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Wanden-Berghe C, Cuerda Compés C, Moreno Villares J, Perez de la Cruz A, Burgos R, Gómez Candela C, Virgili Casas N, Penacho Lázaro M, Martinez Faedo C, Gonzalo Marín M, Garde Orbaiz C, Campos Martín C, Sanchez Martos E, Sanz Paris A, García Luna P, Matía Martín P, Mauri S, Hernández Nieto M, Alvarez J, Carabaña Perez F, García Zafra M, Martinez Costa C, De Luis Román D, Suarez Llanos J, Zugasti A, Apezetxea A, Urgelles Planella J, Laborda Gonzalez L, Sónchez-Vilar Burdiel O, Joaquín Ortiz C, Gil Martínez M, Calleja A, Leyes Garcia P, Ponce Gonzalez M, Del Olmo García M, Luengo L, on behalf of NADYA-SENPE Group. MON-PP105: Home Parenteral Nutrition - National Record 2014. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30537-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Apezetxea A, Cuerda C, Virgili N, Irles JA, Cuesta F, Casanueva F, Carrillo L, Layola M, Lizán L. Health Related Quality of Life in Patients Receiving Home Enteral Nutrition in Spain Assessed By A Specific Questionnaire: Nutriqol®. Value Health 2014; 17:A518. [PMID: 27201614 DOI: 10.1016/j.jval.2014.08.1611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
| | - C Cuerda
- Hospital Universitario Gregorio Marañón, Madrid, Spain
| | - N Virgili
- Hospital Bellvitge, Barcelona, Spain
| | - J A Irles
- Hospital Universitario Nuestra Señora de Valme, Sevilla, Spain
| | - F Cuesta
- Hospital San Carlos, Madrid, Spain
| | - F Casanueva
- Hospital Universitario Santiago de Compostela, Santiago de Compostela, Spain
| | - L Carrillo
- Centro de Salud Victoria de Acentejo, Santa Cruz de Tenerife, Spain
| | - M Layola
- Nestle health science, Barcelona, Spain
| | - L Lizán
- Outcomes'10, Castellon, Spain
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Cuerda C, Virgili N, Irles JA, Cuesta F, Apezetxea A, Casanueva F, Carrillo L, Layola M, Lizán L. Responsiveness and Minimal Clinically Important Difference of A Specific Health Related Quality of Life (Hrqol) Questionnaire for Home Enteral Nutrition (Hen) Patients: Nutriqol® Questionnaire. Value Health 2014; 17:A575. [PMID: 27201929 DOI: 10.1016/j.jval.2014.08.1935] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- C Cuerda
- Hospital Universitario Gregorio Marañón, Madrid, Spain
| | - N Virgili
- Hospital Bellvitge, Barcelona, Spain
| | - J A Irles
- Hospital Universitario Nuestra Señora de Valme, Sevilla, Spain
| | - F Cuesta
- Hospital San Carlos, Madrid, Spain
| | | | - F Casanueva
- Hospital Universitario Santiago de Compostela, Santiago de Compostela, Spain
| | - L Carrillo
- Centro de Salud Victoria de Acentejo, Santa Cruz de Tenerife, Spain
| | - M Layola
- Nestle health science, Barcelona, Spain
| | - L Lizán
- Outcomes'10, Castellon, Spain
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Apezetxea A, Casanueva F, Carrillo L, Cuerda C, Virgili N, Irles J, Cuesta F, Layola M, Lizan L. PP267-MON: Reliability of a Specific Health Related Quality of Life (HRQOL) Questionnaire for Home Enteral Nutrition (HEN) (Nutriqol® Questionnaire). Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50601-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cuerda C, Virgili N, Irles J, Cuesta F, Apezetxea A, Casanueva F, Carrillo L, Layola M, Lizan L. PP271-MON: Inter-Observer Reliability of a Specific Health Related Quality of Life (HRQOL) Questionnaire for Home Enteral Nutrition (HEN) (Nutriqol® Questionnaire). Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50605-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Wanden-Berghe C, Moreno Villarés JM, Cuerda Compés C, Carrero C, Burgos R, Gómez Candela C, Virgili Casas N, Martínez Faedo C, Alvarez J, Sánchez Martos EA, Matía Martín P, Zugasti A, Olveira G, Luengo LM, Campos Martín C, Martín Folgueras T, Penacho Lázaro MA, Pereira JL, Garde Orbaiz C, Pérez de la Cruz A, Apezetxea A, Sánchez-Vilar O, Gil Martínez MC, Martínez Costa C, De Luis D, Laborda L, Joaquin Ortiz C, Suárez Llanos JP, Leyes García P, Ponce González MA. [Home parenteral nutrition in Spain 2011 and 2012; a report of the home and ambulatory artificial nutrition group NADYA]. NUTR HOSP 2014; 29:1360-5. [PMID: 24972475 DOI: 10.3305/nh.2014.29.6.7372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE To report the data of the Home Parenteral Nutrition (HPN) registry of the NADYA-SENPE working group for the years 2011 and 2012. METHODOLOGY We compiled the data from the on-line registry introduced by reviewers of NADYA group responsible for monitoring of NPD introduced by since January 1, 2011 to december 31, 2012. Included fields were: age, sex, diagnosis and reason for HPN, access path, complications, beginning and end dates, complementary oral or enteral nutrition, activity level, autonomy degree, product and fungible material supply, withdrawal reason and intestinal transplant indication. RESULTS Year 2010: 184 patients from 29 hospitals , representing a rate of 3.98 patients/million inhabitants/ year 2011, with 186 episodes were recorded NPD . During 2012, 203 patients from 29 hospitals , representing a rate of 4.39 patients/million inhabitants/year 2012 , a total of 211 episodes were recorded NPD . CONCLUSIONS We observe an increase in registered patients with respect to previous years.Neoplasia remains as the main pathology since 2003. Although NADYA is consolidated registry and has been indispensable source of information relevant to the understanding of the progress of Home Artificial Nutrition in our country, there is ample room for improvement. Especially that refers to the registration of pediatric patients and the registration of complications.
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Affiliation(s)
| | | | | | | | - R Burgos
- Hospital Vall d'Hebrón. Barcelona
| | | | | | | | - J Alvarez
- Hospital Príncipe de Asturias. Madrid
| | | | | | - A Zugasti
- Hospital Virgen del Camino. Pamplona
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De la Cuerda C, Virgili N, Irles J, Cuesta F, Apezetxea A, Casanueva F, Carrillo L, Layola M, Lizan L. PP251-MON RESULTS OF THE RASCH ANALYSIS IN THE DEVELOPMENT OF A SPECIFIC HEALTH RELATED QUALITY OF LIFE QUESTIONNAIRE FOR HOME ENTERAL NUTRITION: THE NUTRIQOL® QUESTIONNAIRE. Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60561-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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De la Cuerda C, Virgili N, Irles J, Cuesta F, Apezetxea A, Casanueva F, Carrillo L, Layola M, Lizan L. PP254-MON CRITERION VALIDITY ANALYSIS OF A SPECIFIC HEALTH-RELATED QUALITY OF LIFE QUESTIONNAIRE FOR HOME ENTERAL NUTRITION: THE NUTRIQOL® QUESTIONNAIRE. Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60564-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wanden Berghe C, Gómez Candela C, Chicharro L, Cuerda C, Martínez Faedo C, Virgili N, Moreno JM, Pérez de la Cruz A, Alvarez J, Garde C, Jiménez-Sanz M, Romero Merlos A, Forga MT, Apezetxea A, García Delgado Y, Gil Martínez C, Cánovas B, Sánchez Vilar O, Penacho Lázaro MA, de Luis D, Laborda L, Zapata A. [Home parenteral nutrition registry in Spain for the year 2010: NADYA-SENPE Group]. NUTR HOSP 2011; 26:1277-1282. [PMID: 22411373 DOI: 10.1590/s0212-16112011000600014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2011] [Accepted: 09/15/2011] [Indexed: 05/31/2023] Open
Abstract
OBJECTIVES To report the Group Registry NADYASENPE data about home parenteral nutrition (HPN) in Spain in 2010. MATERIAL AND METHODS A descriptive study of the database of the national registry of HPN of NADYA-SENPE (December 10, 2009 to December 10, 2010). For the calculation of prevalence the latest data published by the Institute National Statistics Office (01/01/2009) was used. RESULTS There were registered 148 patients from 23 hospitals, 86 women (58.11%) and 9 children (6.08%). The average age of the 139 patients older than 14 years was 53.06 ± 15.41 years. The average duration of HPN was 316.97 days/patient. The most common diagnosis in those younger than 14 years was short bowel traumatic with 5 cases (55.55%) and in those older than 14 years, palliative care cancer with 29 cases (19.59%). The reason for the indication for HPN was short bowel syndrome in 74 cases (47%). The access via most frequently recorded was tunneled catheter in 36 cases (22.78%) followed by implanted port-catheters in 13 cases (8.23%) and other pathways in 3 cases (1.90%). There were 23 catheterrelated infections (82.14%) which represented 0.49 /1,000 days of PN, all of which occurred in cases older than 14 years. During the year 24 episodes of HPN ended, the most frequent cause was the transition to oral nutrition in 12 episodes (50%). It was reported that patients had a normal activity in 70 episodes of HPN (44.30%) with complete autonomy in 88 episodes (55.69%). Some patients 39 (24.68%) were potential candidates for intestinal transplantation. CONCLUSIONS The number of registered patients is slightly lower than the previous year, although the number of participating hospitals is the same. The most frequent complication remains catheter-related infection but its incidence has decreased from previous years, presenting the lowest rate since the creation of the record. Differences in participation in the registry observed in the Autonomous Communities causes the development of implementation strategies. There is a gradual increase in day length of HPN over the years, which suggests the chronic treatments of some patients and obliges to study the existence of a possible confounding factor, in case there is an oversight of closing an episode. Therefore, it is necessary to update the registry with warning systems that facilitate periodic review of the patients and optimize the validity of registration.
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Affiliation(s)
- C Wanden Berghe
- Hospital General Universitario de Alicante y Universidad CEU Cardenal Herrera, España.
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Puiggrós C, Gómez-Candela C, Chicharro L, Cuerda C, Virgili N, Martínez C, Moreno JM, Pérez de la Cruz A, Alvarez J, Luengo LM, Ordóñez J, Wanden-Berghe C, Cardona D, Laborda L, Garde C, Pedrón C, Gómez L, Penacho MA, Martínez-Olmos MA, Apezetxea A, Sánchez-Vilar O, Cánovas B, García Y, Forga MT, Gil C. [Home Parenteral Nutrition (HPN) registry in Spain for the years 2007, 2008 and 2009 (NADYA-SENPE Group)]. NUTR HOSP 2011; 26:220-227. [PMID: 21519751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2010] [Accepted: 10/22/2010] [Indexed: 05/30/2023] Open
Abstract
OBJECTIVE To report the data of the Home Parenteral Nutrition (HPN) registry of the NADYA-SENPE working group for the years 2007, 2008 and 2009. METHODOLOGY We compiled the data from the on-line registry introduced by the responsible Units for the monitoring of HPN from January 1st 2007 to December 31st 2009. Included fields were: age, sex, diagnosis and reason for HPN, access path, complications, beginning and end dates, complementary oral or enteral nutrition, activity level, autonomy degree, product and fungible material supply, withdrawal reason and intestinal transplant indication. RESULTS 2007: 133 patients with HPN were registered (61 males and 72 females), belonging to 21 hospitals. Average age for the 119 patients older than 13 years old was 53.7 ± 14.9 years, and 3.6 ± 3.6 y. for the 14 patients under 14 years old. Most frequent pathology was neoplasm (24%), followed by intestinal motility disorders and actinic enteritis (14% both). The reason for HPN provision was short bowel syndrome (43%), malabsorption (27%), and intestinal obstruction (23%). Tunnelled catheters were mostly used (69%), followed by implanted port-catheters (27%). Catheter related infections were the most frequent complications, with a rate of 0.92 episodes/103 HPN days. HPN was provided for more than two years in 50% of the cases. By the end of 2007, 71.4% of the patients remained active; exitus was the most frequent reason to end HPN (57.5%). 26% of the patients were eligible for intestinal transplant. 2008: 143 patients with HPN were registered (62 males and 81 females), belonging to 24 hospitals. Average age for the 133 patients older than 13 years old was 54.7 ± 13.9 years, and 3.7 ± 0.6 y. for the 10 patients under 14 years old. Most frequent pathology was neoplasm (20%), followed by actinic enteritis (14%) and intestinal motility disorders (13% ). The reason for HPN provision was short bowel syndrome (44%), malabsorption (28%), and intestinal obstruction (20%). Tunnelled catheters were mostly used (60%), followed by implanted port-catheters (29%). Catheter related infections were the most frequent complications, with a rate of 0.50 episodes/10³ HPN days. HPN was provided for more than two years in 67% of the cases. By the end of 2008, 71.6% of the patients remained active; exitus was the most frequent reason to end HPN (52.4%). 29% of the patients were eligible for intestinal transplant. 2009: 158 patients with HPN were registered (62 males and 96 females), belonging to 24 hospitals. Average age for the 149 patients older than 13 years old was 55.2 ± 13.0 years. Most frequent pathology was neoplasm (25%), followed by actinic enteritis (12%) and intestinal motility disorders (11%). The reason for HPN provision was short bowel syndrome (42%), malabsorption, and intestinal obstruction (23% both). Tunnelled catheters were mostly used (60%), followed by implanted port-catheters (36%). Catheter related infections were the most frequent complications, with a rate of 0.67 episodes/10³ HPN days. HPN was provided for more than two years in 58% of the cases. By the end of 2009, 79.2% of the patients remained active; full oral nutrition was the most frequent reason to end HPN (48%). 23% of the patients were eligible for intestinal transplant. CONCLUSIONS We observe an increase in registered patients with respect to previous years, with a very different prevalence among regions. Neoplasia remains as the main pathology since 2003. We observe a decrease in catheter-related infections in the last two years, being the 2008 rate the smallest since the register's beginning.
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Affiliation(s)
- C Puiggrós
- Unidad de Soporte Nutricional, Hospital Vall d´Hebrón, Barcelona, España.
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Wanden-Berghe C, Puiggrós JC, Calañas A, Cuerda C, García-Luna PP, Rabassa-Soler A, Irles JA, Romero A, Martínez-Olmos MA, Camarero E, Lecha M, Gómez-Candela C, Vidal A, Laborda L, Zapata A, Luengo LM, Pérez de la Cruz A, Penacho MA, De Luis D, Parés RM, García Y, Suárez P, Sánchez-Migallón JM, Apezetxea A, Matía P, Martínez C, Martí E, Garde C, Muñoz A, Cánovas B, Bobis MA, Ordóñez J. [The Spanish Home Enteral Nutrition registry of the year 2009: from the NADYA-SENPE group]. NUTR HOSP 2010; 25:959-963. [PMID: 21519767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2010] [Accepted: 09/18/2010] [Indexed: 05/30/2023] Open
Abstract
OBJECTIVE To describe the Home Enteral Nutrition Characteristics (HEN) recorded by the group NADYA-SENPE during 2009. MATERIAL AND METHOD collection and analysis of the data voluntary recorded in the HEN registry from the NADYA-SENPE group from January 1st to December 31st. RESULTS 6.540 HEN patients were registered, 5.11% more than the previous year and 6,649 episodes (3,135 in women, 47,93%) from 32 different hospitals. 6,238 of them (95,38%) were over 14 years. The mean age of the patients under 14 yr was 3,67 ± 2,86 and it was 72,10 ± 16,89 in those over 14 yr group. The base illness registered more frequently was the neurological disorders in 2,732 (41,77%) patients, followed by cancer patients in 1,838; 28,10%. The enteral access route was registered in 1,123 (17,17%) of the episodes, being more frequent the administration by nasogastric tube 562 (50,04%). The mean length of nutritional treatment by episode was 323 days (10,77 months). 606 episodes of HEN ended, being the principal reasons for discontinuing treatment the patient death in 295 (48,68%) occasions. The transition to oral feeding occurred in 219 (36,14%) cases. Patients maintained normal activity in 2162 (32,55%) HEN episodes and 2,468 (37,13%) cases were living "bed-couch". The level of dependence was "total" in 2,598 (39,07%) of the episodes recorded. The nutritional formula was provided by the hospital in 4,183 (62,91%) cases and by the reference pharmacy in 2,262 (el 34,02%). Consumables were provided by the hospital in 3,531 (53,11%) cases. CONCLUSIONS The number of HEN patients recorded increased from the year 2008, continuing the gradual growth increase since the start of registration. The characteristics of the patients remain in the same profile as in previous years.
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Affiliation(s)
- C Wanden-Berghe
- Universidad CEU Cardenal Herrera, Hospital General Universitario de Alicante, Elche, España.
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Moreno JM, Planas M, de Cos AI, Virgili N, Gómez-Enterría P, Ordóñez J, de la Cuerda C, Martí E, Apezetxea A, Forga MT, Pérez de la Cruz A, Muñoz A, Rodríguez A, Cardona D, Pedrón C, Luengo LM, Garde C, Parés RM. [The year 2003 National Registry of Home-based Parenteral Nutrition]. NUTR HOSP 2006; 21:127-31. [PMID: 16734063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/09/2023] Open
Abstract
OBJECTIVE To report the results of the Home-based Parenteral Nutrition (HBPN) registry of the NADYA-SENPE working group, for the year 2003. MATERIAL AND METHODS Gathering of registry data introduced by all units responsible of HBPN patient care. This an on-line registry available for authorized users of the working group web page (www.nadya-senpe.com). Epidemiological data, diagnosis, access route, complications, hospital admissions, disability degree, and course at December 31st, 2003 RESULTS Data from 86 patients (62% female and 38% male) from 17 hospitals were gathered. Mean age of adult patients was 50.7 +/- 15.0 years, whereas for patients younger than 14 years was 2.4 +/- 1.5 years (n = 5 patients). Diseases that prone HBPN were neoplasm (21%), followed by mesenteric ischemia (20%), radiation enteritis (16.3%), motility impairments (10.5%), and Crohn's disease (4.6%). Tunneled catheters were used in 66.3% of the cases versus 29.1% of subcutaneous reservoirs. Mean treatment duration has been 8.5 +/- 4.6 months; 67.4% of patients had been on HBPN for a period of time longer than 6 months. Patient follow-up was mostly done from the reference area hospital (88.4%). In no case patient follow-up was done by the primary care team or by specialists other than those prescribing nutritional support. Nutritional support-related complications were seen in 98 occasions. The most frequent complications were infectious ones. They represented 1.60 hospital admissions per patient. The mean number of visits was 7.9 per patient (6.4 for scheduled visits and 1.5 for emergency visits). By the end of the year, we observed that 73.3% of the patients were still on the program, whereas in 23.3% HBPN had been withdrawn. The main reasons for withdrawal were decease (11 patients), and advancing to oral diet (9 patients). As for the disability degree, 13% were confined to a wheelchair or bed, and only 28% had no disability degree or only mild social disability. CONCLUSIONS We observed a mild increase in HBPN prevalence rate in Spain (2.15 patients pmp). The main indication was cancer followed by short-bowel syndrome secondary to vascular pathology. Nutritional support-related complications were common, especially those of an infectious origin.
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Affiliation(s)
- J M Moreno
- Unidad de Nutrición Clínica Hospital 12 de Octubre Ctra. de Andalucía, km. 5,400 28041 Madrid.
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Moreno JM, Planas M, Lecha M, Virgili N, Gómez-Enterría P, Ordóñez J, de la Cuerda C, Apezetxea A, Marti E, García Luna PP, Forga MT, Pérez de la Cruz A, Muñoz A, Bayo P, Rodríguez A, Chamorro J, Bonada A, Luengo LM, Pedrón C, Parés RM. [The year 2002 national register on home-based parenteral nutrition]. NUTR HOSP 2005; 20:249-53. [PMID: 16045126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023] Open
Abstract
AIM To report on the results of the Registry on Home-based Parenteral Nutrition (HPN) of the NADYA-SENPE working group, corresponding to the year 2002. MATERIALS AND METHOD Compilation of the registry data loaded by the Units in charge of HPN patients care. It consists of an on-line registry available to the registered users of the group's web page (www.nadya-senpe.com). Epidemiological, diagnostic, access route, complications, hospital admissions, degree of disability, and course until December 31st of 2002. RESULTS Data from 74 patients were gathered (56.8% women and 43.2% men), from 18 hospital centers. Mean age of adult patients was 49.4 +/- 15.5 years and 2.3-1.1 years for patients younger than 14 years (n=3 patients). Diseases that prompted the use of HPN were mesenteric ischemia (29.7%), followed by neoplasms (16.2%), radiation enteritis (12.2%), motility impairments (8.1%), and Crohn's disease (5.4%). Tunneled catheters were used in 52.7% of cases, as compared to 36.5% of subcutaneous reservoirs. Mean treatment duration was 8.7 +/- 4.4 months; 68.9% of patients remained on HPN for a duration longer than 6 months, and in 41.9% longer than one year. Patients' follow-up was mainly done from the reference hospital (87.8%), and the remaining patients (12.5%) by the home care team. In no case patients were followed by the primary care team or other specialists than the ones that prescribed nutritional support. In 94 cases there were complications related to nutritional therapy. The more frequent complications presented were infectious. These complications represented 1.84 admissions per patient. The mean number of visits was 12.9 per patient (10.2 routinary visits and 2.7 emergency visits). At the end of the year, we observed that 74.3% patients stayed in the program, whereas in the remaining 23.6% HPN had been discontinued. The main causes for discontinuation were death (52.9%), and switch to oral diet (23.5%) or enteral nutrition (11.8%). With regards to disability degree, 16.1% were confined to a wheelchair or bed, and 17.6% had no disability at all or only a mild social disability. CONCLUSIONS We observed a sustained HPN prevalence rate in Spain (1.8 patient pmp). The main cause for its use was short bowel syndrome secondary to vascular disease, followed by cancer. Complications associated to nutritional therapy were common, especially of infectious origin.
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Affiliation(s)
- J M Moreno
- Unidad de Nutrición Clínica, Hospital 12 de Octubre Ctra. de Andalucía, km. 5,400 28041, Madrid.
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