Ying-Ying Su1, Dai-Quan Gao2, Xiao-Yan Zeng2, Rui-Juan Sha3, Xiao-Yuan Niu4, Chang-Qing Wang5, Dong Zhou6, Wen Jiang7, Fang Cui8, Yi Yang9, Su-Yue Pan10, Xu Zhang11, Lian-Di Li12, Liang Gao13, Bin Peng14, Chun-Long Zhong15, Zhen-Chuan Liu16, Li-Hong Li17, Hong Tan18, Pei-Yuan Lv19. 1. Xuanwu Hospital, Capital Medical University, Beijing, China. Email: tangsuyingying@sina.com. 2. Xuanwu Hospital, Capital Medical University, Beijing, China. 3. Nangjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China. 4. First Hospital of Shanxi Medical University, Shanxi, China. 5. First Hospital of Anhui Medical University, Anhui, China. 6. West China Hospital, Sichuan, China. 7. Xijing Hospital, Xi'an, China. 8. The General Hospital of Chinese People's Liberation Army, Beijing, China. 9. Norman Bethune University of Medical Science, Changchun, China. 10. Nanfeng Hospital, Guangzhou, China. 11. The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China. 12. The Affiliated Hospital of Qingdao University, Qingdao, China. 13. Huashan Hospital, Shanghai, China. 14. Peking Union Medical College Hospital, Beijing, China. 15. Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 16. Linyi People's Hospital, Linyi, China. 17. Tangdu Hospital, Xi'an, China. 18. The First Hospital of Changsha, Changsha, China. 19. Hebei General Hospital, Shijiazhuang, China.
Abstract
BACKGROUND AND OBJECTIVES: With the development of enteral nutrition in patients with neurological disorders in China, related guidelines were published in 2011. The Chinese Society for Parenteral and Enteral Nutrition conducted a survey to evaluate the status quo of enteral nutrition practices in these patients. METHODS AND STUDY DESIGN: This multicenter prospective investigation was conducted from April 2012 to April 2013 and involved 18 tertiary hospitals in China. The survey using standardized questionnaires sought information about the basic protocols for enteral nutrition (devices and staffing) and specific information about patients with neurological conditions who received nutrition by way of enteral feeding. RESULTS: In the 18 hospitals from 13 provinces, 83.3% patients were configured with an enteral nutrition infusion pump, 77.8% had a percutaneous endoscopic gastrostomy (PEG) device, and 88.9% had a clinical nutrition support group. Four hundred four patients participated in this survey (259 men, 145 women; mean age 61.3±14.7 years), 85.7% had suffered a stroke, 83.9% had impaired consciousness, and 98.0% had dysphagia. Of the 10 guidelines for enteral nutrition practices, setting the energy target, choosing the enteral nutrition tube, and monitoring the patient received unsatisfactory ratings were in poor compliance (56.2%, 30.0% and 38.9%, respectively); the remaining seven guidelines were in good compliance (each >75%). CONCLUSION: The survey suggested that configuration of the enteral nutritional devices and staffing was adequate in China's tertiary hospitals. However, some associated practices had not yet reached the desired levels of competency, indicating a need for this to be understood and for improved training.
BACKGROUND AND OBJECTIVES: With the development of enteral nutrition in patients with neurological disorders in China, related guidelines were published in 2011. The Chinese Society for Parenteral and Enteral Nutrition conducted a survey to evaluate the status quo of enteral nutrition practices in these patients. METHODS AND STUDY DESIGN: This multicenter prospective investigation was conducted from April 2012 to April 2013 and involved 18 tertiary hospitals in China. The survey using standardized questionnaires sought information about the basic protocols for enteral nutrition (devices and staffing) and specific information about patients with neurological conditions who received nutrition by way of enteral feeding. RESULTS: In the 18 hospitals from 13 provinces, 83.3% patients were configured with an enteral nutrition infusion pump, 77.8% had a percutaneous endoscopic gastrostomy (PEG) device, and 88.9% had a clinical nutrition support group. Four hundred four patients participated in this survey (259 men, 145 women; mean age 61.3±14.7 years), 85.7% had suffered a stroke, 83.9% had impaired consciousness, and 98.0% had dysphagia. Of the 10 guidelines for enteral nutrition practices, setting the energy target, choosing the enteral nutrition tube, and monitoring the patient received unsatisfactory ratings were in poor compliance (56.2%, 30.0% and 38.9%, respectively); the remaining seven guidelines were in good compliance (each >75%). CONCLUSION: The survey suggested that configuration of the enteral nutritional devices and staffing was adequate in China's tertiary hospitals. However, some associated practices had not yet reached the desired levels of competency, indicating a need for this to be understood and for improved training.