Abstract

CASTANO ESCUDERO, A.  and  PEREZ GABARDA, M.ª E.. Evolution of home-based enteral nutrition in Madrid 2002-2007. Nutr. Hosp. [online]. 2009, vol.24, n.2, pp.218-225. ISSN 1699-5198.

Introduction: Home-based enteral nutrition in Madrid uses the official prescription form which facilitates the use of information systems for analyzing consumption and evolution. Objectives: 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. Patientsí 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. Discussion: 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.

Keywords : Home-based enteral nutrition evolution; Madrid 2002-2007.

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