12 Home enteral and parenteral nutrition in children

Virginie Colomb MD, PhD (Consultant in Paediatric Gastroenterology and Nutrition), Olivier Goulet MD, PhD (Professor of Paediatrics), Claude Ricour MD, PhD (Professor of Nutrition)
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引用次数: 39

Abstract

The prevalence of home enteral and parenteral nutrition programmes is rising rapidly all over the world, in children as in adults. Home artificial nutrition, especially parenteral nutrition, is an expensive technology but is life-saving for many patients. The only possible alternative to home treatment is keeping patients in hospital, and cost-benefit studies have demonstrated that home nutrition is about 70% more cost-effective than hospital-based therapy. Although home nutrition is usually considered by children and families to lead to an improvement in their quality of life, the complications of these techniques, including psychological consequences, have to be carefully assessed and prevented.

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儿童的家庭肠内和肠外营养
在世界各地,无论是儿童还是成人,家庭肠内和肠外营养规划的普及程度正在迅速上升。家庭人工营养,特别是肠外营养,是一项昂贵的技术,但对许多患者来说是挽救生命的。家庭治疗的唯一可能替代方案是让患者住院,成本效益研究表明,家庭营养比医院治疗的成本效益高70%左右。虽然儿童和家庭通常认为家庭营养可以改善他们的生活质量,但必须仔细评估和预防这些技术的并发症,包括心理后果。
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