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Continuous compared with intermittent tube feeding in the elderly
J O Ciocon1, D J Galindo-Ciocon, C Tiessen
1Veterans Medical Center, Omaha, Nebraska.
JPEN. Journal of Parenteral and Enteral Nutrition
|November 1, 1992
Summary
Continuous nasogastric tube feeding is associated with less diarrhea but more clogged tubes compared to intermittent feeding. Both methods resulted in significant caloric deficits, with similar staff time requirements.
Area of Science:
- Gastroenterology
- Clinical Nutrition
- Patient Care Management
Background:
- Nasogastric tube (NGT) feeding is crucial for nutritional support in patients unable to eat orally.
- Continuous (C) and intermittent (I) feeding methods are commonly used, each with potential benefits and drawbacks.
Purpose of the Study:
- To compare the efficacy and safety of continuous versus intermittent nasogastric tube feeding.
- To evaluate complications, staff time, and caloric intake for both feeding methods.
Main Methods:
- A randomized controlled trial involving 60 patients (54 male, 6 female, mean age 72 years).
- Patients were assigned to either continuous or intermittent NGT feeding for 7 days.
- Outcomes assessed included complications (diarrhea, pneumonia, clogged tubes, self-extubation), staff time, and caloric intake.
Main Results:
- Diarrhea was significantly more frequent (96% vs. 66%) and prolonged in the intermittent group (p < .008).
- Clogged tubes occurred three times more often in the continuous group (p < .01).
- Both groups experienced significant caloric deficits, with no significant difference in staff time.
Conclusions:
- Continuous nasogastric tube feeding may reduce diarrhea incidence and duration compared to intermittent feeding.
- Intermittent feeding may be associated with a higher risk of clogged tubes.
- Both feeding methods result in substantial caloric deficits, highlighting a need for improved nutritional management strategies.