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Compleat® Organic Blends formulas, which contain blenderized whole foods, are associated with improved GI tolerance as compared to Kate Farms®* Standard formulas, which do not contain blenderized whole foods.

Patients with any GI intolerance symptoms at 84 days post‑discharge
% of patients
70 60 50 40 30 20 10 0

n=36 (29%)

 

n=158 (49%)

 
CBTFTotal N=124
STD‑TFTotal N=324

Compleat® Organic Blends formulas are associated with fewer GI intolerance symptoms compared to Kate Farms® Standard formulas:

  • Less nausea and vomiting
  • Reduced abdominal pain
  • Less diarrhea
  • Reduced flatulence

*Kate Farms® is a trademark of Kate Farms Inc

Study Summary

Clinical Benefits of Real Food Tube Feeding Formulas Compared to Plant-Based Standard Tube Feeding Formulas in Post-Acute Care Adult Patients

Henrikson A1, Desai A2, Allen F1, Yeddula S3, Araujo Torres K1.
J Parenter Enteral Nutr. 2023;47(S2):S102.

1Medical Affairs, Nestlé Health Science; 2Market Access, Nestlé Health Science; 3Clarivate Data Analytics & Insights

Objective

Describe patient characteristics and clinical outcomes among adult patients in post-acute care who received a commercially blenderized tube feeding (CBTF) formula made with a variety of whole foods compared to patients who received a plant-based standard tube feeding (STD-TF) without blenderized foods.

Methods

A retrospective, observational study was conducted using nationally representative US claims data obtained from the Decision Resources Group Real World Evidence Data Repository, covering 98% of US health plans, including medical and pharmacy claims. Patient characteristics, medications, GI intolerance symptoms, health care resource utilization, and costs were assessed retrospectively in adults receiving a CBTF formula (Compleat® Organic Blends, Nestlé HealthCare Nutrition, US) or plant-based STD-TF formula (Kate Farms® Standard 1.0 and 1.4, Kate Farms, Inc., US) as sole-source nutrition for ≥7 days in post-acute care between Jan 2018 and Dec 2020. The index date was defined as date of hospital discharge. Outcomes were measured in the post-index period based on the last record in the study period at 84 days post-discharge. GI intolerance symptoms were compared between CBTF and plant-based STD-TF group at 84-days post-index using chi-square test.

Results

Study Population
Total Patients448 adults from all US regions
Sex46% female
Mean Age41.5 [23.3] years
Mean (SD) CCI Score3.8 (3.4)
Most common diagnoses pre-index:
diseases of the digestive system (90%), musculoskeletal and connective tissue (81%), and nervous system (78%)
Most frequent comorbidities:
chronic pulmonary disease (38%), paraplegia and hemiplegia (32%) and cancer (27%)

No significant difference in concomitant medications use was observed for central nervous system agents, GI drugs (anti-diarrheals, anti-emetics, laxatives, and others) and anti-infective agents between groups.

Significantly fewer patients experienced GI intolerance symptoms at 84-days post-discharge while receiving the CBTF formula (29%) compared to the plant-based STD-TF (49%) (p<0.001). This difference in GI intolerance for CBTF was maintained for intolerance symptoms including nausea and vomiting (p<0.001), diarrhea (p=0.002), abdominal pain (p<0.001), and flatulence (p=0.037) at 84-days post-discharge. Significantly more patients experienced three or more GI intolerance symptoms among the plant-based STD-TF group (25%) compared to CBTF group (8%) (p=0.002).

GI intolerance symptoms at 84-days post-dischargein a retrospective study of 448 adult patients in post-acute care
% of patients
70 60 50 40 30 20 10 0

29%

 

49%

 

9%

 

23%

 

8%

 

23%

 

2%

 

10%

 

2%

 

6%

 
Any intolerance symptoms
Nausea & vomiting
Abdominal pain
Diarrhea
Flatulence
p<0.001
p<0.001
p<0.001
p=0.002
p=0.037
 CBTF (N=124)
 STD-TF (N=324)
GI intolerance symptoms at 84-days post-dischargein a retrospective study of 448 adult patients in post-acute care
 

CBTF
N=124, n (%)

STD-TF
N=324, n (%)

p-value†

Any intolerance symptoms

36 (29%)

158 (49%)

<0.001

2 intolerance symptoms

9 (25%)

46 (29%)

0.045

3+ intolerance symptoms

3 (8%)

39 (25%)

0.002

Nausea & vomiting

11 (9%)

76 (23%)

<0.001

Abdominal pain

10 (8%)

76 (23%)

<0.001

Diarrhea

2 (2%)

33 (10%)

0.002

Flatulence

2 (2%)

21 (6%)

0.037

Abbreviations: CBTF, commercial blenderized tube feeding; STD-TF, plant-based standard tube feeding

†chi-square test, alpha=0.05 level of significance

 
Conclusion

The use of a commercially blenderized tube feeding formula with a variety of foods was well tolerated in adult post-acute care patients. Significant reductions in GI intolerance symptoms were observed among patients receiving a commercially blenderized tube feeding formula compared to a plant-based standard tube feeding formula, demonstrating clinical benefits in post-acute care patients.

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