medigraphic.com
ISSN 1561-2929 (Print)

2015, Number 1

<< Back Next >>

RCAN 2015; 25 (1)

Personalized enteral nutrition of the patient with oncopediatric diseases delivered at home

Jiménez GR, Valdés MJ, Alfonso NL, Santana PS, Fernández R, Peón BL, Chagues LO, Pedraye MJL, González CMC

Language: Spanish
References: 46
Page: 106-122
PDF size: 598.38 Kb.


ABSTRACT

Rationale: Enteral nutrition is undoubtedly the method of choice for artificial nutritional support, due to its physiologic nature and the extent of scenarios where it can be administrated. Objective: To assess the impact of a methodology for community projection of hospital enteral nutrition upon selected indicators of nutritional and metabolic state of children with onco-hematological diseases. Study design: Retrospective, analytical. Patients: Sixteen children (Lympho-proliferative diseases: 11; Solid tumors: 5) assisted between January 2013 and January 2014 at the “Juan Manuel Márquez” Pediatric Teaching Hospital Havana City (Cuba) following the personalized enteral nutrition regime as delivered at home. Methods: Change on selected anthropometric and biochemical indicators of the child’s nutritional status one year after admission. Results: Children with solid tumors initially showed greater weight loss and reduced food energy intake. Improvement of nutritional status was observed in both subgroups, with significant weight gain: Lympho-proliferative diseases: 3.6 ± 1.4 Kg vs. Solid tumors: 1.3 ± 0.4 Kg. Placement of a gastrostomy followed by administration of home-made culinary formulas supplemented with polymeric solutions was the most effective nutritional support scheme, and the one in which higher weight gain was achieved. Conclusions: Personalized enteral nutrition delivered at home effectively improves nutritional status of the child with onco-hematological diseases.


REFERENCES

  1. Bauer J, Jürgens H, Frühwald MC. Important aspects of nutrition in children with cancer. Adv Nutr 2011;2:67-77.

  2. Pizzo PA, Poplack DG. Principles and practice of Pediatric oncology. Lippincott Williams & Wilkins. Philadelphia PA: 2006. pp. 976.

  3. Murphy AJ, Mosby TT, Rogers PC, Cohen J, Ladas EJ. An international survey of nutritional practices in low- and middle-income countries: A report from the International Society of Pediatric Oncology (SIOP) PODC Nutrition Working Group. Eur J Clin Nutr 2014;68:1341-5.

  4. Jones L, Watling RM, Wilkins S, Pizer B. Nutritional support in children and young people with cancer undergoing chemotherapy. Cochrane Database Syst Rev. 2010;7:CD003298.

  5. Green S, Dinenage S, Gower M, Van Wyk J. Home enteral nutrition: Organisation of services: Care is being increasingly provided in the community, so nurses need to be aware of how nutritional support is organised in their trusts, and whether it is cost effective. Nursing Older People 2013;25:14-8.

  6. Klek S, Hermanowicz A, Dziwiszek G, Matysiak K, Szczepanek K, Szybinski P; et al. Home enteral nutrition reduces complications, length of stay, and health care costs: Results from a multicenter. Am J Clin Nutr 2014;113:

  7. Fregnan S, Regano N, Mazzuoli S; et al. Long-term home enteral nutrition: Incidence of complications in cancer and non-cancer patients. Nutr Ther Metab 2012;30:154-60.

  8. Majka AJ, Wang Z, Schmitz KR, Niesen CR, Larsen RA, Kinsey GC, Murad AL, Prokop LJ; et al. Care coordination to enhance management of long-term enteral tube feeding: A systematic review and meta-analysis. JPEN J Parenter Enteral Nutr 2014;38:40-52.

  9. Jiménez García R, Domínguez Jiménez R, Santana Porbén S, Alfonso Novo L, Torres Amaro A. Metodología para la implementación del soporte nutricional enteral personalizado como alternativa de la nutrición enteral domiciliaria. Rev Cubana Pediatr 2012;84:318-26.

  10. Jiménez García R, García-Bango Chabau J, Santana Porbén S, Pérez Martínez E, Piñeiro González E, Sánchez Ferrás I, Torres Amaro A. Soporte nutricional enteral personalizado en el hogar: Hacia una integración en los cuidados nutricionales ambulatorios. RCAN Rev Cubana Aliment Nutr 2012; 22:216-27.

  11. Puntis JWL. Haemato-Oncology. World Rev Nutr Diet 2014;113:266-70.

  12. Martínez González C, Santana Porbén S. Diseño e implementación de un esquema intrahospitalario de Nutrición enteral. RCAN Rev Cubana Aliment Nutr 2001; 15:130-8.

  13. Weiner JA, Lourie JA. Practical Human Biology. Academic Press. London: 1981.

  14. Lohman TG, Roche A, Martorell R. Anthropometric standardization reference manual. Human Kinetics Books. Primera Edición. Champaign, Illinois: 1988.

  15. Waterlow JC. Classification and definition of protein-calorie malnutrition. Br Med J 1972; 3(5826):566-9.

  16. WHO Working Group. Use and interpretation of anthropometric indicators of nutritional status. Bulletin of the World Health Organization 1986;64:929-41.

  17. Gurney JM, Jelliffe DB. Arm anthropometry in nutritional assessment: Nomogram for rapid calculation of muscle circumference and cross-sectional muscle and fat areas. Am J Clin Nutr 1973;26:912-5.

  18. Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr 1981; 34:2540-5.

  19. Berdasco A, Esquivel M, Gutiérrez JA, Jiménez JA, Mesa D, Posada E; et al. Segundo Estudio Nacional de Crecimiento y Desarrollo. Cuba, 1982: Valores de peso y talla para la edad. Rev Cubana Pediatr 1991;63:4-21.

  20. Esquivel M. Valores cubanos del índice de masa corporal en niños y adolescentes de 0 a 19 años. Rev Cubana Pediatr 1991;63:181-90.

  21. Santana Porbén S. Evaluación bioquímica del estado nutricional del paciente hospitalizado. Nutrición Clínica [México] 2003;6:293-311.

  22. Madrigal Fritsch H, Martínez Salgado H. Manual de Encuestas de Dieta. Serie Perspectivas en Salud Pública. Número 23. Instituto Nacional de Salud Pública. Morelos [México]: 1996

  23. Rodríguez Suárez A, Mustelier Ochoa H. Sistema automatizado Ceres+ para la evaluación del consumo de alimentos. RCAN Rev Cubana Aliment Nutr 2013; 23(2):208-220.

  24. Porrata Maury C, Hernández Triana M, Argüelles Vázquez JM. Recomendaciones nutricionales y guías de alimentación para la población cubana. Editorial Pueblo y Educación. La Habana: 1996.

  25. Hernández Triana M. Requerimientos y recomendaciones nutricionales para el ser humano. Editorial Ciencias Médicas. La Habana: 2005.

  26. Santana Porbén S, Martínez Canalejo H. Manual de Procedimientos Bio-estadísticos. Segunda Edición. EAE Editorial Académica Española. ISBN-13: 9783659059629. ISBN-10: 3659059625. Madrid: 2012.

  27. Hollis S, Campbell F. What is meant by intention to treat analysis? Survey of published randomised controlled trials. BMJ 1999;319:670-47.

  28. Ward E, DeSantis C, Robbins A, Kohler B, Jemal A. Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin 2014;64:83-103.

  29. DeSantis CE, Lin CC, Mariotto AB, Siegel RL, Stein KD, Kramer JL, Alteri R, Robbins AS, Jemal A. Cancer treatment and survivorship statistics, 2014. Cancer J Clin 2014;64:252-71.

  30. Jiménez García R, Cabanas Armada R, Fernández Nodarse R, Chagues Leiva O, González Carrasco MC, Peón Bertot L; et al. Caracterización nutricional del

  31. síndrome anorexia-caquexia en el paciente oncológico pediátrico. Rev Cubana Pediatr 2011;83:337-45.

  32. Alfonso Novo L, Santana Porbén S; para el Grupo Cubano de Estudio de la Desnutrición Hospitalaria. Estado nutricional de los niños ingresados en un hospital pediátrico de La Habana. II. Edades entre 2 y 19 años. RCAN Rev Cubana Aliment Nutr 2008;18:148-65.

  33. Jiménez García R, Santana Porbén S, para el Grupo Cubano de Estudio de la Desnutrición Hospitalaria. Estado nutricional de los niños atendidos en el Hospital Pediátrico “Juan Manuel Márquez”, de La Habana (Cuba). RCAN Rev Cubana Aliment Nutr 2011;21: 236-47.

  34. Alfonso Novo L, Santana Porbén S, para el Grupo Cubano de Estudio de la Desnutrición hospitalaria. Estado de la calidad de la prestación de cuidados nutricionales a los niños atendidos en el Hospital Pediátrico “William Soler”, La Habana, Cuba. RCAN Rev Cubana Aliment Nutr 2009;19:38-55.

  35. Domínguez Jiménez R, Jiménez García R, Santana Porbén S, Alfonso Novo L; para el Grupo Cubano de Estudio de la Desnutrición Hospitalaria. Estado de la calidad de la prestación de cuidados nutricionales a los niños atendidos en el Hospital Pediátrico “Juan Manuel Márquez”, de La Habana. RCAN Rev Cubana Aliment Nutr 2011;21:248-62.

  36. Hall BT, Englehart MS, Blaseg K, Wessel K, Stawicki SP, Evans DC. Implementation of a dietitian-led enteral nutrition support clinic results in quality improvement, reduced readmissions, and cost savings. Nutr Clin Pract 2014; 29:649-55.

  37. Arvanitakis M, Beck A, Coppens P, De Man F, Elia M, Hébuterne X; et al. Nutrition in care homes and home care: How to implement adequate strategies. Report of the Brussels Forum, 22-23 November of 2007. Clin Nutr 2008;27: 481-8.

  38. DeLegge MH. Enteral access in home care. JPEN J Parenter Enteral Nutr 2006;30(1 Suppl):S13-S20.

  39. Jensen GL. Inflammation as the key interface of the medical and nutrition universes: A provocative examination of the future of clinical nutrition and medicine. JPEN J Parenteral Enteral Nutr 2006;30:453-63.

  40. Schmitt F. Tolerance and efficacy of preventive gastrostomy feeding in pediatric oncology. Pediatric Blood Cancer 2012;59;874-80.

  41. Vanek VW. Ins and outs of enteral access: Part 2- Long term access- Esophagostomy and gastrostomy. Nutr Clin Practice 2003;18:50-74.

  42. Gauderer MW, Ponsky JL Izant Jr RZ. Gastrostomy without laparotomy: A percutaneous endoscopic technique. J Pediatr Surg 1980;15:872-5.

  43. Pedrón-Giner C, Calderón C, Martínez-Zazo A, Cañedo Villaroya E, Malillos González P; et al. Home enteral nutrition in children; a 10 year experience with 304 pediatric patients. Nutrición Hospitalaria [España] 2012;27:1444-50.

  44. Brinksma A, Roodbol PF, Sulkers E, Hooimeijer HL, Sauer PJJ; et al. Weight and height in children newly diagnosed with cancer. Pediatric Blood Cancer 2015;62:269-73.

  45. Zimmermann K, Ammann RA, Kuehni CE, De Geest S, Cignacco E. Malnutrition in pediatric patients with cancer at diagnosis and throughout therapy: A multicenter cohort study. Pediatric Blood Cancer 2013;60:642-9.

  46. Colomb V, Dabbas-Tyan M, Taupin P, Talbotec C, Révillon Y, Jan D; et al. Long-term outcome of children receiving home parenteral nutrition: A 20-year single-center experience in 302 patients. J Pediatr Gastroenterol Nutr 2007;44: 347-53.




2020     |     www.medigraphic.com