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Home Nutrition Support in Pediatric Patients

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quantitative and qualitative adaptation of the enteral solutions and ... Indications for home enteral nutrition. Surgical. short bowel s. 14 ... – PowerPoint PPT presentation

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Title: Home Nutrition Support in Pediatric Patients


1
Home Nutrition Support in Pediatric Patients
  • KaragiozoglouLampoudi Th,
  • Toyia E, Toptsidou N, Iosifidou T
  • Pediatric Dept,Central Hospital,
  • Nutrition Dept,School of Food Technology and
    Nutrition
  • Technological Educational Institute of
    Thessaloniki,
  • GREECE

2
  • The aim of the study is to evaluate the
    feasibility and effectiveness of a program of
    home nutrition support (HNS) in a heterogeneous
    group of pediatric patients.

3
Patients 44 pediatric patients (20 boys,24
girls) were enrolled in the program of home
nutrition support immediately after hospital
discharge. Patients age ranged from 2m to 11,5y
(median29m).
4
-clinical and laboratory profile -serial
anthropometric measurements, -quantitative and
qualitative adaptation of the enteral solutions
and -consultation during transitional periods)
methods
Patients data recorded during the follow-up such
as
were assessed and reviewed Every patients
body weight and height velocity during follow up
were expressed as z-scores. Statistical
analysis was performed by t-student test and
linear regression .
5
Results
6
Indications for home enteral nutrition
  • Surgical
  • short bowel s. 14
  • other gastrointestinal surgery 5
  • non surgical
  • food induced enteropathy 9
  • IBD 4
  • metabolic disorders 3
  • cholestasis 3
  • neurologic disorders 3
  • cong. cardiac disease
  • Schwachman s.
  • Pierre-Robin s.

7
  • HNS was delivered by
  • oral intake (36)
  • by nasogastric tube (5)
  • through gastrostomy(3)

8
Eneral Nutrition Solutions
  • Elemental / semielemental solutions were used in
    36 patients,
  • polymeric diet in 5,
  • special solutions in 3.
  • 16/44 patients received nutritional supplements
    as well.

9

HNS duration
  • The duration of the HNS for every patient ranged
    from 1,5-74m (mean 26m),
  • 3 patients died (from causes not related to HNS
    )
  • 4 are expected to be HEN-dependent for life.

10
Growth velocity changes
  • Weight velocity was improved in 80,7 of the
    patients
  • height velocity was improved in 68 of the
    patients.

11
Complications were documented in 18
  • mechanical 3
  • metabolic 9
  • allergic 6

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Conclusions
  • HNS is feasible and effective, in the context of
    management of serious chronic diseases in
    pediatrics.
  • Pediatric patients can easily tolerate the oral
    intake of nutrition solutions.
  • Patients
  • of younger age and
  • those with surgical problems seem to benefit the
    most.
  • The growth velocity during HSN is hampered by
    concomitant complications.
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