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Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing
Introduction: Data on home enteral nutrition (HEN) in long-term care facilities (LTCF) in Singapore is scarce. This study aims to determine the prevalence and incidence of chewing/swallowing impairment and HEN, and the manpower and costs related. Methods: A validated cross-sectional survey was sent...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6835490/ https://www.ncbi.nlm.nih.gov/pubmed/31627289 http://dx.doi.org/10.3390/nu11102492 |
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author | Wong, Alvin Sowa, P Marcin Banks, Merrilyn D. Bauer, Judith D. |
author_facet | Wong, Alvin Sowa, P Marcin Banks, Merrilyn D. Bauer, Judith D. |
author_sort | Wong, Alvin |
collection | PubMed |
description | Introduction: Data on home enteral nutrition (HEN) in long-term care facilities (LTCF) in Singapore is scarce. This study aims to determine the prevalence and incidence of chewing/swallowing impairment and HEN, and the manpower and costs related. Methods: A validated cross-sectional survey was sent to all 69 LTCFs in Singapore in May 2019. Local costs (S$) for manpower and feeds were used to tabulate the cost of HEN. Results: Nine LTCFs (13.0%) responded, with a combined 1879 beds and 240 residents on HEN. An incidence rate (IR) of 15.7 per 1000 people-years (PY) and a point prevalence (PP) of 136.6 per 1000 residents were determined for HEN, and an IR of 433.0 per 1000 PY, with PP of 385.6 per 1000 residents for chewing/swallowing impairment. Only 2.5% of residents had a percutaneous endoscopic gastrostomy (PEG). The mean length of residence in LTCF was 45.9 ± 12.3 months. More than half of the residents received nasogastric tube feeding (NGT) for ≥36 months. Median monthly HEN cost per resident was S$799.47 (interquartile range (IQR): 692.11, 940.30). Nursing costs for feeding contributed to 63% of total HEN costs. Conclusions: The high usage and length of time on NGT feeding warrants exploration and education of PEG usage. A national HEN database may improve the care of LTCF residents. |
format | Online Article Text |
id | pubmed-6835490 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-68354902019-11-25 Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing Wong, Alvin Sowa, P Marcin Banks, Merrilyn D. Bauer, Judith D. Nutrients Article Introduction: Data on home enteral nutrition (HEN) in long-term care facilities (LTCF) in Singapore is scarce. This study aims to determine the prevalence and incidence of chewing/swallowing impairment and HEN, and the manpower and costs related. Methods: A validated cross-sectional survey was sent to all 69 LTCFs in Singapore in May 2019. Local costs (S$) for manpower and feeds were used to tabulate the cost of HEN. Results: Nine LTCFs (13.0%) responded, with a combined 1879 beds and 240 residents on HEN. An incidence rate (IR) of 15.7 per 1000 people-years (PY) and a point prevalence (PP) of 136.6 per 1000 residents were determined for HEN, and an IR of 433.0 per 1000 PY, with PP of 385.6 per 1000 residents for chewing/swallowing impairment. Only 2.5% of residents had a percutaneous endoscopic gastrostomy (PEG). The mean length of residence in LTCF was 45.9 ± 12.3 months. More than half of the residents received nasogastric tube feeding (NGT) for ≥36 months. Median monthly HEN cost per resident was S$799.47 (interquartile range (IQR): 692.11, 940.30). Nursing costs for feeding contributed to 63% of total HEN costs. Conclusions: The high usage and length of time on NGT feeding warrants exploration and education of PEG usage. A national HEN database may improve the care of LTCF residents. MDPI 2019-10-17 /pmc/articles/PMC6835490/ /pubmed/31627289 http://dx.doi.org/10.3390/nu11102492 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Wong, Alvin Sowa, P Marcin Banks, Merrilyn D. Bauer, Judith D. Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing |
title | Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing |
title_full | Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing |
title_fullStr | Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing |
title_full_unstemmed | Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing |
title_short | Home Enteral Nutrition in Singapore’s Long-Term Care Homes—Incidence, Prevalence, Cost, and Staffing |
title_sort | home enteral nutrition in singapore’s long-term care homes—incidence, prevalence, cost, and staffing |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6835490/ https://www.ncbi.nlm.nih.gov/pubmed/31627289 http://dx.doi.org/10.3390/nu11102492 |
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