Development of home artificial nutrition in Italy over a seven year period: 2005–2012Report as inadecuate




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BMC Nutrition

, 3:6

Clinical nutrition

Abstract

BackgroundIn 2005, the Italian Society for Artificial Nutrition and Metabolism carried out a national survey on the prevalence of home artificial nutrition HAN, enteral HEN and parenteral HPN. A second survey was carried out in 2012 to investigate the development of HAN in Italy.

MethodsThe Local Health Care Units LHCUs were required to record the ongoing cases of HAN using a structured questionnaire. The point prevalence n.-million inhabitants was analysed according to patient age and disease categories. Data were compared with those obtained in 2005.

ResultsData were obtained from 65% of the LHCUs, representing 73% of the Italian population. The prevalence of HAN was 325.5 90.3% adults, 84.6% HEN. As in 2005, a wide range of prevalence was observed among the administrative regions. The most frequent disease category for HPN was oncological in adults and intestinal failure in children; for HEN, it was neurological in both age groups. A positive correlation was observed between the regional prevalence of HAN and the regional population aging index p = 0.018. The prevalence of HAN in 2012 was 66% higher than that in 2005. In the individual regions, a negative association was observed between the 2012% prevalence increase of HAN 2012:2005 ratio and the HAN prevalence in 2005 p = 0.020.

ConclusionsA two-thirds increase in HAN prevalence was observed over seven years, probably due to improved HAN organisation and management in those regions which showed a low prevalence in 2005. Population aging seemed to be one of the main factors necessitating HAN.

KeywordsEpidemiology Enteral nutrition Parenteral nutrition, Home Home care AbbreviationsBANSBritish Artificial Nutrition Survey

BAPENBritish Association for Parenteral and Enteral Nutrition

CIFChronic intestinal failure

ESPENEuropean Society for Clinical Nutrition and Metabolism

GIGastrointestinal

HANHome artificial nutrition

HENHome enteral nutrition

HPNHome parenteral nutrition

LHCUsLocal health care units

NHCSNational Health Care System

SINPEItalian Society for Artificial Nutrition and Metabolism

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Author: Loris Pironi - Regional Coordinators of SINPE

Source: https://link.springer.com/







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