Enteral feeding in neurological disorders

Stavroulakis, Theocharis; McDermott, Christopher J.

doi:10.1136/practneurol-2016-001408

Cited by 34 publications

(23 citation statements)

References 75 publications

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“…Commentary Patient activity level, social environment and individual abilities should be considered when choosing delivery methods [87]. In some settings, the financial costs attributable to HEN treatment needs to be considered as it might influence the choice of administration methods.…”

Section: Grade Of Recommendation Gpp E Strong Consensus (100% Agreement)mentioning

confidence: 99%

ESPEN guideline on home enteral nutrition

et al. 2020

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This guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home enteral nutrition (HEN) providers about the indications and contraindications for HEN, and its implementation and monitoring. Home parenteral nutrition is not included but will be addressed in a separate ESPEN guideline. This guideline will also inform interested patients requiring HEN. The guideline is based on current evidence and expert opinion and consists of 61 recommendations that address the indications for HEN, relevant access devices and their use, the products recommended, the monitoring and criteria for termination of HEN, and the structural requirements needed to perform HEN. We searched for metaanalyses, systematic reviews and single clinical trials based on clinical questions according to the PICO format. The evidence was evaluated and used to develop clinical recommendations implementing the SIGN method. The guideline was commissioned and financially supported by ESPEN and the members of the guideline group were selected by ESPEN.

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Section: Grade Of Recommendation Gpp E Strong Consensus (100% Agreement)mentioning

confidence: 99%

ESPEN guideline on home enteral nutrition

et al. 2020

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“…Several factors that are independently associated with feeding tube placement in advanced dementia are known to include: younger age, male gender, ethnic minorities, lack of advanced directives, and no DNR (do not resuscitate) order [17]. Likewise, the type of dementia and associated comorbidities play significant roles as well.…”

Section: Perceived Benefits Of Tube Feeding In Advanced Dementia Indimentioning

confidence: 99%

“…Likewise, the type of dementia and associated comorbidities play significant roles as well. For example, nursing home residents with Alzheimer's dementia and vascular dementia with a background history of stroke are more likely to have tube feeding, whereas individuals with comorbidity of cancer are less likely to have tube feeding [17].…”

Section: Perceived Benefits Of Tube Feeding In Advanced Dementia Indimentioning

confidence: 99%

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Tube Feeding in Individuals with Advanced Dementia: A Review of Its Burdens and Perceived Benefits

Ijaopo

2019

Journal of Aging Research

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Background. Dementia remains a growing concern for societies globally, particularly as people now live longer. About 90% of individuals with advanced dementia suffer from eating problems that lead to general health decline and ultimately impacts upon the physical, psychological, and economic wellbeing of the individuals, caregivers, and the wider society. Objective. To evaluate the burdens and perceived benefits of tube feeding in individuals with advanced dementia. Design. Narrative review. Methods. Computerized databases, including PubMed, Embase, Medline, CINAHL, PsycInfo, and Google Scholar were searched from 2000 to 2019 to identify research papers, originally written in or translated into English language, which investigated oral versus tube feeding outcome in individuals with advanced dementia. Results. Over 400 articles were retrieved. After quality assessment and careful review of the identified articles, only those that met the inclusion criteria were included for review. Conclusion. Tube feeding neither stops dementia disease progression nor prevents imminent death. Each decision for feeding tube placement in individuals with advanced dementia should be made on a case-by-case basis and involve a multidisciplinary team comprising experienced physicians, nurses, family surrogates, and the relevant allied health professionals. Careful considerations of the benefit-harm ratio should be discussed and checked with surrogate families if they would be consistent with the wishes of the demented person. Further research is required to establish whether tube feeding of individuals with advanced dementia provides more burdens than benefits or vice-versa and evaluate the impacts on quality of life and survival.

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“…Since there are several national and international guidelines and reviews dealing with nutritional therapy in neurological as well as geriatric patients, detailed recommendations are not included here (e.g., Volkert et al, 2006 , 2013 ; Sobotka et al, 2009 ; EFNS Task Force on Diagnosis and Management of Amyotrophic Lateral Sclerosis et al, 2012 ; Stavroulakis and McDermott, 2016 ). While there are recommendations for nutritional (enteral or parenteral) support for stroke and ALS patients, there is no evidence on the effectiveness of enteral feeding on the improvement of the nutritional status, quality of life or survival of patients with Multiple Sclerosis or Parkinson's disease (Stavroulakis and McDermott, 2016 ).…”

Section: Therapy Of Malnutritionmentioning

confidence: 99%

Disease Specific Aspects of Malnutrition in Neurogeriatric Patients

Prell

Perner

2018

Front. Aging Neurosci.

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Malnutrition in elderly patients is a common condition. Nevertheless, there is evidence on specific risk factors and problems of malnutrition in geriatric patients with neurological diseases. In this review, we summarize recent knowledge on malnutrition in different neurological diseases with a focus on elderly patients. This overview also provides strategies for a more specific and profound assessment of neurogeriatric patients to improve identification and treatment of malnutrition. Early and consequent treatment of malnutrition can lead to a decreased progression of the neurological disease and to a better quality of life in geriatric patients.

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Enteral feeding in neurological disorders

Cited by 34 publications

References 75 publications

ESPEN guideline on home enteral nutrition

ESPEN guideline on home enteral nutrition

Tube Feeding in Individuals with Advanced Dementia: A Review of Its Burdens and Perceived Benefits

Disease Specific Aspects of Malnutrition in Neurogeriatric Patients

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