fbpx
Malnutrition in Hospital Increases Risk of Complications – Tuesday Tube Facts

Malnutrition in Hospital Increases Risk of Complications – Tuesday Tube Facts

Hospitalized malnourished patients are at an increased risk for complications such as pressure ulcers, infections, and falls.[1]

Enteral nutrition can be used to prevent malnutrition.[2]

1. M. Isabel T.D. Correia, Refaat A. Hegazi, Takashi Higashiguchi, Jean-Pierre Michel, B. Ravinder Reddy, Kelly A. Tappenden, Mehmet Uyar, Maurizio Muscaritoli, Evidence-Based Recommendations for Addressing Malnutrition in Health Care: An Updated Strategy From the feedM.E. Global Study Group, Journal of the American Medical Directors Association, 2014; 15(8); 544-550.

2. http://static.abbottnutrition.com/cms-prod/anhi.org/img/Enteral_Nutrition.pdf

Less EN Delivered than Ordered in Hospital – Tuesday Tube Facts

Less EN Delivered than Ordered in Hospital – Tuesday Tube Facts

Hospital patients on enteral nutrition often receive only 45-65% of the ordered nutrition. [1]

Approximately one-third of patients arrive at the hospital malnourished. [2]

1. Parrish, C., McCray, S. Part I Enteral Feeding Barriers: Pesky Bowel Sounds & Gastric Residual Volumes. Practical Gastroenterology. 2019; 183: 35-50.

2. Tappenden, K., Quatrara, B., Parkhurst, M., Malone, A., Ganjiang, G., Ziegler, T.  Critical Role of Nutrition in Improving Auality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition. Journal of Parenteral and Enteral Nutrition. 2013; 37(4): 482-497.

Addressing Malnutrition Early Saves Money – Tuesday Tube Facts

Addressing Malnutrition Early Saves Money – Tuesday Tube Facts

Addressing malnutrition early in the hospital reduced the average length of stay by 3.2 days in a Johns Hopkins study.*

This also provided a substantial cost savings of $1,514 per patient.*

* Tappenden, K., Quatrara, B., Parkhurst, M., Malone, A., Ganjiang, G., Ziegler, T.  Critical Role of Nutrition in Improving Auality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition. Journal of Parenteral and Enteral Nutrition. 2013; 37(4): 482-497

Cola May Damage Feeding Tubes – Tuesday Tube Facts

Cola May Damage Feeding Tubes – Tuesday Tube Facts

Using cola to declog a feeding tube may cause damage to the tube itself.*

It can also worsen or create future clogs.*

* Dandeles, Lauren M. and Lodolee, Amy E. “Efficacy of Agents to Prevent and Treat Enteral Feeding Tube Clogs.” The Annals of Pharmacotherapy. 2011; 45:676-680.

Death Associated with Replacement Feeding Tube – Tuesday Tube Facts

Death Associated with Replacement Feeding Tube – Tuesday Tube Facts

A replacement feeding tube perforated bronchial tissue, leading to a patient’s death.*

The feeding tube was replaced due to a clog.*

The patient passed away just 65 minutes after the attempt to replace the feeding tube.*

* Smith, A.L., Santa Ana, C.A., Fordtran, J.S., Guileyardo, J.M. Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings. Baylor University Medical Center Proceedings, 2018;31(3):310-316.

Most NG Tube Misplacements Occurred in Older Adults – Tuesday Tube Facts

Most NG Tube Misplacements Occurred in Older Adults – Tuesday Tube Facts

Nearly 68% of malpositioned nasogastric feeding tubes occurred in adults between 60 and 89 years old.*

These events took place in Pennsylvania between 2011 and 2016. About half of the misplacements were discovered with a chest x-ray.*

* Wallace SC. Data Snapshot: Complications Linked to Iatrogenic Enteral Feeding Tube Misplacements. Pennsylvania Patient Safety Advisory, 2017; 14:1-60.