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Published on: July 13, 2019
Evaluating catheter complications and outcomes in patients receiving home parenteral nutrition
Sheryl L Szeinbach1, Jessica Pauline, Kathleen F Villa
1College of Pharmacy, Ohio State University, Columbus, OH, USA.
Rationale, Aims And Objectives:
We describe catheter complications and outcomes in patients who received home parenteral nutrition (HPN) therapy.
Methods:
Retrospective chart data were obtained from Boston Home Infusion agency that provided HPN therapy to 212 patients [International Classification of Diseases, 9th revision (ICD-9) codes: gastrointestinal (GI)-related disorders and oncology] between 1 January 2005 and 30 September 2011.
Results:
Of the 163 patients who represented 19104 home-catheter days, 19 (11.7%) patients experienced 25 catheter complications (CCs; 12 occlusions, 11 central line-associated bloodstream infections, one thrombosis and one line dislodgment). The overall CC rate was 1.30 per 1000 peripherally inserted central catheter (PICC)-line days. The mean number of PICC-line days (278.7 ± 335.0 vs. 95.9 ± 154.0) and patients with at least one hospital admission were significantly higher for patients with one or more CCs compared with patients with no CCs (P<0.03).
Conclusion:
Patients who experienced CCs had more PICC-line days, more hospital admissions and had an ICD-9 code for GI-related disorders compared with patients with oncology-related diagnoses.
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