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Entry ID
549
Entry Date
March 15, 2023 3:04 pm
Reference Id
MJyovQzIX5cS7GUm
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CFDR Reviewer
Billie Jane Hermosura,Christina Lengyel
Document Status
Published
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Name
Cindy Steel
Email
cindy.steel@ca.nestle.com
Language
English
Year
2023
Category
Research
Presentation Preference
Both
Title
Dietitian’s Approach to Managing Enteral Nutrition Intolerance When a Formula Change is Indicated: A Canadian Clinical Practice Survey
Names, Organizational Affiliations, and Locations of all Authors
C Steel1, H Wile1
1Nestlé Health Science Canada, North York, ON
1Nestlé Health Science Canada, North York, ON
Introduction/Purpose
Enteral nutrition intolerance (ENI) is often defined as one or more gastrointestinal (GI) symptoms related to enteral nutrition (EN) and may have significant impact on patient outcomes. There are multiple strategies to manage ENI, with changing the EN formula being one.
Objective(s)/Process or Summary of Content
This practice survey aimed to understand ENI: prevalence, management of symptoms and EN formula features considered when changing formulas to manage ENI.
Method(s)/Systemic Approach Used
Canadian clinical dietitians working across care settings (n=4827) were invited to complete a 28-question, validated, online survey if involved in the management of adult and/or pediatric patients receiving EN.
Results/Conclusions
517 surveys were analyzed, representing adult and pediatric dietitians nationally and by care setting. Significantly more adult dietitians, versus pediatric, (83.4%, 59.1% respectively, p=0.0012) reported ENI occurred in <40% of patients.
Conclusions(s)/Recommendations
To manage ENI symptoms, assessing medications, elevating the head of the bed and changing EN infusion rate, volume or feeding regime were the highest ranked strategies. Most (>90%) respondents change the EN formula <50% of the time to manage ENI.
Significance to Dietetics
This study contributes to the understanding of current management of ENI symptoms in pediatric and adult clinical dietetic practice in Canada.
Funded by
Nestle Health Science Canada
Original Work
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Co-Authors Review and Notification
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