REDNUP – registry of home nutritional support

Parenteral nutrition is feeding a person intravenously, bypassing the usual process of eating and digestion. Parenteral nutrition was put into practice in the 1960s and since that time has evolved from initial enthusiastic acceptance to more critical review. This unnatural way of feeding the body is far from perfect and comes with several significant complications.

At the present time, parenteral nutrition is reserved for patients who cannot be fed naturally due to the dysfunction of the gastrointestinal tract. Partial parenteral nutrition (PPN) is a supplemental form of nourishment, combining enteral and parenteral feeding. Total parenteral nutrition (TPN) represents a complete bypass of the gastrointestinal tract.

Data on patients with home nutritional support has been collected since 2001, but this was done via paper forms until 2011.

Project objectives:

• The non-interventional multicentre study REDNUP aimed to map the entire segment of treatment of patients with home nutritional support. Basic data on the patient, as well as his diagnosis and further development were recorded. The project was focused on the long-term follow-up of both paediatric and adult patients with home-administered parenteral nutrition.
• The objective of the registry was to obtain accurate epidemiological data, which should facilitate the communication with health care payers, achieve a higher quality of provided health care, and ensure a higher safety of treatment. Another aim was to highlight the treatment costs which are rather high in many cases.

Other important information:

• Expert guarantor: Jan Gojda, MD (2nd Department of Internal Medicine, University Hospital Kralovske Vinohrady)
• Partners: 25 specialized centres in the Czech Republic