REGISTERED DATA OF HOME PARENTERAL NUTRITION (HPN) IN OUR COUNTRY DURING THE YEAR 2001

Identifier:  PC:1666

Handle: https://hdl.handle.net/20.500.11797/PC1666

Authors:  J Salas; M. Planas; M. Castellà; J. M. Moreno; A. M. Pita; C. Pedrón; C. Gómez Candela; P. Gómez Enterría; C. de la Cuerda; A. Pérez de la Cruz; M. T. Forga; E. Martí; C. Garde; J. A. Carrera; P. P. García Luna; J. Ordóñez; A. Bonada; R. M. Pares; A. Rodríguez; Grupo NADYA-SENPE

Abstract:
Aim: We analyse the registered data of home parenteral nutrition (HPN) in our country during the year 2001. Method: The data were collected through a previously designed questionnaire. Apart from epidemiological information, the form includes the disease to prescribe this treatment, the specific nutritional treatment used and its duration, access path, complications and readmission rate in hospital, follow-up of the treatment, and progress. All data were processed and analysed by the co-ordinating team. Results: Seventeen hospitals participated, and 66 patients were enrolled. Middle age was 5.5 ± 4.9 years for patients < 14 years old, and 49.2 ± 15.8 years for those ≥ 14 years old. The more prevalent diagnosis were: ischemic bowel (28.9%), neoplasm (22.7%), radiation enteritis (12.1%), motility disorders (4.5%) and Crohn's disease (4.5%). The mean time on HPN was 8.4 ± 4.5 months. Tunnnlled catheter was the preferential route (62.1%), followed by the implantated one (33.3%). The intermittent method (nocturnal) was preferential (81.8%). Patients receive the formula, mainly from hospital pharmacy (75.7%). The complications related to nutrition (1.3/patient) included the infections (0.46 sepsis/patient, and 0,19 catheter contamination/patients), mechanic (0.15/patient), metabolic (0.1/patient) and electrolytic disorders (0.07/patient). The readmission rate, for nutritional problems, was 1.34/patient. At the end of the year, 74.2% of the patients remained in the HPN program, and 25.8% abandoned the treatment (due to death: 52.9%, and to progress to oral feeding (25.3%). Conclusions: This review illustrates that the registration of HPN patients in our country is standing (1.65 patients/ 106 habitants), that vascular pathology is the more frequent diagnoses in HPN patients, and the rate of readmission and complications and the behaviour is similar to other series making this as a safe treatment in our place.