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

4 Citations (Scopus)

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

Fingerprint

Enteral Nutrition
nutrition
Referral and Consultation
video
Population
House Calls
incidence
Incidence
geriatrics
hospitalization
Geriatrics
regression analysis
Hospitalization
Outpatients
Logistic Models
logistics
Regression Analysis
physician
Prospective Studies
staff

Keywords

  • Frail old patients
  • Home enteral nutrition
  • Video consultation

ASJC Scopus subject areas

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

Cite this

Utility of video consultation to improve the outcomes of home enteral nutrition in a population of frail older patients. / Orlandoni, Paolo; Jukic Peladic, Nikolina; Spazzafumo, Liana; Venturini, Claudia; Cola, Claudia; Sparvoli, Debora; Giorgini, Natascia; Basile, Redenta; Fagnani, Donata.

In: Geriatrics and Gerontology International, Vol. 16, No. 6, 01.06.2016, p. 762-767.

Research output: Contribution to journalArticle

Orlandoni, Paolo ; Jukic Peladic, Nikolina ; Spazzafumo, Liana ; Venturini, Claudia ; Cola, Claudia ; Sparvoli, Debora ; Giorgini, Natascia ; Basile, Redenta ; Fagnani, Donata. / Utility of video consultation to improve the outcomes of home enteral nutrition in a population of frail older patients. In: Geriatrics and Gerontology International. 2016 ; Vol. 16, No. 6. pp. 762-767.
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