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Home enteral nutrition in children—2010 nationwide survey of the polish society for clinical nutrition of children

2011; Springer Science+Business Media; Volume: 171; Issue: 4 Linguagem: Inglês

10.1007/s00431-011-1646-8

1432-1076

Agnieszka Szlagatys‐Sidorkiewicz, Katarzyna Popińska, Ewa Toporowska‐Kowalska, Anna Borkowska, Marta Sibilska, Beata Gębora-Kowalska, Stanisław Kłęk, Ewa Hapyn, Jarosław Kierkuś, Urszula Grzybowska-Chłebowczyk, Sabina Więcek, Adam Daukszewicz, Marlena Jakubczyk, Mariola Lembas-Sznabel, Marek Wilczyński, Ilona Zagożdżon, Przemysław Matras, Anna Zmarzły, Janusz Książyk,

Esophageal and GI Pathology

Published epidemiologic data on the administration rates of enteral/parenteral home nutrition is very limited. The aim of this first nationwide study was to assess the availability of pediatric home enteral nutrition (HEN) services in Poland. The questionnaire was sent to all regional centers providing pediatric HEN services in Poland (n = 14). The analysis included the number of pediatric patients who received HEN in 2010, their demographic characteristics and geographical distribution. Furthermore, the distributions of indications and methods of enteral nutrition administration were analyzed, along with the reasons of withdrawal from the HEN program. The number and fraction of children receiving HEN increased in 2010, from 433 (11.34 per 1 million inhabitants) on January 1st to 525 (13.75) on December 31st. Marked differences were observed in geographical distribution of this parameter, from zero to up to 30 pediatric patients per 1 million inhabitants. Median age of patients was 6 years (range: 9 months-18 years). In most cases, HEN was prescribed due to neurological disorders (n = 337, 64.2%), and administered by means of gastrostomy (n = 450, 85.71%). This study revealed the dynamic development of pediatric HEN services in Poland but also documented their potential regional shortages.