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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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Pedrón-Giner C, Puiggrós C, Calañas A, Cuerda C, García-Luna PP, Irles JA, Romero A, Rabassa-Soler A, Camarero E, Martínez-Olmos MA, Lecha M, Penacho MA, Gómez Candela C, Parés RM, Zapata A, Laborda L, Vidal A, Pérez de la Cruz A, Luengo LM, de Luis D, Wanden-Berghe C, Suárez P, Sánchez-Migallón JM, Matía P, García Y, Martí E, Muñoz A, Martínez C, Bobis MA, Garde C, Ordóñez J, Cánovas B. [Spanish home enteral nutrition (HEN) registry of the year 2008 from the NADYA-SENPE group]. NUTR HOSP 2010; 25:725-729. [PMID: 21336427] [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: 06/15/2010] [Accepted: 06/17/2010] [Indexed: 05/30/2023] Open
Abstract
AIM To present the results of the Spanish home enteral nutrition (HEN) registry of the year 2008 from the NADYA-SENPE group. MATERIAL AND METHODS We recorded the HEN registry data from January 1st to December 31st 2008. RESULTS The number of patients registered in this period was 6206 (51% male) with up to 6,279 episodes of HEN, from 31 Spanish hospitals. Most of the patients (95%) were older than 14 yr. Mean age was 4.83±3.29 yr in the children group, and 70.75±18.14 yr in the adult group (older than 14 yr). Neurological disorders (39%) and cancer (27%) were the two most prevalent diagnoses. The oral route was the most frequently used (43,4%), followed by nasogastric tube (40,4%), and gastrostomy tube (14,7%). Mean length of treatment was 305,36 days (10 months). The principal reasons for discontinuing treatment were death (43%) and progress to oral diet (40%). Only 33% of the patients had a normal activity level, being limited in different grades in the rest of the patients. Most of the patients required partial (25%) or total help (38%). The enteral formula was provided by the hospital in 65% of the cases and by private pharmacies in 32%. The disposables were provided by the hospital (82,4%) and primary care services (17,2%). CONCLUSIONS The number and the age of the patients registered have increased comparing to previous years, with little variations in the rest of analyzed variables. The increase in the length of treatment could reflect misreporting of the weaning process in the registry.
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Cuerda C, Parón L, Planas M, Candela CG, Virgili N, Moreno JM, Enterría PG, Penacho MA, de la Cruz AP, Luengo LM, Zapata A, Garde C, Gómez L, Pedrón C, Parés RM, De Luis DA, Cánovas B. [Spanish registry of Home-Based Parenteral Nutrition for the years 2004 and 2005 (NADYA-SENPE Group)]. NUTR HOSP 2007; 22:307-12. [PMID: 17612372] [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: 05/16/2023] Open
Abstract
OBJECTIVE To report the results of the Home Parenteral Nutrition (HPN) registry of the NADYA-SENPE working group of the years 2004 and 2005. MATERIAL AND METHODS We summarized the data of the new on-line HPN registry of the NADYA-SENPE group for the period 2004-2005. RESULTS During the year 2004, 70 HPN-patients (23 males and 47 females) were registered from 14 hospitals. Mean age of adults was 53,7 +/- 14,87 years (m +/- SD) and 6 +/- 2,83 years for those younger than 14 years. The most frequent etiologies of the intestinal failure were neoplasia (24%) and mesenteric ischaemia (19%). Tunnelled catheters were used in 75% of the patients. The catheter-related infections were the most frequent complications, with a rate of 0,98 episodes/10(3) days. In 69% of the cases the nutritional support was maintained for more than 2 years. HPN solutions and disposables were supplied by the hospital pharmacy in 81% and 83%, respectively. Up to 54% of the patients had a normal activity level. The most frequent reasons to end HPN treatment were the transition to oral intake (41%), or exitus (28%). During the year 2005, 79 patients (33 males and 46 females) were registered from 14 hospitals. Mean age of adults was 52,39 +/- 14,21 years and 6,5 +/- 5,21 years for those younger than 14 yrs. The most frequent etiologies of the intestinal failure were neoplasia (22%), and mesenteric ischaemia (15%). Tunnelled catheters were used in 63% of the patients. The catheter-related infections were the most frequent complications, with a rate of 1,14 episodes/10(3) days. In 51% of the cases the nutritional support was maintained for more than 2 years. HPN solutions and disposables were supplied by the hospital pharmacy in 76% and 81%, respectively. Up to 50% of the patients had a normal activity level. The most frequent reasons to end HPN treatment were the transition to oral/enteral feeding (41%) and exitus (31%). CONCLUSIONS We have observed a mild decrease in the number of HPN patients registered in the period 2004-2005, probably related to the change of the registry. The characteristics of the patients are similar to previous years. We have observed an increase in the septic catheter-related complications in the year 2005.
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Affiliation(s)
- C Cuerda
- Unidad de Nutrición Clínica y Dietética, Hospital General Universitario Gregorio Marañón, Madrid, España.
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Cánovas B, Sastre J, Neblett A, López-Pardo R, Abad S, Moreno G, López J. [Techniques of bariatric surgery: analysis of 78 cases]. NUTR HOSP 2006; 21:567-72. [PMID: 17044602] [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: 05/12/2023] Open
Abstract
OBJECTIVES Bariatric surgery has demonstrated its efficacy in weight loss and in reducing the comorbidities in the morbid obesity patient. The objectives of this study were to analyze the effectiveness and complication of the Scopinaro and gastric bypass techniques as well as the results from open surgery verses laparoscopy. DESIGN Retrospective study from 1999-2005. SUBJECT AND METHODS 78 patients with morbid obesity were operated. 50 patients underwent open surgery and 28 underwent laparoscopy. Gastric bypass was performed in 54 patients, Scopinaro was performed in 20 patients and Vertical Banded Gastroplasty (VBG) was performed in 3 patients. The follow up time was between 6 and 60 months. The results obtained with Scopinaro and gastric bypass were compared as well as the results from open surgery verses laparoscopy. RESULTS The percentage of patients with a percent of excess weight loss under 50% in two years was of 5% and 13%, and the excess weight loss over 75% was of 55% ad 40% in the gastric bypass and the Scopinaro technique respectively. All the comorbidities improved. The average stay was decreased in the case of laparoscopy. The non-nutritional complications were increased for most cases in open surgery with the emphasis in eventrations, infections of the wound and respiratory complications. The nutritional complications were superior with Scopinaro's technique. CONCLUSIONS Based on our study, we would recommend the performance of gastric bypass for laparoscopy due to the reduced average stay and less nutritional and surgical complications. The literature results vary and therefore we consider necessary further control and random studies to correctly establish these comparisons.
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Affiliation(s)
- B Cánovas
- Sección de Endocrinología y Nutrición, Hospital Virgen de la Salud, Toledo, España
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Cánovas B, Morlán MA, Familiar C, Sastre J, Marco A, López J. [Resolution of a neck chylous fistula with oral diet treatment]. NUTR HOSP 2005; 20:429-32. [PMID: 16335028] [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: 05/05/2023] Open
Abstract
Chylous fistula after neck dissection is a well-described complication. This pHatology can lead to serious respiratory and nutritional complications. Therapeutical options for chylous fistula remains controversial. On last reviews, there are an agreement on the conservative management. Within of this management, low long-chain triglycerides fat diet is an essential part.
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Affiliation(s)
- B Cánovas
- Sección de Endocrinología y Nutrición, Hospital Virgen de la Salud, Toledo, España.
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Cánovas B, Ruperto M, Mendoza E, Koning MA, Martín E, Segurola H, Garriga M, Vázquez C. [Concordance between body self-perception and BMI estimated in a population of volunteers recruited on the IV National Day of Obese People]. NUTR HOSP 2001; 16:116-20. [PMID: 11676181] [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: 02/22/2023] Open
Abstract
OBJECTIVES To assess the concordance between corporal self-perception and BMI calculated in a population of volunteers. SECONDARY OBJECTIVES to know the percentage of overweight, normoweight and obese individuals in this population. SUBJECTS The study includes 160 volunteers recruited at the Gómez Ulla and Severo Ochoa Hospitals in Madrid during the 4th edition of the "Obesity Day". ACTIONS A total of 160 interviews were carried out, comprising a first group of 10 questions about how obesity is understood, how they classify themselves by self-perception (obese, overweight or normoweight individuals), the incidence of obesity in the family, living habits and the number of previous failed attempts to lose weight. In the case of a positive response to the last question, the survey is extended to 19 questions, analyzing the reasons, prescriptors, methods used, and weight loss results obtained. RESULTS The mean Body Mass Index (BMI) of the interviewees was 26.2 +/- 4.97 kg/m2, with 27.45 +/- 5.4 kg/m2 for males and 25.76 +/- 4.7 kg/m2 for women. Overweight men represented 32.5%, with 27.3% overweight women, while obese men accounted for 25.6% and obese women amounted to 20.6%. The differences were not significant between sexes, normoweight, overweight and obesity groups. The concordance between self-perception and BMI using the kappa index was 0,464 for the total sample, 0.229 for males and 0.527 for women, and according to the valuation scale proposed by Landis and Koch, it would correspond to a moderate degree of agreement for the population in general, medium for men and moderate for women. CONCLUSIONS Overweight and obesity affect a high percentage of the Spanish population (almost 50%). Women show greater concern about being overweight, are more likely to participate in prevention campaigns, and present a corporal perception more in line with their true weight. Preventive campaigns should be implemented to reach the male population better, taking into account that this population presents a greater cardiovascular risk. It is important to place the problem of obesity in the right terms, without any "obesophobia" leading to disorders of the eating behaviour, while indicating the importance of the risk attributable to obesity and excess weight.
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Affiliation(s)
- B Cánovas
- Unidad de Nutrición Clínica, Hospital de Ramón y Cajal, Madrid, España.
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Cánovas B, Koning MA, Muñoz C, Vázquez C. [Balance nutrition in the diabetic patient]. NUTR HOSP 2001; 16:31-40. [PMID: 11443831] [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: 02/20/2023] Open
Abstract
Nutrition is an integral part of the monitoring and care of diabetes. Compliance with a nutritional plan is, however, one of the most difficult goals to achieve due to the changes in lifestyle that it implies. In order to integrate nutrition effectively into the follow-up and control of diabetic patients, it is necessary to have a multidisciplinary team of professionals basically comprising a doctor specializing in Endocrinology and Nutrition, a dietician and a trainer in diabetes issues. These team members have to apply an individualized approach for each patient and provide nutritional education to enable patients to be self-sufficient. Test results (blood-glucose levels, HbA1c, lipids, blood pressure and quality of life) must be regularly assessed and, if the desired goals are not achieved, the necessary changes must be indicated for future monitoring and overall management of the condition.
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Affiliation(s)
- B Cánovas
- Unidad de Nutrición Clínica, Hospital Ramón y Cajal, Madrid, España.
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