ESPEN 2013 - Late breaking abstract submission
Late Breaking Abstract
ESPEN13-1826
A SURVEY ON ARTIFICIAL NUTRITION PRACTICES IN A FRENCH TEACHING HOSPITAL
A. Jirka 1,*K. Belhocine 1P. Cecile 2I. Bouhier 2D. Darmaun 1
1Gastroenterology and Nutrition Support Unit, 2Risk evaluation and managment unit, CHU Nantes, Nantes, France
Rationale: The study was designed by the Hospital Coordination Committee on Dietetics and Nutrition (CLAN) to evaluate the routines used for nutrition screening and nutrition support in adult patients staying in different departments ranging from psychiatry to intensive care unit, and assess the impact of the protocols and recommendations proposed by the CLAN.
Methods: It was a snap shot, one day observational study. A questionnaire was distributed to 63 units to be the filled-in on a single day (June 21, 2012) by head nurses. The data was analyzed using the SPPS statistical analysis software.
Results: The rate of return of the form was 85%. Nighteen percent of responders were aware of the local screening tool and the local standards for malnutrition management. Weight was measured at least once a week in 66,7% of patients.
Nighty nine of the 1388 (7.1%) patients hospitalized on that day in the responding units were receiving enteral (EN) or parenteral nutrition (PN). The mean volumes of administrated enteral and parenteral nutrition were 1236 ml and 1459 ml, respectively. The calorie ratio of enteral to parenteral feeding route was 2.6. An infusion pump was used in 62.5% of cases for parenteral and in 92,1% for enteral nutrition administration. In >40% of cases, drugs were added to EN or PN bags. A cyclic regimen for parenteral and enteral nutrition was prescribed in 12% and 92% of cases, respectively. A “multi-bottle” system was used in 4% of cases.
Conclusion: The results reveal a huge gap between the local standard of care documents and current practices in our hospital, regarding, for instance, insufficient weight surveillance, inappropriate addition of drugs into EN and PN bags, or the insufficient use of pumps, and cyclic PN. The predominant use of enteral nutrition, however, is consistent with the aim of the nutrition team to promote enteral approach of nutrition support.
Disclosure of Interest: None Declared
Keywords: artificial nutrtion, screening, protocol implementation