DEMENTED VS NON DEMENTED PATIENTS: CLINICAL
OUTCOMES AND COMPLICATIONS OF HOME ENTERAL
NUTRITION (HEN) AMONG FRAIL ELDERLY PATIENTS
C. Venturini, D. Sparvoli, N. Jukic-Peladic,
P. Orlandoni. Nutritional Therapy DepartmentReference Centre, INRCA-IRCCS, Ancona, Italy
Rationale: Many doubts have been risen about the
efficacy and the opportunity of tube feeding in frail
elderly patients with dementia. Our purpose was to
investigate the impact of the straight monitored HEN
therapy on clinical outcomes and complications in a
population of demented (D) and non demented (ND)
Methods: An observational study on a total of 171 patients
receiving HEN during 2011 (mean HEN duration 607 days)
has been carried out. Two comparable groups have
been investigated: 82 D (mean age 84.7±6.6, 22M 60F,
mean Geriatric Nutrition Risk Index (GNRI) 82.8) and
89 ND (mean age 85.1±6.6, 30M 59F, mean GNRI 85.5).
Nutritional therapy was monthly monitored by a nutritional team and data concerning nutritional status,
complications and rehospitalisation related to HEN were
collected for statistical analysis.
Results: In both groups dysphagia was the main indication
for HEN. Multimorbility was more frequent in ND (84.3%)
than in D (62.2%) (p < 0.05). Nasogastric Tube (NGT) was the main administration route for D (70.7% vs 53.9% of ND) while PEG Tube was more frequent in ND (46.1% vs 29.3% of D). At enrolment D presented a higher degree of Protein-Calorie Malnutrition (BMI < 22 kg/m2, albumin < 3.4 g/l) than ND (67.1% vs 51.7%) (p < 0.05). D received daily more calories (24.3 vs 22.8 kcal/kg/day) more proteins (1.19 vs 1.05 g/kg/day) and water (33.2 vs 31.8 ml/kg/day) than ND (p < 0.05). D presented more gastrointestinal complication (45.6% vs 31.1%) (p < 0.05), and ND more metabolic complication (16.8% vs 7.8%) (p < 0.05). We find no difference in the frequency of tube displacement and of aspiration pneumonia between the two groups as well as in the number of hospital readmission. Conclusion: Elderly D patients treated by HEN seems not to present a higher rate of complications and hospital readmission than ND patients if nutritional therapy is correctly performed. Disclosure of Interest: None Declared. PP079-SUN THE RELATIONSHIP BETWEEN DEPRESSIVE SYMPTOMS AND MALNUTRITION IN OLDER ADULTS E. Perez-Cruz1, D. Lizarraga1. 1Apoyo Nutricio, Hospital Juarez de M´exico, Mexico, Mexico Rationale: Malnutrition is a common finding in the elderly, this is associated with medical conditions, psychological, social, and economic. The aim of this study was to determine the association between depression and malnutrition in the elderly. Methods: Cross-sectional and descriptive study. We evaluated female and male patients clinically stables and ambulatories of 65 and older. Between August to October 2011, 96 elderly of Hospital Juarez de M´exico were considered. We excluded subjects with cognitive impairments or unable to answer the questionnaires. Data were obtained socio-demographic and medical. Nutritional assessment were evaluated using Quetelet index and the Mini Nutritional Assessment. The depressive symptoms were assessed by the Geriatric Depression Scale of Yesavage. Baseline characteristics are presented mean and standard deviation. The association between malnutrition and depressives symptoms was examined. Results: A total of 96 subjects were evaluated. 79.2% (n = 76) were female and 20.8% (n = 20) male. The mean age was 80.4±6.9 years. The MNA score was 15.5% (n = 15) in normal nutritional status, 72.2% (n = 70) at risk of malnutrition and 11.3% (n = 11) in malnutrition. The presence of depressive symptoms were established in 63.9% (n = 62). The depression in the elderly was associated with malnutrition. The Risk (odss ratio) estimated were 2.4 (95% CI= 0.79 7.38). Conclusion: Older Adults with depressive symptoms have a high association with malnutrition. These results show the relevance of assessing the presence or absence of depressions as an integral part of the nutritional status in the elderly. References  Allard JP, Aghdassi E, McArthur M et al. Nutrition risk factors for survival in the elderly living in Canadian long-term care facilities. JAGS 2004; 52: 59 65.  Gutierrez RJ, Serralde ZA, Guevara CM. Prevalencia de desnutrici´on del adulto mayor al ingreso hospitalario. Nutricion Hospitalaria 2007; 22(6): 702 9. Disclosure of Interest: None Declared. PP080-SUN AUGMENTED NUTRITIONAL STRATEGIES IN NEUROREHABILITATION AFTER STROKE C. Haider1, H. Zauner1, N. Geringer-Manakanatas2. 1Neurorehabilitation, 2Cardiac Rehabilitation, Rehabilitation Center of PVA, Grossgmain, Austria Rationale: Prior work documented poorer rehabilitation potential for stroke patients with neurogenic dysphagia. This interfers with our clinical observation that these patients exhibit a remarkable improvement undergoing neurorehabilitation. Methods: 89 consecutive patients after stroke, inpatient neurorehabilitation, outcome measurement by means of Rivermead motor assessment, Extended and Basic activities of daily living, Barthel Index. Augmented nutritional strategies included: mealtime supervision, food consistency adaption, tube feeding nasal or via PEG. Statistics: chi-square test, t-test, Mann Whitney U test, Spearman’s rank. Results: Mean age 65.8±10.9 years, median Barthel Index at admission 5, at discharge 60. Nutritional characteristics: NRS 2002 median 2 (1 7) Nutritional support in 44/89 patients Conclusion: All swallowing compromised patients showed significant improvement under augmented nutritional strategies, not only for dysphagia related problems, also for mobility, ambulation, cognitive performance.