Home enteral nutrition in children: a 14-year multicenter survey
Home enteral nutrition in children: a 14-year multicenter survey
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DOI：
10.1038/ejcn.2012.184
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发表时间：
2013-01-01
影响因子：
4.7
通讯作者：
Gambarara, M.
中科院分区：
文献类型：
--
作者：
Diamanti, A.;Di Ciommo, V. M.;Gambarara, M.
背景/目的：家庭肠内营养（HEN）的实践代表了营养不良儿童和营养良好的儿童无法使用口服饮食喂养的临床管理的一个相关方面。本研究的目的是估计在意大利儿科人口超过14年的时间（1996-2009年），临床相关性和结果随着时间的推移HEN activity.SUBJECTS/METHODS：HEN计算机化的数据库和医疗/饮食图表进行了评估，年龄在开始HEN 1 months.RESULTS：在研究期间，我们记录了757 HEN程序。HEN开始的中位年龄为2岁，中位持续时间为8.1个月。并发症发生率为14.8%。在调查的第二阶段（2003-2009年），主要变化涉及需要母乳喂养的基础疾病、配方奶喂养的选择和获取途径。在2009年，估计的总体患病率HEN为3.47和发病率2.45每10万居民0至18岁的age.CONCLUSIONS：本研究的流行病学数据表明，HEN关注越来越多的意大利儿童和家庭。HEN临床管理的某些方面应进行修改，以达到推荐的标准。《欧洲临床营养学杂志》（2013）67，53-57; doi：10.1038/ejcn.2012.184; 2012年11月28日在线发表
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 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. European Journal of Clinical Nutrition (2013) 67, 53-57; doi:10.1038/ejcn.2012.184; published online 28 November 2012