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EN-related readmissions – Tuesday Tube Facts

Did you know…?

Among EN-related readmissions, 44.6% (33/72) documented enteral access device-related issues, 40.5% (30/74) cited symptoms attributed to EN, and 14.9% (11/74) attributed sodium imbalance from dehydration.[1]

References:

  1. Palchaudhuri, S, Mehta, SJ, Snider, CK, et al. Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr. 2022; 1- 5. doi:10.1002/jpen.2331

The danger of tube misconnections – Tuesday Tube Fact

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It is common to see patients in the hospital with a feeding tube, an arterial catheter, and a central venous catheter, which all have the same connector. A misconnection is physiologically incompatible with life, and if enteral feeding is placed inside the IV line, it would be like concrete pouring into a patient’s heart.[1]

References:

  1. Simmons, Debra. “Keeping Everyone Safe: Tubing Misconnections.” The Oley Foundation, accessed 21 Feb. 2022, https://oley.org/page/DebSimmonsTubeMis

20% of patients discharged with EN – Tuesday Tube Facts

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More than 20% of patients discharged with EN have readmissions related to EN, many within 90 days of initiating EN.[1]

Quality improvement interventions targeting post-discharge care to address these causes may decrease hospital readmissions in this high-risk and medically complex population of patients.[1]

References:

  1. Palchaudhuri, S., Mehta, S.J., Snider, C.K., Parsikia, A., Hudson, L., Compher, C., Lewis, J.D., Wu, G.D. and Pickett-Blakely, O. (2022), Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr.. Accepted Author Manuscript. https://doi.org/10.1002/jpen.2331

Data on malnutrition and Covid-19 – Tuesday Tube Facts

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Those recovering after serious illnesses such as Covid-19 often need significant rehabilitation because of profound weakness and loss of muscle mass. Emerging data highlights the prevalence of inadequate nutrition therapy and malnutrition, which is likely contributing to these long-lasting effects.[1]

References:

  1. Suliman, S, McClave, SA, Taylor, BE, Patel, J, Omer, E, Martindale, RG. Barriers to nutrition therapy in the critically ill patient with COVID-19. JPEN J Parenter Enteral Nutr. 2021; 1– 12. https://doi.org/10.1002/jpen.2263

Malnourished Patients – Tuesday Tube Facts

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An observational study found that in 416 patients, 31.7% were malnourished upon admission. Malnourished patients were significantly older (67.8 vs 57.6 years, P<.001) and had a lower BMI (26.2 vs 32.4 kg/m2, P<.001) than non malnourished patients.[1]

Malnourished patients had higher odds of having a LOS ≥3 days (2.38 [95% CI 1.45-3.88], P<.001) and higher odds of readmitting within 30 days.[1]

References:

  1. Lengfelder, L., Mahlke, S., Moore, L., Zhang, X., Williams, G., III and Lee, J. (2022), Prevalence and impact of malnutrition on length of stay, readmission, and discharge destination. Journal of Parenteral and Enteral Nutrition. Accepted Author Manuscript. https://doi.org/10.1002/jpen.2322