AUDITING THE EFFECT OF EXPERIENCE AND CHANGE ON HOME PARENTERAL-NUTRITION RELATED COMPLICATIONS

被引：18

作者：

JOHNSTON, DA

RICHARDS, J

PENNINGTON, CR

机构：

[1] Gastroenterology Unit, Department of Clinical Pharmacology, Ninewells Hospipal and Medical School, Dundee

来源：

CLINICAL NUTRITION | 1994年 / 13卷 / 06期

关键词：

D O I：

10.1016/0261-5614(94)90022-1

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：

A prospective record of all patients receiving home parenteral nutrition (HPN) in Tayside since 1980 has been used to audit the effect of experience and specific policy changes on HPN related complications. Total HPN related complications fell significantly over the years from 1.59 complications per treatment year during the initial 5 years of HPN experience to the current rate of 0.36 complications per treatment year. Specific policy changes, such as modification of the glucose concentration of feed, could also be shown to produce a significant benefit in the reduction of complications. Increasing experience with HPN results in a fall in complication rates, however, continuous audit of HPN is essential to determine the effect of policy changes on complication rates.

引用

页码：341 / 344

页数：4

共 10 条

[1]

O'Hanrahan, Irving, The role of home parenteral nutrition in the management of intestinal failure — report of 400 cases, Clin Nutr, 11, pp. 331-336, (1992)

[2]

Pithie, Pennington, The incidence, aetiology and management of central vein thrombosis during parenteral nutrition, Clin Nutr, 6, pp. 151-153, (1987)

[3]

Pennington, Home parenteral nutrition: an appraisal, Scot Med J, 37, pp. 69-70, (1992)

[4]

Keohane, Jones, Attril, Et al., Effect of catheter tunnelling and a nutrition nurse on catheter sepsis during parenteral nutrition. A controlled trial, Lancet, 2, pp. 1388-1390, (1983)

[5]

Pithie, Soutar, Pennington, Catheter tip position and central vein thrombosis, JPEN, 12, pp. 613-614, (1988)

[6]

Johnston, Walker, Richards, Pennington, Ethanol flush for the prevention of catheter occlusion, Clin Nutr, 11, pp. 97-100, (1992)

[7]

Messing, Beliah, Gerard-Pipau, Leleve, Bernier, Technical hazards of using nutritive mixtures in bags for cyclical intravenous nutrition: comparison with standard intravenous nutrition in 48 gastroenterological patients, Gut, 23, pp. 297-303, (1982)

[8]

Johnston, Pennington, Home parenteral nutrition in Tayside 1980–1992, Scot Med J, 38, pp. 110-111, (1993)

[9]

Edwards, Levine, Green, Duffy, Matthews, Brande, Rickles, Activation of blood coagulation in Crohn's disease, Gastroenterology, 92, pp. 329-337, (1987)

[10]

Williams, Wales, Scott, Irving, The incidence and management of catheter occlusion in patients on Home parenteral nutrition, Clin Nutr, 12, pp. 344-349, (1993)

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