IRCCS Institute of Neurological Sciences of Bologna, 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»
