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BIBTEX RIS

Outcomes of enteral nutrition for patients with advanced dementia — A systematic review

2014; Springer Science+Business Media; Volume: 19; Issue: 2 Linguagem: Inglês

10.1007/s12603-014-0517-1

1760-4788

Ana Lúcia Ribeiro Salomón, María Rita Carvalho Garbi Novaes,

Nutrition and Health in Aging

The present article aims to evaluate the outcomes of enteral nutrition for people with advanced dementia. A systematic review was conducted by searching The Cochrane Library, MEDLINE, EMBASE, PROQUEST and LILACS for articles that were published from 2008 to 2013. Prospective and retrospective studies involving a control group were searched. Data were independently extracted and assessed by one reviewer and checked by a second. Searched outcomes included survival, clinical and nutritional parameters and complications. In total, nine controlled studies were identified from several parts of the world: Israel, Italy, Japan, the United States and Brazil. Most of the studies did not report any outcome of harm with enteral nutrition use in dementia patients compared with patients without dementia. A study with a higher follow-up period demonstrated improvements in albumin, weight and chronic inflammation parameters. It is not possible to affirm that tube feeding is harmful for dementia patients. Thus, an adequate follow-up by a multidisciplinary team may lower complications associated with this therapy and thus improve survival.