Utility of video consultation to improve the outcomes of home enteral nutrition in a population of frail older patients

2015 ◽  
Vol 16 (6) ◽  
pp. 762-767 ◽  
Author(s):  
Paolo Orlandoni ◽  
Nikolina Jukic Peladic ◽  
Liana Spazzafumo ◽  
Claudia Venturini ◽  
Claudia Cola ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Older Patients ◽  
Home Enteral Nutrition ◽  
Video Consultation

scholarly journals P-OGC43 Morbidity and unplanned hospital attendance among patients with oesophagogastric cancer treated with home enteral nutrition

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Okiki Olusona ◽  
Orla Brett ◽  
Cathy White ◽  
Wendy Hickey ◽  
Claire Coleman ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Enteral Nutrition ◽  
Neoadjuvant Therapy ◽  
Enteral Feeding ◽  
Older Patients ◽  
Feeding Tube ◽  
Tube Placement ◽  
Home Enteral Nutrition ◽  
Hospital Visits ◽  
Oesophagogastric Cancer

Abstract Background Nutritional optimisation is an essential component of prehabilitation and enhanced recovery for patients with oesophageal and gastric cancer, but may be associated with increased burden of inpatient care. The aim of this study was to determine risk factors associated with complications and unplanned hospital attendance among patients treated with home enteral nutrition. Methods Consecutive patients with oesophageal or gastric cancer commencing home enteral nutrition from March 2020-June 2021 were prospectively studied. The primary outcome measure was the incidence of complications associated with home enteral feeding requiring unplanned hospital attendance. Univariable and multivariable linear and logistic regression were used to determine factors independently associated with enteral feeding associated morbidity and healthcare utilisation. Results 70 patients were studied (27% pre neoadjuvant therapy, 63% postoperative; 19% gastrostomy, 81% jejunostomy). Tube complications requiring unplanned hospital attendance occurred in 33% of patients (25% gastrostomy, 38% jejunostomy, P = 0.405), most commonly dislodgement (15%), fixation problem (13%), and blockage (6%). Small bowel obstruction was rare (1.4%). Inpatient length of stay (LOS) following feeding tube placement and training was 5.1±2.4 days (gastrostomy: 5.5±2.7, jejunostomy: 4.4±1.9 days, P = 0.074). 17 unplanned hospital visits among nine patients (13.0%) occurred with a cumulative LOS of 71 inpatient days. On multivariable analysis patients undergoing neoadjuvant therapy were at the greatest risk of overall enteral feeding tube morbidity (OR19.34 [3.29–113.56], P = 0.001), dislodgement (OR19.09 [2.35-155.11], P = 0.006) and unplanned hospital attendance (P < 0.001). Older patients were at increased risk of tube dislodgement (OR1.14 [1.02–1.28], P=0.024) and unplanned hospital attendance (P = 0.034). Conclusions Unplanned hospital attendance is common among patients undergoing supplemental home enteral nutrition during treatment for oesophagogastric cancer. Fixation problems and dislodgement account for the majority of presentations, and are more common among older patients and those undergoing neoadjuvant therapy. Pragmatic strategies to optimise tube fixation and minimise the need for unplanned hospital visits among patients receiving home enteral nutrition are urgently needed.

SUN-PP105: Providing Care to Older Patients Treated by Home Enteral Nutrition: Caregiver’s Perspective

2015 ◽  
Vol 34 ◽  
pp. S62
Author(s):  
P. Orlandoni ◽  
N. Jukic Peladic ◽  
C. Gagliardi ◽  
C. Venturini ◽  
D. Fagnani
Keyword(s):  
Enteral Nutrition ◽  
Older Patients ◽  
Home Enteral Nutrition

The outcomes of long term home enteral nutrition (HEN) in older patients with severe dementia

2019 ◽  
Vol 38 (4) ◽  
pp. 1871-1876 ◽  
Author(s):  
Paolo Orlandoni ◽  
Nikolina Jukic Peladic ◽  
Mirko Di Rosa ◽  
Claudia Venturini ◽  
Donata Fagnani ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Older Patients ◽  
Severe Dementia ◽  
Home Enteral Nutrition

Home Enteral Nutrition therapy: Difficulties, satisfactions and support needs of caregivers assisting older patients

2017 ◽  
Vol 36 (4) ◽  
pp. 1062-1067 ◽  
Author(s):  
Nikolina Jukic P ◽  
Cristina Gagliardi ◽  
Donata Fagnani ◽  
Claudia Venturini ◽  
Paolo Orlandoni
Keyword(s):  
Enteral Nutrition ◽  
Older Patients ◽  
Nutrition Therapy ◽  
Support Needs ◽  
Home Enteral Nutrition

High costs and limited dietitian services for home enteral nutrition users: A Canadian study

2021 ◽  
Author(s):  
Rebekah Sandhu ◽  
Delara Saran ◽  
Gloria Ho ◽  
Kristina Vandop ◽  
Whitney Hussain
Keyword(s):  
Enteral Nutrition ◽  
Canadian Study ◽  
Home Enteral Nutrition

PP259-SUN DESCRIPTIVE STUDY OF HOME ENTERAL NUTRITION PRESCRIPTION IN OUR UNIT

2012 ◽  
Vol 7 (1) ◽  
pp. 127
Author(s):  
C. Maldonado-Araque ◽  
M.J. Tapia-Guerrero ◽  
M. Gonzalo-Marín ◽  
I. González-Molero ◽  
C. Bautista Recio ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Descriptive Study ◽  
Home Enteral Nutrition

Home Enteral Nutrition

2010 ◽  
Vol 25 (3) ◽  
pp. 296-300 ◽  
Author(s):  
Sarah I. Cawsey ◽  
Jason Soo ◽  
Leah M. Gramlich
Keyword(s):  
Enteral Nutrition ◽  
Home Enteral Nutrition

Validity and Reliability of the Home Enteral Nutrition Caregiver Task Checklist

2021 ◽  
Vol 36 (3) ◽  
pp. 242-251
Author(s):  
Rana Elcin Sezer Ceren ◽  
Melek Serpil Talas ◽  
Dincer Goksuluk
Keyword(s):  
Enteral Nutrition ◽  
Validity And Reliability ◽  
Home Enteral Nutrition
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