A survey of bolus tube feeding prevalence and practice in adult patients requiring home enteral tube feeding

Content Provider	Scilit
Author	Hubbard, Gary P. Andrews, Sophie White, Sean Simpson, Gary Topen, Sarah Carnie, Lindsay Murphy, Claire Collins, Rhian Davies, Judith Owen, Annalisa Barker, Julie Green, Lisa Patel, Ileen Ridgway, Joanne Lenchner, Jo Faerber, Julie Pearce, Lorna Meanwell, Hannah Kominek, Natalie Stark, Lucy Best, Heather Simons, Rebecca Cross, Tessa Stratton, Rebecca J.
Copyright Year	2019
Description	Anecdotal evidence suggests the use of bolus tube feeding is increasing in the long-term home enteral tube feed (HETF) patients. A cross-sectional survey to assess the prevalence of bolus tube feeding and to characterise these patients was undertaken. Dietitians from ten centres across the UK collected data on all adult HETF patients on the dietetic caseload receiving bolus tube feeding (n 604, 60 % male, age 58 years). Demographic data, reasons for tube and bolus feeding, tube and equipment types, feeding method and patients’ complete tube feeding regimens were recorded. Over a third of patients receiving HETF used bolus feeding (37 %). Patients were long-term tube fed (4·1 years tube feeding, 3·5 years bolus tube feeding), living at home (71 %) and sedentary (70 %). The majority were head and neck cancer patients (22 %) who were significantly more active (79 %) and lived at home (97 %), while those with cerebral palsy (12 %) were typically younger (age 31 years) but sedentary (94 %). Most patients used bolus feeding as their sole feeding method (46 %), because it was quick and easy to use, as a top-up to oral diet or to mimic mealtimes. Importantly, oral nutritional supplements (ONS) were used for bolus feeding in 85 % of patients, with 51 % of these being compact-style ONS (2·4 kcal (10·0 kJ)/ml, 125 ml). This survey shows that bolus tube feeding is common among UK HETF patients, is used by a wide variety of patient groups and can be adapted to meet the needs of a variety of patients, clinical conditions, nutritional requirements and lifestyles.
Related Links	https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AD2EADC0FD3CEACEE1A7C9CE950990D9/S000711451900223Xa.pdf/div-class-title-a-survey-of-bolus-tube-feeding-prevalence-and-practice-in-adult-patients-requiring-home-enteral-tube-feeding-div.pdf
Ending Page	1278
Page Count	8
Starting Page	1271
ISSN	00071145
e-ISSN	14752662
DOI	10.1017/s000711451900223x
Journal	British Journal Of Nutrition
Issue Number	11
Volume Number	122
Language	English
Publisher	Cambridge University Press (CUP)
Publisher Date	2019-12-14
Access Restriction	Open
Subject Keyword	British Journal Of Nutrition Nutrition and Dietetics Bolus Feeding Community Nutrition Enteral Feeding Home Feeding Tube Feeding British Artificial Nutrition Survey Cerebrovascular Accident Home Enteral Tube Feed Multiple Sclerosis Oral Nutritional Supplements.
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Medicine