Non-interventional, retrospective data of long-term home parenteral nutrition in patients with benign diseases: Analysis of a nurse register (SERECARE)

Autor: N. Regano, Antonella De Francesco, Francesco William Guglielmi, Paolo Gandullia, C. Pazzeschi, Serena Arrigo, F.D. Merlo, Noemi Brolatti, U. Aimasso, Anna Simona Sasdelli, Silvia Mazzuoli, Domenica Elia, Loris Pironi, Antonella Diamanti, Teresa Capriati
Přispěvatelé: De Francesco A., Diamanti A., Gandullia P., Aimasso U., Arrigo S., Brolatti N., Capriati T., Elia D., Mazzuoli S., Merlo F.D., Pazzeschi C., Regano N., Sasdelli A.S., Pironi L., Guglielmi F.W.
Rok vydání: 2018
Předmět:
Registrie
0301 basic medicine
Male
Pediatrics
Endocrinology
Diabetes and Metabolism
medicine.medical_treatment
Nurses
0302 clinical medicine
Retrospective Studie
Medicine
Prospective Studies
Registries
Child
Aged
80 and over
Intestinal Disease
Nutrition and Dietetics
Middle Aged
Thrombosis
Child
Preschool
Female
Safety
Parenteral Nutrition
Home
Central venous catheter
Human
Adult
medicine.medical_specialty
Chronic intestinal Failure
Efficacy
Adolescent
030209 endocrinology & metabolism
Retrospective data
Time
03 medical and health sciences
Young Adult
Humans
In patient
Aged
Retrospective Studies
Home parenteral nutrition
030109 nutrition & dietetics
Nurse
business.industry
Infant
medicine.disease
Prospective Studie
Intestinal Diseases
Parenteral nutrition
Non interventional
Chronic Disease
Karnofsky score
SERECARE register
business
Body mass index
Zdroj: Nutrition (Burbank, Los Angeles County, Calif.). 66
ISSN: 1873-1244
Popis: Objectives: The aim of this study was to evaluate the safety and efficacy of home parenteral nutrition (HPN) service in patients with benign chronic intestinal failure (CIF). Methods: This was a 10-y retrospective, non-interventional, multicenter study conducted with adult and pediatric patients with CIF who received HPN service. We analyzed data prospectively collected from a dedicated register by HPN nurses. Results: From January 2002 to December 2011 a total of 794 patients (49.7% male, median age 1 y for children and 57 y for adults) were included in the analysis. Over the 10-y period, 723 central venous catheter (CVC) complications occurred, of which 394 were infectious (54.5%), 297 were mechanical (41.1%), and 32 (3.3%) were defined as CVC-related thrombosis. The complication rate was higher in children (1.11 per patient) than in adults (0.70 per patient). During the observation period, the rates of both infectious and mechanical complications showed a global declining trend and ∼75% of patients had neither infectious nor mechanical CVC complications. HPN efficacy was evaluated in 301 patients with a minimum follow-up of 36 mo. Body mass index and Karnofsky score showed that the median growth significantly increased (P < 0.001) over baseline for adults and pediatric patients in the 0 to 2 age range. Conclusions: The use of a structured register has proved to be a key strategy for monitoring the outcomes of long-term treatment, improving time efficiency, and preventing potential malpractice. To our knowledge, this is largest survey ever documented; the results were consistent despite the heterogeneity of the centers because of duly applied standard rules and protocols.
Databáze: OpenAIRE
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