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Home Artificial Nutrition in Polish Children: An Analysis of 9-Year National Healthcare Provider Data

Karolina Wyszomirska1, Adam Wyszomirski2, Michał Brzeziński1

  • 1Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gdańsk, 80-803 Gdansk, Poland.

Nutrients
|April 3, 2021
PubMed

Insights

Home artificial nutrition (HAN) is growing in Poland, with 4426 children treated. This study analyzed pediatric HAN incidence, prevalence, and patient profiles, revealing uneven access and highlighting the need for more nutrition centers.

Area of Science:

  • Pediatric nutrition
  • Public health
  • Epidemiology

Background:

  • Home artificial nutrition (HAN) is an evolving treatment modality reducing hospitalizations.
  • Pediatric HAN epidemiology in Poland requires detailed investigation.
  • This study provides a longitudinal, nationwide analysis of HAN in Polish children.

Purpose of the Study:

  • To analyze the incidence, prevalence, and patient profiles of pediatric HAN in Poland.
  • To assess the trends and characteristics of home enteral nutrition (HEN) and home parenteral nutrition (HPN) in children.
  • To identify regional disparities in HAN patient and center distribution.

Main Methods:

  • Utilized National Health Fund (NFZ) data from 2010-2018.
  • Included all pediatric patients receiving HAN in Poland.
  • Analyzed incidence, prevalence, patient demographics, diagnoses, and mortality rates.

Main Results:

  • 4426 children received HAN, with 3865 on HEN and 626 on HPN.
  • HAN initiation was most common before age 3, with some long-term programs (5-9 years).
  • Key diagnoses included food-related symptoms (HEN) and postoperative GI disorders (HPN); mortality was 24.9% for HEN and 9.6% for HPN, with cardiac arrest as the primary cause of in-hospital death.

Conclusions:

  • HAN use is increasing and evolving in Poland.
  • Uneven distribution of patients and centers creates access challenges.
  • The growing HAN patient population necessitates data analysis and development of specialized nutrition centers.
Abstract

Keywords:
home artificial nutritionhome enteral nutritionhome parenteral nutrition

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