Home Nutrition Support in Pediatric Patients

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Home Nutrition Support in Pediatric Patients

• KaragiozoglouLampoudi Th,
• Toyia E, Toptsidou N, Iosifidou T

• Pediatric Dept,Central Hospital,
• Nutrition Dept,School of Food Technology and
  Nutrition
• Technological Educational Institute of
  Thessaloniki,
• GREECE

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• The aim of the study is to evaluate the
  feasibility and effectiveness of a program of
  home nutrition support (HNS) in a heterogeneous
  group of pediatric patients.

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Patients 44 pediatric patients (20 boys,24
girls) were enrolled in the program of home
nutrition support immediately after hospital
discharge. Patients age ranged from 2m to 11,5y
(median29m).
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-clinical and laboratory profile -serial
anthropometric measurements, -quantitative and
qualitative adaptation of the enteral solutions
and -consultation during transitional periods)
methods
Patients data recorded during the follow-up such
as
were assessed and reviewed Every patients
body weight and height velocity during follow up
were expressed as z-scores. Statistical
analysis was performed by t-student test and
linear regression .
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Results
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Indications for home enteral nutrition

• Surgical
• short bowel s. 14
• other gastrointestinal surgery 5
• non surgical
• food induced enteropathy 9
• IBD 4
• metabolic disorders 3
• cholestasis 3
• neurologic disorders 3
• cong. cardiac disease
• Schwachman s.
• Pierre-Robin s.

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• HNS was delivered by
• oral intake (36)
• by nasogastric tube (5)
• through gastrostomy(3)

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Eneral Nutrition Solutions

• Elemental / semielemental solutions were used in
  36 patients,
• polymeric diet in 5,
• special solutions in 3.
• 16/44 patients received nutritional supplements
  as well.

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HNS duration

• The duration of the HNS for every patient ranged
  from 1,5-74m (mean 26m),
• 3 patients died (from causes not related to HNS
  )
• 4 are expected to be HEN-dependent for life.

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Growth velocity changes

• Weight velocity was improved in 80,7 of the
  patients
• height velocity was improved in 68 of the
  patients.

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Complications were documented in 18

• mechanical 3
• metabolic 9
• allergic 6

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Conclusions

• HNS is feasible and effective, in the context of
  management of serious chronic diseases in
  pediatrics.
• Pediatric patients can easily tolerate the oral
  intake of nutrition solutions.
• Patients
• of younger age and
• those with surgical problems seem to benefit the
  most.
• The growth velocity during HSN is hampered by
  concomitant complications.