title: [Artificial nutrition in the home. 1995 yearly report. NADYA-SENPE Group (Natiional Registry of Patient-Spanish Society for Parnteral and Enterlal Nutrition].
abstract: By means of a simplified questionnaire, the NADYA group has gathered and analyzed data with regard to the age, sex, diagnosis, access route, duration, form of administration, complications, and quality of life, in 812 patients (62% male; 37% female) with At Home Enteral Nutrition (AHEN), and 19 patients (42% male; 57% female) with At Home Parenteral Nutrition (AHPN) corresponding the National Registry of 1995. The most frequent indication of AHEN was a neoplasm (41%), followed by neurological alterations (33%). The most common access route is the NGT (37%) followed by oral administration in 37%, PEG in 13% and surgical ostomics in 8%. The mean treatment time is 8 months. The index of complications/patient-year is 0.50 (gasterointestinal 0.17, and mechanical alterations 0.9). At the end of the study, 63% of the patients continued to receive AHEN, showing a mortality rate of 70%. The majority of the patients undergoing treatment presented a sever social disability (20%) or were bed ridden (18%). The most common indications for the AHPN are: radical enteritis (26%), Crohn's disease (21%), and mesenteric ischemia (16%). AIDS, motility alterations, and neoplasic diseases are scantly represented (10%). Tunneled catheters are used in 58% of the cases, and Port-a-Cath in 31%). The mean duration for the treatment was 7.9 months. An index of 0.47 hospitalization/patient-year was seen in relation to the nutritional treatment (mainly due to catheter septicemia). A mortality of 16% is noted, and 21% show a recovery of the oral route. 42% of the patients did not present an assessable social disability.
authors.affiliation: Unidad de Nutrición Clínica, Hospital Universitario La Paz, Madrid.
authors.forename: C
authors.initials: C
authors.lastname: Gómez Candela
authors.forename: A I
authors.initials: AI
authors.lastname: de Cos
authors.forename: C
authors.initials: C
authors.lastname: Iglesias
authors.forename: M D
authors.initials: MD
authors.lastname: Carbonell
authors.forename: E
authors.initials: E
authors.lastname: Camarero
authors.forename: A
authors.initials: A
authors.lastname: Celador
authors.forename: S
authors.initials: S
authors.lastname: Celaya
authors.forename: J
authors.initials: J
authors.lastname: Chamorro
authors.forename: A
authors.initials: A
authors.lastname: Cortezón
authors.forename: F
authors.initials: F
authors.lastname: Ferrón
authors.forename: P P
authors.initials: PP
authors.lastname: García Luna
authors.forename: I
authors.initials: I
authors.lastname: Gil Canalda
authors.forename: P
authors.initials: P
authors.lastname: Gómez Enterría
authors.forename: F
authors.initials: F
authors.lastname: González Huix
authors.forename: M
authors.initials: M
authors.lastname: León
authors.forename: E
authors.initials: E
authors.lastname: Martí Bomarti
authors.forename: J
authors.initials: J
authors.lastname: Ordóñez
authors.forename: P
authors.initials: P
authors.lastname: Pavón
authors.forename: J L
authors.initials: JL
authors.lastname: Pereira
authors.forename: A
authors.initials: A
authors.lastname: Pérez de la Cruz
authors.forename: M
authors.initials: M
authors.lastname: Segura
authors.forename: C
authors.initials: C
authors.lastname: Vázquez
mesh_terms: D004750:Enteral Nutrition; D005260:Female; D006801:Humans; D008297:Male; D016331:Parenteral Nutrition, Home
vernacular_title: Nutrición artificial domiciliaria. Informe anual 1995. Grupo NADYA-SENPE.