title: [Artificial nutrition in the home. Annual information 1996.Group NADYA-SENPE].
abstract: Using a simplified questionnaire from the NADYA group, data referring to age, sex, diagnosis, access route, duration, form of administration, complications, and quality of life have been gathered from 1,400 patients (57% male, 43% female) who receive home enteral nutrition, and from 38 patients (20% male and 18% female) who receive home parenteral nutrition. All of these patients come from the 1996 national registry. The most common indication for home enteral nutrition are neoplasias (39%) followed by neurological alterations (33%). The most common access route is oral (48%), followed by a nasogastric tube in 34%, PEG in 10% and surgical ostomies in 7%. The average treatment duration is 6 months. There is an index of 0.74 complications/patient-year (gastrointestinal 0.28 and mechanical alterations 0.19). At the end of the year 58% of the patients continued to use at home enteral nutrition, with a death rate of 17%. The majority of the treated patients presented a severe social disability (28%) or was bed-ridden (22%). The most common indications for home parenteral nutrition are: neoplasia (42%), Crohn_s disease (10%), and mesenteric ischemia (10%). AIDS (8%), radical enteritis (5%), and motility disorders (5%) are less common. In 42% of the cases tunneled catheters are used, and port-a-cath are used in 53%. The average treatment duration is 6.9 months. 1.06 hospitalizations/patient-year have been registered in relation to the nutritional treatment (mainly catheter sepsis). A mortality of 29% is registered, and there is recovery of the oral route in 7.9% of the cases. 50% of the patients present a severe social disability.
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: J A
authors.initials: JA
authors.lastname: Carrera
authors.forename: A
authors.initials: A
authors.lastname: Celador
authors.forename: J
authors.initials: J
authors.lastname: Chamorro
authors.forename: F
authors.initials: F
authors.lastname: Ferrón
authors.forename: P P
authors.initials: PP
authors.lastname: García Luna
authors.forename: A
authors.initials: A
authors.lastname: Goenaga
authors.forename: P
authors.initials: P
authors.lastname: Gómez Enterría
authors.forename: M
authors.initials: M
authors.lastname: León
authors.forename: E
authors.initials: E
authors.lastname: Martí Bomarti
authors.forename: G
authors.initials: G
authors.lastname: Martín Peña
authors.forename: S
authors.initials: S
authors.lastname: Mejías
authors.forename: J B
authors.initials: JB
authors.lastname: Molina
authors.forename: F
authors.initials: F
authors.lastname: Moreno
authors.forename: J
authors.initials: J
authors.lastname: Ordóñez
authors.forename: P
authors.initials: P
authors.lastname: Pavón
authors.forename: C
authors.initials: C
authors.lastname: Pedrón
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: Planas
authors.forename: C
authors.initials: C
authors.lastname: Wanden-Berghe
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D009749:Nutrition Surveys; D016562:Parenteral Nutrition, Home Total; D012042:Registries; D013030:Spain