Abstract

Author(s): Cutchma, Gislaine1; Eurich Mazur, Caryna1; Thieme, Rubia Daniela1; De França, Regina Maria2; Madalozzo Schieferdecker, Maria Eliana1

Introduction: Demographic, epidemiologic and nutritional transitions have contributed to increase Home Enteral Nutrition (HEN).

Objective: To analyze the influence of enteral nutrition type in nutritional status, outcome related with HEN and need of hospital care.

Method: Clinical cross-sectional, observational and analytical study in Curitiba,PR, Brazil, with adults and elders in HEN. Anthropometric data, diet enteral nutrition type, outcomes related with HEN and need of hospital care were assessed. Body Mass Index (BMI) classified nutritional status. Data were analyzed in descriptive and statistic way (chi-square, Fischer test and Kruskal Wallis test).

Results: The final sample was 42 patients. Most of the participants was older than 60 years (mean age: 65y; minimum: 21y; maximum: 94y), 50% (n=21) of each sex. Undernutrition was observed in 72.7% and 86.2%, to adults and elders, respectively. Hospital care was needed by 72.8% and, industrialized and food blended enteral nutrition used concomitantly was observed to 57.1% of the patients. Gastrointestinal system outcomes were the most frequent (40.5%) and tube obstruction frequency was higher in food blended HEN. There were no association between nutritional status with outcomes and diet enteral nutrition type (p>0.05).

Discussion: Studies suggested that nutritional status, outcome related with HEN and need of hospital care depends on HEN formula type, and these results are different from ours. HEN formula type did not influence nutritional status and need of hospital care.

Conclusion: HEN formula type did not influence nutritional status, outcomes, and in need of hospital care. Nutritional status did not influence outcomes related with HEN, and in need of hospital care.