folwarski, Marcin, Stanisław Kłęk, Agata Zoubek-Wójcik, Waldemar Szafrański, Lidia Bartoszewska, Krzysztof Figuła, Marlena Jakubczyk, Anna Jurczuk, Zbigniew Kamocki, Karolina Kaźmierczak-Siedlecka, and et al. 2020. "Home Enteral Nutrition in Adults—Nationwide Multicenter Survey" Nutrients 12, no. 7: 2087. https://doi.org/10.3390/nu12072087

APA Style

Folwarski, M., Kłęk, S., Zoubek-Wójcik, A., Szafrański, W., Bartoszewska, L., Figuła, K., Jakubczyk, M., Jurczuk, A., Kamocki, Z., Kaźmierczak-Siedlecka, K., Kowalczyk, T., Kwella, B., Matras, P., Skonieczna-Żydecka, K., Sonsala-Wołczyk, J., Szopiński, J., Urbanowicz, K., & Zmarzły, A. (2020). Home Enteral Nutrition in Adults—Nationwide Multicenter Survey. Nutrients, 12(7), 2087. https://doi.org/10.3390/nu12072087

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