The Value of Aritficial Diet and Complex Care in Home Nutrition

Study Overview
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Brief Summary
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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
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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.

Official Title
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Home Enteral Nutrition (HEN) Reduces Complications, Length of Stay and Health-care Costs: Results From the Multicenter Study.

Conditions
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Dietary Modification

Intervention / Treatment
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* Dietary Supplement: HEN


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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. Exclusion Criteria: doubtful indications for HEN, no access or an incomplete medical record, treatment period shorter than 12 months either before or after enrolment
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Before HEN<br>Patients with tube feeding with kitchen diet for at least twelve months | Dietary Supplement: HEN<br>* Patients with tube feeding with FSMP for at least twelve months<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of complications |  | 24 moths | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of hospital admissions |  | 24 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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enteral nutrition, tube feeding, nutritional support