title: [Parenteral nutrition at home: NADYA register for the year 2000].
abstract: OBJECTIVE
  We analyze the registered data of home parenteral nutrition (HPN) in our country during the year 2000.
  
  
  METHODS
  The data were collected through a previously designed questionnaire. Apart from epidemiological information, the form includes the disease to prescribe this treatment, the specific nutritional treatment used and its duration, access path, complications and readmission rate in hospital, follow-up of the treatment, and progress. All data were processed and analysed by the co-ordinating team.
  
  
  RESULTS
  Fourteen hospitals participated, and 67 patients were enrolled. Middle age was 5 +/- 4 years for patients < 14 years old, and 48 +/- 15 years for those > or = 14 years old. The more prevalent diagnosis were: ischemic bowel (28.4%), neoplasm (16.4%), radiation enteritis (13.4%), motility disorders (7.5%), Crohn's disease (2.9%), and other. The mean time on HPN was 7.5 +/- 4.4 months. Tunelized catheter was the preferential route (77.6%), followed by the implantated one (20.9%). The intermittent method (nocturnal) was preferential (91.0%). Patients receive the formula from hospital pharmacy more frequently than from Nutriservice (71.5% versus 19.4%). The complications related to nutrition (0.32/100 days of HPN) included the infections (0.12 catheter sepsis/100 d of HPN), metabolic (0.06/100 d of HPN), mechanic (0.03/100 d of HPN) and electrolitic disorders (0.03/100 d of HPN). The readmission rate, for nutritional problems, was 0.3 hospitalizations/100 d of HPN. At the end of the year, 61.2% of the patients remained in the HPN program, 37.3% abandoned the treatment (due to death (40%), to progress to oral feeding (48%), and to progress to enteral nutrition (4%); and 1.5% of the patients were not follow up.
  
  
  CONCLUSIONS
  This review illustrates that there is an increment in the registration of HPN patients in our country (1997: 0.7 patients/10(6) habitants, 2000: 1.9 patients/10(6) habitants), that vascular pathology is the more frequent diagnoses in HPN patients, and the rate of readmission and complications and the behaviour is similar to other series making this as a safe treatment in our place.
authors.affiliation: Unidad de Nutrición, Hospital Universitario Vall d'Hebrón, Barcelona.
authors.forename: M
authors.initials: M
authors.lastname: Planas
authors.forename: M
authors.initials: M
authors.lastname: Castellá
authors.forename: M
authors.initials: M
authors.lastname: León
authors.forename: A M
authors.initials: AM
authors.lastname: Pita
authors.forename: P
authors.initials: P
authors.lastname: García Peris
authors.forename: P
authors.initials: P
authors.lastname: Gómez Enterría
authors.forename: C
authors.initials: C
authors.lastname: Gómez Candela
authors.forename: M
authors.initials: M
authors.lastname: Forga
authors.forename: E
authors.initials: E
authors.lastname: Martí Bonmatí
authors.forename: A
authors.initials: A
authors.lastname: Pérez de la Cruz
authors.forename: J
authors.initials: J
authors.lastname: Salas
authors.forename: J
authors.initials: J
authors.lastname: Ordóñez
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez Pozo
authors.forename: E
authors.initials: E
authors.lastname: Camarero
authors.forename: J A
authors.initials: JA
authors.lastname: Carrera
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D016331:Parenteral Nutrition, Home / Q000706:statistics & numerical data*; D012042:Registries; D013030:Spain