Abstract:
INTRODUCTION:home artificial nutrition (HAN) is a growing therapy, but the absence of obligatory registries complicates the calculation of its real economic burden. The aim of this study was to assess the state and economic impact of HAN in our health area. METHODS:an observational, prospective study was designed to calculate the cost of nutritional formulas and materials in patients who initiated HAN in the nutrition unit during a year. RESULTS:we included 573 new patients with HAN during the study period, 60% of whom were treated with oral supplements. The median daily cost of oral HAN was 3.65 (IQR 18.63) euros compared to a cost of 8.86 (IQR 20.02) euros for enteral-access HAN. The daily expenditure per 1 000 kcal of diet was higher for patients on oral HAN than for patients with tubes (5.13 vs. 4.52 euros, p < 0.001). The median cost of the complete HAN treatments during the study period was also calculated (186.60 euros and 531.99 euros for oral and tube HAN, respectively). The total estimated cost for all patients who initiated HAN in the study period was around one million euros. CONCLUSIONS:HAN represented an important economic burden in our health area, but the estimated daily cost of HAN was moderate, probably because of the high frequency of oral HAN, the adjusted treatments, and the centralized dispensation by the hospital pharmacy. :Introducción: la nutrición artificial domiciliaria (NAD) es una terapia en creciente desarrollo, pero la ausencia de registros obligatorios hace difícil calcular la carga económica que implica. Nuestro objetivo es evaluar el estado y el impacto económico de la NAD en nuestra área sanitaria. Métodos: estudio observacional y prospectivo diseñado para estimar el gasto en fórmulas y materiales nutricionales en los pacientes que iniciaron NAD durante 1 año. Resultados: se incluyeron 573 pacientes que iniciaron NAD en el período de estudio. El 60% recibieron suplementos orales. La mediana de gasto diario fue de 3,65 (RIC 18,63) euros en la NAD oral y de 8,86 (RIC 20,02) euros en la NAD por acceso enteral. El gasto por 1.000 kcal de dieta fue superior en los pacientes con NAD oral respecto a los pacientes con NAD enteral (5,13 vs. 4,52 euros, p < 0.001). Asimismo se calculó la mediana de gasto completo de los tratamientos durante todo el período de estudio (186,60 euros y 531,99 euros en NAD oral y enteral, respectivamente). Considerando el gasto conjunto de todos los pacientes que iniciaron NAD en el período de estudio, el gasto estimado estaría en torno a un millón de euros. Conclusiones: la NAD representa una importante carga económica en nuestra área sanitaria. Sin embargo, el gasto diario estimado fue moderado, probablemente por la elevada proporción de NAD oral en nuestra muestra, la revisión frecuente de la indicación y la centralización de la dispensación desde el servicio de Farmacia Hospitalaria.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Villar-Taibo R,Martínez-Olmos MÁ,Bellido Guerrero D,Peinó-García R,Martís-Sueiro A,Camarero-González E,Ríos-Barreiro V,Cao-Sánchez P,Durán Martínez R,Rodríguez Iglesias MJ,Rodríguez-Blanco B,Rojo Valdés Jdoi
10.3305/nh.2015.32.1.9113subject
Has Abstractpub_date
2015-07-01 00:00:00pages
215-21issue
1eissn
0212-1611issn
1699-5198journal_volume
32pub_type
杂志文章abstract:INTRODUCTION:Transferrin (Tf) exerts a crucial function in the maintenance of systemic iron homeostasis. The expression of the Tf gene is controlled by transcriptional mechanism, although little is known about genetic factors influence. OBJECTIVE:To study the role of rs3811647 in Tf expression using an in-vitro assay ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6154
更新日期:2012-11-01 00:00:00
abstract:Introduction:Introduction: glutamine (GLN), the most abundant non-essential amino acid in the plasma, tends to be rapidly depleted in cells in situations of metabolic stress. Some studies have demonstrated the benefits of GLN supplementation on mortality, infection, and length of hospital stay. The objective of this re...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02949
更新日期:2020-07-13 00:00:00
abstract:Introduction:Background: the legislation currently regulating the inclusion of Food for Special Medical Purposes (FSMP) among the benefits of the National Health System (SNS) was made approximately 15 years ago. The evolution of the technical characteristics of the FSMP justifies an analysis of the current regulation a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03082
更新日期:2020-12-16 00:00:00
abstract:BACKGROUND:the aging population has been accompanied by epidemiological changes of the Brazilian population, with the highlight being the continued growth of the prevalence of non-communicable chronic diseases especially cardiovascular or artery-coronary, resulting from changes in the lipid profile of the elderly. OBJ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.8875
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:The intragastric balloon is widely used for weight reduction in obese patients, but results are variable. We describe our results enhancing the importance of a Multidisciplinary Team (MT) taking part in the treatment. METHODS:A retrospective review was done concerning a total of 119 balloons , placed in 116...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-05-01 00:00:00
abstract:INTRODUCTION:The term sarcopenia is defined as age-related loss of skeletal muscle mass and function, with a consequent impact on quality of life. However, there is a lack of studies examining the prevalence of sarcopenia in patients with type 2 diabetes mellitus (DM). OBJECTIVES:To analyze the prevalence of sarcopeni...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1070
更新日期:2017-10-24 00:00:00
abstract::In this work, we have planned to perform a nutritional assessment of a group of 50 students from the University of Granada, to which questionnaires have been administered relating to 24-hour remembrance of type and frequency of food consumption, for 30 days. In order to know macro- and micronutrients intake, the resul...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract::Objetivos: oligoelementos como zinc (Zn), hierro (Fe) y cobre (Cu) tienen una influencia significativa en el mantenimiento de la función inmune y del metabolismo normales; modulan la función immune e influyen en la susceptibilidad del organismo ante infecciones. Pero la relación entre trazas de estos elementos y la br...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.97
更新日期:2016-03-25 00:00:00
abstract:INTRODUCTION:Evidences suggest that fat intake, visceral obesity and intracellular lipids are related to insulin impairment. OBJECTIVE:The objective of the present paper was correlate visceral obesity and metabolic alterations in control (CTR) and hyperlipidic cafeteria diet (CFT) fed animals. METHODS:After 6 months ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.2.6181
更新日期:2013-03-01 00:00:00
abstract:AIM:To present the results of the Spanish home enteral nutrition (HEN) registry of the NADYA-SENPE group for the year 2013. MATERIAL AND METHODS:From January 1st to December 31st 2013 data was recorded for the HEN registry and further descriptive and analytical analysis was done. RESULTS:In this period 3 223 patients...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.6.8983
更新日期:2015-06-01 00:00:00
abstract::We present the case of a female patient suffering a peritonitis episode after subtotal gastrectomy due to gastric neoplasm in relation to lesser curvature necrosis extending to the anterior esophageal wall. This an uncommon andsevere complication that made mandatory further aggressive surgery: transection of the abdom...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract::Identifying hyponutrition is essential at the hospital setting to avoid or minimize the impact on the patients' clinical course and its association with more severe complications, longer hospital staying, and increased mortality, and all of this is associated with increased costs for the institution and the society. T...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.1590/S0212-16112011000200003
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES/HYPOTHESIS:Presbycusis is the most prevalent cause of hearing-loss in the older, but pathogenesis is not well-know. The premise of this study is that hyperlipemia increase risk of age-related hearing-loss. PATIENTS AND METHODS:180 patient more than 65 years-old were studied. All patients had bilateral heari...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:Introduction:Background: obesity and lower physical fitness levels in children are related to the development of cardiometabolic risk factors. Objective: to determine the relationship between health-related physical fitness and physical activity levels, blood pressure, and anthropometric parameters for different weight...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1932
更新日期:2019-03-07 00:00:00
abstract::At our hospital, there is an At-Home Enteral Nutrition programme (NED in its Spanish acronym) with participation of the Clinical Nutrition Unit and the Pharmacy Service. The products and all necessary material are dispensed directly to the patient's home and nutritional follow-up is carried out. As a lack of informati...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::When a patient needs parenteral or enteral nutrition, be it in a transitory way or as a permanent form, and hospitalization is not strictly required, this treatment should take place in the home of the patient whenever possible. The support with artificial nutrition can be equally efficient, improving the life expecta...
journal_title:Nutricion hospitalaria
pub_type: 指南,杂志文章,实务指引
doi:
更新日期:1995-09-01 00:00:00
abstract::The use of selenized yeast as enriched selenium supplements in human nutrition has become a topic of increasing interest over the last decade. The present study was designed with the aim to achieve a balance between selenium (Se) incorporation and optimal growth of yeast cells along with effect of Se enrichment on ant...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract::Current medical treatment of type 2 diabetes mellitus (T2DM) requires special attention to different comorbidities that often are associated with hyperglycemia, such as overweight or obesity, dyslipidemia, hypertension, microvascular or macrovascular complications, etc. .. The control of these factors risk to health i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.sup2.6707
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Oncohematological diseases such as lymphoma or leukaemia affect an increasing number of newly diagnosed patients in Spain and other countries. Both disease and treatment may have a negatively impact in the nutritional status of the patient. Malnutrition is not uncommon among oncohematological patients. This ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2012.27.3.5863
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:To examine inter-methods agreement between dual energy X-ray absorptiometry (DXA) and air displacement plethysmography (ADP) in male adolescent cyclists for assessing percentage of body fat (PBF). METHODS:PBF of 24 male adolescent cyclists was assessed by DXA and ADP. Agreement between ADP and DXA was determ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6502
更新日期:2013-07-01 00:00:00
abstract::Over the last few years, obesity has been constantly increasing, thus turning it into a serious public health problem, with the subsequent impact on health-related expenditure, particularly in developed countries. The main peculiarity of obesity is its association with numerous pathologies (respiratory disease, cardio...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract:Introduction:The current COVID-19 pandemic mainly affects older people, those with obesity or other coexisting chronic diseases such as type-2 diabetes and high blood pressure. It has been observed that about 20 % of patients will require hospitalization, and some of them will need the support of invasive mechanical ve...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03180
更新日期:2020-07-13 00:00:00
abstract:INTRODUCTION:Obesity and diabetes are diseases with high prevalence worldwide. There is currently no effective medical treatment for combat the weight gain. It is precursor of diseases such as diabetes or metabolic syndrome. It is necessary to know if weight gain has cumulative effects on the glycemic and lipid metabol...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.5.7288
更新日期:2014-05-01 00:00:00
abstract:Introduction:Aim and background: the incidence of obesity has increased among children, and obesity has been considered an independent risk factor for chronic kidney disease. We aimed to determine the degree of kidney function impairment by evaluating urine neutrophil gelatinase-associated lipocalin (NGAL) and kidney i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02651
更新日期:2020-07-13 00:00:00
abstract:Introduction:Introduction: adolescents' health and nutritional status is demonstrated in the quality of their growth and development. Bone age (BA) is the skeletal development index, which reflects an individual's maturation and is considered as the best expression of human development. Poor nutritional conditions, whi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02068
更新日期:2019-10-17 00:00:00
abstract:Introduction:Introduction: socio-economic differences lead to food and nutritional inequalities. Diet is a modifiable risk factor by public health activities, on the way to the prevention of chronic non-communicable diseases. Objective: to estimate food inequalities in Argentina based on the socioeconomic level of the ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02828
更新日期:2020-02-17 00:00:00
abstract:OBJECTIVES:Nutritional aspects of breakfast, plasma levels of glucose and beta-hydroxybutyrate, body mass index and academic performance have been studied in urban and rural children (Extremadura, Spain). METHODS:Representative samples of schoolchildren (3 to 12 years old, random cluster-sampling in schools). RESULTS...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:UNLABELLED:Diabetes is a complication which occurring during gestation might substantially influence the development of offspring during fetal life and postnatally. Flaxseed is a source of omega-3, that the appropriate supply during gestation and lactation are determinant for a suitable perinatal growth and development...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.4.7637
更新日期:2014-10-01 00:00:00
abstract:INTRODUCTION:Epidemiological studies show that during the last two decades childhood obesity has increased dramatically to become, one of the major public health concerns. Dietary habits, lack of physical activity and the degree of obesity rates and worsen over the years making overweight children overweight adults. A...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.1.7785
更新日期:2015-01-01 00:00:00
abstract::The present work aims to study the use of enteral nutrition (EN) products during the period between October 1996 and January 1997, in a general hospital with a nutrition unit. The EN expenditure ascended to 3,343,475 Pesetas, with the supplements representing the greatest cost percentage (39.1%). An indication-prescri...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00