Dietary Modification Clinical Trial
Official title:
Home Enteral Nutrition (HEN) Reduces Complications, Length of Stay and Health-care Costs: Results From the Multicenter Study.
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.
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.
;
Observational Model: Case Control, Time Perspective: Prospective
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