Indication | No. of patients | Per cent | Per cent in NCEPOD* |
---|---|---|---|
Postsurgical complications/ileus | 66 | 34.3 | 27 |
Obstruction | 29 | 15.1 | 10 |
Perforated/leaking gut | 26 | 13.5 | 8 |
Non-functioning gut | 15 | 7.8 | 9 |
No access for enteral nutrition or failed EN | 29 | 15.1 | 13 |
Malabsorption | 7 | 3.7 | 2 |
Crohn's disease | 6 | 3.1 | 1 |
Short bowel | 3 | 1.6 | 2 |
Cancer | 2 | 1.0 | 3 |
Other | 9 | 4.8 | 25 |
Assessment prior to starting PN | Number of patients who had this form of assessment | Per cent | |
Nutritional assessment | 166 | 87 | |
Clinical assessment | 166 | 87 | |
Standard electrolytes* | 154 | 80 | |
Anthropometry† | 68 | 35 | |
Nutritional requirements | 149 | 78 | |
MUST‡ | 98 | 51 | |
Oral intake | 90 | 47 | |
Other | 31 | 16 | |
Risk of refeeding§ | 144 | 75 | 50 |
Decision to start PN | Per cent | Per cent in NCEPOD | |
Doctor | 54 | 49 | |
Doctor and dietician | 37 | 22 | |
Dietician | 3 | 4 | |
Doctor, dietician and other | 1 | 15 | |
Unknown | 5 | 3 | |
Other | 0 | 7 |
EN, enteral nutrition;NCEPOD, National Confidential Enquiry into Patient Outcome and Death; PN, parenteral nutrition.
*Standard electrolytes=Sodium, potassium, magnesium, phosphate.
†Anthropometry=grip strength and triceps skinfold thickness.
‡Malnutrition Universal Screening Tool.16
§Based on NICE guidance.2