title: Home enteral nutrition in children: a 10 year experience with 304 pediatric patients.
abstract: OBJECTIVE
  Home enteral nutrition is used increasingly in pediatric populations. Our objective was to describe the profile of pediatric patients requiring this treatment.
  
  
  METHODS
  All patients under 18 years old requiring treatment with home enteral nutrition between January 1995 and December 2004 were analyzed retrospectively.
  
  
  RESULTS
  304 patients were studied (157 boys). The mean age at the start of treatment was 4.02 ± 4.09 years, median of 2.5 years; 28% of all patients were under 1 year. The main indications were oncological disease in 91 patients (29.9%) and digestive diseases in 84 (27.6%). There were significant differences depending on the clinical diagnosis for the start age, type of access, infusion regime and formula prescribed. Nutrients were delivered by nasogastric tube in 218 patients (71.7%). Overnight enteral nutrition was the preferred infusion regime in 155 patients (51%). Adult or pediatric polymeric formulas were mostly prescribed in 190 patients (62.5%). The mean treatment duration was 306 ± 544 days.
  
  
  CONCLUSIONS
  In our series, enteral support usually begins at an early age. Its characteristics varied depending on patient pathology. Knowledge of the pediatric patient profile is important to design the most effective strategy for home enteral nutrition.
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology and Nutrition, Hospital Infantil Universitario Niño Jesús, Madrid, Spain. cpedron.hnjs@salud.madrid.org
authors.forename: C
authors.initials: C
authors.lastname: Pedrón-Giner
authors.forename: C
authors.initials: C
authors.lastname: Calderón
authors.forename: A
authors.initials: A
authors.lastname: Martínez-Zazo
authors.forename: E
authors.initials: E
authors.lastname: Cañedo Villaroya
authors.forename: P
authors.initials: P
authors.lastname: Malillos González
authors.forename: M Á
authors.initials: MÁ
authors.lastname: Sesmero-Lillo
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004066:Digestive System Diseases / Q000628:therapy; D004750:Enteral Nutrition / Q000379:methods / Q000706:statistics & numerical data*; D005183:Failure to Thrive / Q000628:therapy; D005260:Female; D005526:Food, Formulated; D006699:Home Care Services; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000628:therapy; D009422:Nervous System Diseases / Q000628:therapy; D012189:Retrospective Studies