Sobrevida e complicações em idosos com doenças neurológicas em nutrição enteral

Martins, Aline Stangherlin; Rezende, Nilton Alves de; Torres, Heloísa de Carvalho

doi:10.1590/s0104-42302012000600014

Cited by 17 publications

(10 citation statements)

References 28 publications

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“…In Turkey, while tube displacement was highest at 7.6%, wound infection was 3.3% [ 29 ]. Overgranulation of PEG site was 26.7% compared with 6.7% for balloon gastrostomy site in the UK, while pneumonia was the most frequent form of complication at 55.9% in Brazil [ 1 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Despite the worldwide recognition of HETF as a useful method of meeting the nutritional requirements of patients and as a life-saving procedure, difficulties often arise during and post tube insertion. These problems appear to the similar globally although the levels of prevalence may vary [ 25 , 26 , 28 , 29 , 30 , 37 ] ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

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The Challenges of Home Enteral Tube Feeding: A Global Perspective

Ojo

2015

Nutrients

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The aim of this review is to provide a global perspective of Home Enteral Tube Feeding (HETF) and to outline some of the challenges of home enteral nutrition (HEN) provisions. It is well established that the number of patients on HETF is on the increase worldwide due to advances in technology, development of percutaneous endoscopic gastrostomy techniques, and the shift in care provisions from acute to community settings. While the significance of home enteral nutrition in meeting the nutritional requirements of patients with poor swallowing reflexes and those with poor nutritional status is not in doubt, differences exist in terms of funding, standards, management approaches and the level of infrastructural development across the world. Strategies for alleviating some of the challenges militating against the effective delivery of HETF including the development of national and international standards, guidelines and policies for HETF, increased awareness and funding by government at all levels were discussed. Others, including development of HEN services, which should create the enabling environment for multidisciplinary team work, clinical audit and research, recruitment and retention of specialist staff, and improvement in patient outcomes have been outlined. However, more research is required to fully establish the cost effectiveness of the HEN service especially in developing countries and to compare the organization of HEN service between developing and developed countries.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Challenges of Home Enteral Tube Feeding: A Global Perspective

Ojo

2015

Nutrients

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“…A total of five studies were included in the systematic review and all had an observational design. Two studies applied a prospective design [ 29 , 30 ] and three studies applied a retrospective design [ 31 , 32 , 33 ]. Studies were completed in Japan [ 31 ], USA [ 32 ], Sweden [ 29 , 33 ] and Germany [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies applied a prospective design [ 29 , 30 ] and three studies applied a retrospective design [ 31 , 32 , 33 ]. Studies were completed in Japan [ 31 ], USA [ 32 ], Sweden [ 29 , 33 ] and Germany [ 30 ]. Study sample sizes ranged from 119–484, participants were categorized with a diagnosis of dementia [ 31 , 33 ] or a broader definition of dementia as significant cognitive impairment and/or combined with other neurologic disorders [ 29 , 30 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies were completed in Japan [ 31 ], USA [ 32 ], Sweden [ 29 , 33 ] and Germany [ 30 ]. Study sample sizes ranged from 119–484, participants were categorized with a diagnosis of dementia [ 31 , 33 ] or a broader definition of dementia as significant cognitive impairment and/or combined with other neurologic disorders [ 29 , 30 , 32 ]. All studies included enteral nutrition administered via PEG tubes.…”

Section: Resultsmentioning

confidence: 99%

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Enteral Nutrition in Dementia: A Systematic Review

Brooke

Ojo

2015

Nutrients

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The aim of this systematic review is to evaluate the role of enteral nutrition in dementia. The prevalence of dementia is predicted to rise worldwide partly due to an aging population. People with dementia may experience both cognitive and physical complications that impact on their nutritional intake. Malnutrition and weight loss in dementia correlates with cognitive decline and the progress of the disease. An intervention for long term eating difficulties is the provision of enteral nutrition through a Percutaneous Endoscopic Gastrostomy tube to improve both nutritional parameters and quality of life. Enteral nutrition in dementia has traditionally been discouraged, although further understanding of physical, nutritional and quality of life outcomes are required. The following electronic databases were searched: EBSCO Host, MEDLINE, PubMed, Cochrane Database of Systematic Reviews and Google Scholar for publications from 1st January 2008 and up to and including 1st January 2014. Inclusion criteria included the following outcomes: mortality, aspiration pneumonia, pressure sores, nutritional parameters and quality of life. Each study included separate analysis for patients with a diagnosis of dementia and/or neurological disease. Retrospective and prospective observational studies were included. No differences in mortality were found for patients with dementia, without dementia or other neurological disorders. Risk factors for poor survival included decreased or decreasing serum albumin levels, increasing age or over 80 years and male gender. Evidence regarding pneumonia was limited, although did not impact on mortality. No studies explored pressure sores or quality of life.

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