The Value of Aritficial Diet and Complex Care in Home Nutrition
- Conditions
- Dietary Modification
- Interventions
- Dietary Supplement: HEN
- Registration Number
- NCT02122120
- Lead Sponsor
- Stanley Dudrick's Memorial Hospital
- Brief Summary
Home enteral nutrition (HEN) has always been recognized as a life-saving procedure, but with the ongoing economic crisis influencing health care, its cost-effectiveness has been questioned recently.
Objective: The unique reimbursement situation in Poland enabled the otherwise ethically unacceptable, hence unavailable, comparison of the period of no-feeding and the long-term feeding and the subsequent analyses of the clinical value of the latter and its cost-effectiveness.
- Detailed Description
Background: Home enteral nutrition (HEN) has always been recognized as a life-saving procedure, but with the ongoing economic crisis influencing health care, its cost-effectiveness has been questioned recently.
Objective: The unique reimbursement situation in Poland enabled the otherwise ethically unacceptable, hence unavailable, comparison of the period of no-feeding and the long-term feeding and the subsequent analyses of the clinical value of the latter and its cost-effectiveness.
Design: The observational multicentre study in the group of 456 HEN patients was performed between January 2007 and July 2013. Two twelve-month periods were compared. During the first one patients were tube fed with home-made diet without monitoring, while during the other the complex HEN was carried out. The latter included tube feeding and complex monitoring by nutrition support team. Number of complications, hospital admissions, length of hospital stay (LOS), biochemical and anthropometric parameters and costs of hospitalization were compared.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 456
- indications for home tube feeding (HTF),
- complete present and past medical history,
- tube feeding for at least twelve months before HEN and at least twelve months afterwards.
- doubtful indications for HEN, no access or an incomplete medical record,
- treatment period shorter than 12 months either before or after enrolment
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Before HEN HEN Patients with tube feeding with kitchen diet for at least twelve months
- Primary Outcome Measures
Name Time Method Number of complications 24 moths
- Secondary Outcome Measures
Name Time Method Number of hospital admissions 24 months
Trial Locations
- Locations (1)
Stanley Dudrick's Memorial Hospital
🇵🇱Skawina, Malopolska, Poland