[Analysis of the actual state of nutrition of elderly patients fed via PEG tube].
Over a period of six months starting from October 1, 2001, within the frameworks of quality checks in nursing homes and the examination to check the need of care, the data of 290 persons supplied with a PEG-tube were collected. In only 60% of all cases the individual weight had been recorded. For 40% of the group the most important regulatory parameter for calorie intake was not available. Weights which had not been measured were estimated by the MDK experts. In total, 27% of the PEG patients were underweight. Assuming an activity factor of 1.2 the minimal required amount of calories was calculated on the basis of age, height, weight and sex and compared with the actual calorie intake. Up to 19% of the patients with PEG were mainly fed orally. About half of these people could probably be nourished without a PEG. 66% of all people were fed exclusively via PEG. 47% of them received less calories than their basal metabolic rate (BMR), 70% received less than their minimal energy requirement. On average, the calorie intake was 171 kcal below the BMR. In those cases, where either an external nutrition expert was consulted or the actual weight was known, the share of patients receiving less than the required amount of calories was slightly lower. Within the framework of persons surveyed for the check of a need of care, the situation of those being taken care of in their private home surroundings was considerably better than of those who were living in a nursing home.
Deitrich
G
G
Medizinischer Dienst der Krankenversicherungen in Hessen, Referat Zentralaufgaben der Pflege, Oberursel. g.deitrich@mdk-hessen.de
Belle-Haueisen
J
J
von  Mittelstaedt
G
G
D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D002149:Energy Intake; D004750:Enteral Nutrition / Q000706:statistics & numerical data*; D005260:Female; D015577:Geriatric Assessment; D005858:Germany; D006707:Homes for the Aged / Q000331:legislation & jurisprudence* / Q000592:standards; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000331:legislation & jurisprudence* / Q000592:standards; D015596:Nutrition Assessment; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence*
Ist-Analyse der Ernährungssituation von mit PEG-Sonde versorgten älteren Menschen.