Utility of video consultation to improve the outcomes of home enteral nutrition in a population of frail older patients

Paolo Orlandoni, Nikolina Jukic Peladic, Liana Spazzafumo, Claudia Venturini, Claudia Cola, Debora Sparvoli, Natascia Giorgini, Redenta Basile, Donata Fagnani

Research output: Contribution to journalArticle

Abstract

Aim: To determine whether the outcomes of home enteral nutrition for frail older patients can be improved by video consultation between home visiting staff and a hospital physician, specialized in clinical nutrition, during monthly home visits. Methods: A randomized prospective study out of patients aged older than 65 years receiving home enteral nutrition from the Department of Clinical Nutrition of an Italian geriatric hospital in 2013 was carried. A total of 100 patients were randomly assigned to receive video consultation in addition to regular monthly home visits, 88 patients only had regular monthly home visits. Therapy outcomes - incidence rates of complications, outpatient hospital visits and hospitalizations - were compared between two groups. A logistic regression analysis was carried out to evaluate the usefulness of the video consultation to improve therapy outcomes. Results: Incidence rates for metabolic and gastrointestinal complications were significantly lower for patients who received a video consultation, respectively: 0.032/year "video consultation" versus 0.055/year "no video consultation" (P=0.0001) and 0.006/year "video consultation" versus 0.028/year "no video consultation" (P

Original languageEnglish
Pages (from-to)762-767
Number of pages6
JournalGeriatrics and Gerontology International
Volume16
Issue number6
DOIs
Publication statusPublished - Jun 1 2016

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Keywords

  • Frail old patients
  • Home enteral nutrition
  • Video consultation

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Health(social science)

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