Changes In Home Parenteral Nutrition Practice Based On The Canadian Home Parenteral Nutrition Patient Registry.

dc.creatorHortencio, Taís Daiene Russo
dc.creatorArendt, Bianca Maria
dc.creatorTeterina, Anastasia
dc.creatorJeejeebhoy, Khursheed N
dc.creatorGramlich, Leah M
dc.creatorWhittaker, J Scott
dc.creatorArmstrong, David
dc.creatorRaman, Maitreyi
dc.creatorNogueira, Roberto José Negrão
dc.creatorAllard, Johane P
dc.date2015-Sep
dc.date2016-05-23T19:40:52Z
dc.date2016-05-23T19:40:52Z
dc.date.accessioned2018-03-29T01:28:24Z
dc.date.available2018-03-29T01:28:24Z
dc.identifierJpen. Journal Of Parenteral And Enteral Nutrition. , 2015-Sep.
dc.identifier0148-6071
dc.identifier10.1177/0148607115609289
dc.identifierhttp://pen.sagepub.com/content/early/2015/09/24/0148607115609289.abstract
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/235399
dc.identifier26407599
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1303642
dc.descriptionSince 2005, the Canadian home parenteral nutrition (HPN) registry has collected data on patients' demography, outcomes, and HPN clinical practice. At annual meetings, Canadian HPN programs review and discuss results. To evaluate changes over time in patient demography, outcomes, and HPN clinical practice using the registry data. This retrospective study evaluated 369 patients who were prospectively entered in the registry. Two periods were compared for the first data entry: 2005-2008 (n = 182) and 2011-2014 (n = 187). Patient demography, indications for HPN, HPN regimen, nutrition assessment, vascular access, and number of line sepsis per 1000 catheter days were evaluated. For 2011-2014 compared with 2005-2008, indications for HPN changed significantly, with an increased proportion of patients with cancer (37.9% vs 16.7%) and with fewer cases of short bowel syndrome (32% vs 65.5%); line sepsis rate decreased from 1.58 to 0.97 per 1000 catheter days; and the use of tunneled catheters decreased from 64.3% to 38.0% and was no longer the most frequently chosen vascular access method. In contrast, the proportion of peripherally inserted central catheters increased from 21.6% to 52.9%. In addition, there was a reduction in number and days of hospitalizations related to HPN, and favorable changes were noted in the prescription of energy, proteins, and trace elements. The Canadian HPN registry is useful in tracking trends in demography, outcomes, and clinical practice. Results suggest a shift in patient demography and line access with improvement in line sepsis, hospitalizations, and HPN prescriptions.
dc.description
dc.description
dc.languageeng
dc.relationJpen. Journal Of Parenteral And Enteral Nutrition
dc.relationJPEN J Parenter Enteral Nutr
dc.rightsembargo
dc.sourcePubMed
dc.subjectClinical Outcomes
dc.subjectClinical Practice
dc.subjectHome Parenteral Nutrition
dc.subjectIndications
dc.subjectLine Sepsis
dc.titleChanges In Home Parenteral Nutrition Practice Based On The Canadian Home Parenteral Nutrition Patient Registry.
dc.typeArtículos de revistas


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