Nasogastric tube feeding versus assisted hand feeding in-home healthcare older adults with severe dementia in Taiwan: a prognosis comparison

All individuals with severe dementia should be offered careful hand feeding. However, under certain circumstances, people with severe dementia have a feeding tube placed. In Taiwan, tube feeding rate in demented older home care residents is increasing; however, the benefits of tube feeding in this p...

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Bibliographic Details
Published in:BMC geriatrics 2020-02, Vol.20 (1), p.60-60, Article 60
Main Authors: Chou, Hsiao-Hui, Tsou, Meng-Ting, Hwang, Lee-Ching
Format: Article
Language:English
Subjects:
Age
Body mass index
Care and treatment
Dementia
Dementia disorders
Elderly patients
Enteral nutrition
Feeding
Food habits
Geriatrics
Gerontology
Guidebooks
Hand feeding
Health aspects
Health care policy
Home care
Home healthcare
Hospitalization
Immobilization
Medical prognosis
Medical records
Mortality
Nasogastric tube
Nerve growth factor
Older adults
Older people
Palliative care
Patient outcomes
Patients
Pneumonia
Pressure ulcers
Prognosis
Retirement benefits
Senile dementia
Statistical analysis
Tube feeding
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Summary:All individuals with severe dementia should be offered careful hand feeding. However, under certain circumstances, people with severe dementia have a feeding tube placed. In Taiwan, tube feeding rate in demented older home care residents is increasing; however, the benefits of tube feeding in this population remain unknown. We compared the clinical prognosis and mortality of older patients with severe dementia receiving nasogastric tube feeding (NGF) or assisted hand feeding (AHF). Data from the in-home healthcare system between January 1 and December 31, 2017 were analyzed to identify 169 participants over 60 years of age in this retrospective longitudinal study. All subjects with severe dementia and complete functional dependence suffered from difficulty in oral intake and required either AHF or NGF. Data were collected from both groups to analyze pneumonia, hospitalization, and mortality rates. A total of 169 subjects (56 males and 113 females, aged 85.9 ± 7.5 years) were analyzed. 39 required AHF and 130 NGF. All subjects were bedridden; 129 (76%) showed Barthel index
ISSN:1471-2318
1471-2318
DOI:10.1186/s12877-020-1464-9