Adult Home Parenteral Nutrition: a clinical evaluation after a 3-year experience in a Southern European centre

被引:30
作者
Violante, G [1 ]
Alfonsi, L [1 ]
Santarpia, L [1 ]
Cillis, MC [1 ]
Negro, G [1 ]
De Caprio, C [1 ]
Russo, N [1 ]
Contaldo, F [1 ]
Pasanisi, F [1 ]
机构
[1] Univ Naples Federico II, Dipartimento Med Clin & Sperimentale, I-80131 Naples, Italy
关键词
Home Parenteral Nutrition (HPN); indications; complications; safety;
D O I
10.1038/sj.ejcn.1602267
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Aim: To evaluate the current use of Home Parenteral Nutrition (HPN) in a Southern European region. Subjects and methods: A total of 159 ( 86 m, 73 f) HPN patients, mean age 60.1 +/- 14.2 years, BMI 18.8 +/-3.3 kg/m(2), consecutively referred to the Artificial Nutrition outpatient Unit of the Federico II University Hospital in Naples ( Italy), from January 2000 to December 2002 and treated for at least 4 weeks. Retrospective evaluation of baseline disease, indications and duration of HPN treatment, type of venous access, complications. Results: In all, 140 (88%) were cancer and 19 (12%) noncancer patients. Main indications were carcinosis in 68 for total, and hypophagia/dysphagia in 62 patients for partial/integrative ( to oral-enteral nutrition) HPN; mean duration of HPN was 81.45 +/- 110.86 days of treatment and infection rate 2.89 parts per thousand in the whole population and 2.66 parts per thousand in the 36 patients treated for more than 3 months. No other major complications have been observed. Conclusion: HPN is confirmed to be a safe and effective treatment when prescribed and administered by a trained team.
引用
收藏
页码:58 / 61
页数:4
相关论文
共 21 条
[1]  
ASPEN Board of Directors and the Clinical Guidelines Task Force, 2002, JPEN J Parenter Enteral Nutr, V26, p1SA
[2]   HOME PARENTERAL-NUTRITION FOR PATIENTS WITH INOPERABLE MALIGNANT BOWEL OBSTRUCTION [J].
AUGUST, DA ;
THORN, D ;
FISHER, RL ;
WELCHEK, CM .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1991, 15 (03) :323-327
[3]  
BALZOLA F, 2002, RINPE, V2, P77
[4]   Guidelines on artificial nutrition versus hydration in terminal cancer patients [J].
Bozzetti, F .
NUTRITION, 1996, 12 (03) :163-167
[5]   Home total parenteral nutrition in incurable cancer patients: a therapy, a basic humane care or something in between? [J].
Bozzetti, F .
CLINICAL NUTRITION, 2003, 22 (02) :109-111
[6]   Must every cancer patient die with a central venous catheter? [J].
Buchman, AL .
CLINICAL NUTRITION, 2002, 21 (04) :269-271
[7]   Appropriate use of (home) artificial nutrition: ethical implications [J].
Contaldo, F ;
Pasanisi, F .
CLINICAL NUTRITION, 2001, 20 :35-38
[8]   HOME PARENTERAL-NUTRITION IN ITALY - DATA FROM THE ITALIAN NATIONAL REGISTER [J].
DEFRANCESCO, A ;
FADDA, M ;
MALFI, G ;
DEMAGISTRIS, A ;
DAPONT, MC ;
BALZOLA, F .
CLINICAL NUTRITION, 1995, 14 :6-9
[9]  
FAISINGER RL, 1997, J PALLIATIVE CARE, V13, P48
[10]   Home parenteral nutrition - 25 years later [J].
Howard, L ;
Hassan, N .
GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 1998, 27 (02) :481-+