Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Italy
Case Report
Functional recovery and outcomes of patients with disorder of consciousness receiving intermittent bolus feeding via PEG in a sitting position: a case series.
Author(s): Valentina Colombo*, Pamela Salucci, Francesca Cesira Cava, Giuseppe Bonavina, Alice Rita Portillo, Elisa Maietti and Roberto Piperno
Background: Literature regarding enteral feeding modalities in patients with Disorder of Consciousness (DOC) secondary to Acquired Brain Injury (ABI) is scant. Gastro-esophageal reflux and aspiration pneumonia are common in this patient population. Intermittent bolus feeding via Percutaneous Endoscopic Gastrostomy (PEG) and adoption of a more physiological posture during feeding may reduce morbidity and mortality. The primary study aim was to evaluate the incidence of lung infections in DOC patients treated with high-speed intermittent enteral nutrition in a verticalized position. Secondary aims were to assess the impact of this management on patient care, nutritional status, sleep-wake rhythm, and functional status.
Methods: Eight patients were monitored over 12 weeks and followed up 12 months after ABI. Enteral nutrition was administered s.. View More»
