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Published on: September 20, 2019
Home enteral nutrition in children: a 14-year multicenter survey
A Diamanti1, V M Di Ciommo, A Tentolini
1Gastroenterology and Nutrition Unit, Bambino Gesù Children's Hospital, Rome, Italy. antonella.diamanti@opbg.net
Insights
Home enteral nutrition (HEN) is increasingly used for Italian children unable to eat orally. This study tracked HEN activity over 14 years, finding a growing number of cases and suggesting improvements in clinical management are needed.
Area of Science:
- Pediatric Gastroenterology
- Clinical Nutrition
- Public Health Epidemiology
Background:
- Home enteral nutrition (HEN) is crucial for managing pediatric malnutrition and feeding difficulties.
- This study examines the clinical relevance and trends of HEN in Italy.
Purpose of the Study:
- To estimate the clinical relevance and temporal trends of home enteral nutrition (HEN) activity in an Italian pediatric population.
- To analyze changes in HEN practices between 1996-2009.
Main Methods:
- Retrospective analysis of a HEN-computerized database and medical/dietetic charts.
- Inclusion criteria: patients under 18 years at HEN initiation and HEN duration over 1 month.
Main Results:
- 757 HEN programs were recorded between 1996-2009.
- Median age at HEN start was 2 years, with a median duration of 8.1 months.
- Prevalence in 2009 was 3.47 and incidence 2.45 per 100,000 children (0-18 years).
Conclusions:
- Epidemiological data indicate a growing number of Italian children requiring HEN.
- Clinical management of HEN requires updates to meet recommended standards.
Background/Objectives:
The practice of home enteral nutrition (HEN) represents a relevant aspect of the clinical management of both malnourished children and well-nourished children unable to be fed using an oral diet. The aim of this study was to estimate in an Italian paediatric population over a 14-year period (1996-2009), the clinical relevance and results over time of HEN activity.
Subjects/Methods:
HEN-computerized database and medical/dietetic charts were evaluated for patients aged at start of HEN <18 years and HEN duration >1 month.
Results:
During the study period, we recorded 757 HEN programs. HEN began at a median age of 2 years for a median duration of 8.1 months. The complication rate was 14.8%. In the second period of the survey (2003-2009), the main changes concerned the underlying diseases requiring HEN, choice of formula feeding and access route. In 2009, the estimated overall prevalence of HEN was 3.47 and the incidence 2.45 per 100 000 inhabitants from 0 to 18 years of age.
Conclusions:
The epidemiological data of this study demonstrate that HEN concerns a growing number of Italian children and families. Some aspects of HEN clinical management should be modified to reach the recommended standards.
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