Document Detail

Can continuous pump feeding reduce the incidence of pneumonia in nasogastric tube-fed patients? A randomized controlled trial.
MedLine Citation:
PMID:  19910085     Owner:  NLM     Status:  MEDLINE    
BACKGROUND & AIMS: Continuous pump feeding is often used to reduce aspiration risk in older patients on tube feeding, but its effectiveness in preventing aspiration pneumonia is unproven. A randomized controlled trial was therefore performed to examine the effectiveness of continuous pump feeding in decreasing the incidence of pneumonia in tube-fed older hospital patients.
METHODS: One hundred and seventy eight elderly patients from three convalescence hospitals and one infirmary, on nasogastric tube feeding, were randomly assigned to have intermittent bolus (bolus) or continuous pump (pump) feeding for 4weeks. The primary outcome was the incidence of pneumonia. The secondary outcome was mortality.
RESULTS: Eighty five subjects were randomized into the pump group and 93 in the bolus group. The groups were comparable in age, nutritional and functional status, co-morbidities and history of pneumonia, except that there were more women in the pump group. Within 4weeks, 15 subjects (17.6%) in the pump group and 18 (19.4%) in the bolus group developed pneumonia. Seven subjects (8.2%) in pump group and 13 subjects (14.0%) in bolus group died. There was no significant difference in either pneumonia or death rates between the two groups.
CONCLUSION: Continuous pump feeding did not significantly affect the rates of pneumonia or mortality in tube-fed older hospital patients when compared with intermittent bolus feeding.
J S W Lee; T Kwok; P Y Chui; F W S Ko; W K Lo; W C Kam; H L F Mok; R Lo; J Woo
Related Documents :
24025515 - Long term durability of radon remedial measures in a sample of uk homes.
19707815 - Implementing fast-track protocol for colorectal surgery: a prospective randomized clini...
7675045 - A comparison of diets with and without oats in adults with celiac disease.
18042015 - One-step percutaneous nephrostomy in patients with a history of open nephrolithotomy: c...
22926695 - Comparison of effective impact among tonsillectomy alone, tonsillectomy combined with o...
9487405 - Oesophageal variceal banding: report of the first eight cases in kenya.
Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial     Date:  2009-11-12
Journal Detail:
Title:  Clinical nutrition (Edinburgh, Scotland)     Volume:  29     ISSN:  1532-1983     ISO Abbreviation:  Clin Nutr     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-12-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309603     Medline TA:  Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  453-8     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
Department of Medicine & Geriatrics, Shatin Hospital, Hong Kong SAR, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Deglutition Disorders
Enteral Nutrition / adverse effects,  contraindications,  methods*
Frail Elderly
Intubation, Gastrointestinal*
Patient Dropouts
Pneumonia, Aspiration / epidemiology,  mortality,  prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Resting energy expenditure in stroke patients who are dependent on tube feeding: A pilot study.
Next Document:  Dose assessment for marine biota and humans from discharge of (131)I to the marine environment and u...