Related Experiment Videos
[Home parenteral nutrition. A six-year combined program (adult and pediatric patients)]
J M Moreno1, P Gomis, M A Valero
1Unidad de Nutrición Clínica, Hospital 12 de Octubre, Madrid. mleon@h12o.es
Insights
Home parenteral nutrition (HPN) is an effective and safe treatment for adults and children. This study found no deaths related to HPN, though complications like infections occurred.
Area of Science:
- Clinical Nutrition
- Gastroenterology
- Pediatric Care
Context:
- Home parenteral nutrition (HPN) programs manage complex nutritional needs.
- This study evaluated an adult and pediatric HPN program.
- Data was collected retrospectively from 1993 to 1999.
Purpose:
- To describe the outcomes of an adult-pediatric home parenteral nutrition (HPN) program.
- To assess the safety and efficacy of HPN in a mixed adult and pediatric population.
Summary:
- Sixteen adults and eight children participated in the HPN program.
- Mean parenteral nutrition duration was 507 days for adults and 155 days for children.
- Central venous catheter infections were the most common complication, with no HPN-related deaths.
Impact:
- Home parenteral nutrition (HPN) demonstrates effectiveness and safety.
- The study highlights the need for further investigation into HPN prevalence and incidence.
- Findings contribute to understanding HPN management in diverse age groups.
Background:
To describe the outcomes of an adult-pediatric home parenteral nutrition (HPN) program.
Patients And Methods:
Retrospective protocol between 1993 and 1999.
Results:
Sixteen adults (average 45.7 years) and eight children (3.1 years) were included in the program. Mean length of parenteral nutrition was 507 (SD: 624) and 155 (SD: 129) days respectively. Total follow-up time was 8,119 days for adults and 1,242 for children. Cancer was the main diagnosis in adults and intractable diarrhea in children. Central venous catheter related infections were the most usual complication (0.63 and 1.2 episodes/patient/year). There were no deceases due to the HPN in the period of study.
Conclusions:
HPN is an effective and safe technique, although prevalence and incidence in Spain are low.