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The journal of nutrition, health & aging

Erschienen in:

31.03.2016

Tube feeding among elder in long-term care facilities: A systematic review and meta-analysis

verfasst von: S. -H. Lan, L. -C. Lu, Y. -Y. Yen, Y. -P. Hsieh, J. -C. Chen, W. J. Wu, Shou-Jen Lan, L. -Y. Lin

Erschienen in: The journal of nutrition, health & aging | Ausgabe 1/2017

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Abstract

Objective

The use of tube feeding for elderly patients with poor nutritional intake is a ubiquitous method of feeding. This systematic review and meta-analysis were carried out to compare nutritional benefits of enteral feeding versus oral feeding in long-term care facilities.

Setting

Databases including the Cochrane Library, ProQuest, PubMed, EMBASE, EBSCO, Web of Science and Google Scholar through April 2014 using keywords including enteral feeding, tube feeding or oral feeding combined with long term care facilities or nursing home.

Participants

Eight articles, with 841 participants were included in meta-analysis and 13 articles were included in systematic review. The elderly had to live in long-term care institutions and could not be on any mechanically assisted ventilation systems or be in any type of post-operative status.

Measurements

The three investigators extracted and appraised data using the same study design, baseline characteristics, and outcomes, independently.

Results

Following a systematic review, 13 articles out of 8218 original research articles were selected for this analysis. Meta-analysis of tube-fed patients found lower levels of hemoglobin (Weighted Mean Difference (WMD -0.21g/dl; 95% CI -0.42 to -0.01; p=0.04) and creatinine (WMD -0.08g/dl; 95% CI -0.17 to 0.00, p=0.05). Moreover, the results showed that there were no benefits regarding body mass index (BMI), albumin, dietary intake of proteins, total calories and fat.

Conclusions

The results show that tube feeding does not increase patients’ nutrients absorption to improve nutritional status. Instead, these results indicate that oral feeding is better regarding some nutritional biochemical parameters.

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Titel: Tube feeding among elder in long-term care facilities: A systematic review and meta-analysis
verfasst von: S. -H. Lan
L. -C. Lu
Y. -Y. Yen
Y. -P. Hsieh
J. -C. Chen
W. J. Wu
Shou-Jen Lan
L. -Y. Lin
Publikationsdatum: 31.03.2016
Verlag: Springer Paris
Erschienen in: The journal of nutrition, health & aging / Ausgabe 1/2017
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-016-0717-y

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Tube feeding among elder in long-term care facilities: A systematic review and meta-analysis

Abstract

Objective

Setting

Participants

Measurements

Results

Conclusions

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Abstract

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Conclusions

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