[Evolution of home-based enteral nutrition in Madrid 2002-2007].
BACKGROUND
Home-based enteral nutrition in Madrid uses the official prescription form which facilitates the use of information systems for analyzing consumption and evolution.


OBJECTIVE
Qualitative and quantitative analysis of the evolution of HBEN use from 2002 to 2007. Trend and identification of the products with higher impact for the period 2006-2007. Patient's characteristics.


METHODS
Selection of invoiced prescriptions of HBEN products, classification by type, and analysis of price and pack number evolution for the period 2002 -2007. Study of the consumption evolution 2006-2007 identifying those products with higher impact, the prescription distribution, and the characteristics of the patients in whom HBEN is prescribed.


RESULTS
In the period 2002-2007, the number of packs has increased more than twice and the costs have tripled, observing a shift towards complete hyperproteinic diets. When analyzing these diets in the period 2006-2007, there are five products that have increased the number of packs by more than 210%. The mean patientsí age was 60.33 years. The most frequent diagnoses were oncologic and neurologic. 69% of the treatments are prescribed as dietary supplements for an ordinary diet.


CONCLUSIONS
For the last 6 years, an increasing trend is observed as well as a shift towards complete hyperproteinic diets, which in 2007 accounted for almost a third of the whole consumption. Two thirds of the therapies are focused on geriatric patients with oncologic or central nervous system degenerative pathologies.
Castaño Escudero
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Inspección Sanitarias, Consejería de Sanidad, Comunidad de Madrid, Madrid, España.
Pérez Gabarda
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D004750:Enteral Nutrition / Q000706:statistics & numerical data* / Q000639:trends*; D006699:Home Care Services / Q000706:statistics & numerical data* / Q000639:trends*; D006801:Humans; D013030:Spain; D014504:Urban Health