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Psychological impact of vascular access devices in young patients receiving parenteral nutrition: A meta-analysis

Mussa Baudolino1, Fabio Merlo2, Umberto Aimasso2

  • 1Surgical Science Department University of Turin, Italy.

Clinical Nutrition (Edinburgh, Scotland)
|June 6, 2025
PubMed

Insights

Vascular access devices (VADs) significantly impact young patients receiving parenteral nutrition, causing anxiety, depression, and reduced quality of life. Routine psychological support is crucial for this vulnerable group.

Area of Science:

  • Pediatric Psychology
  • Medical Device Impact
  • Parenteral Nutrition

Background:

  • Vascular access devices (VADs) are essential for parenteral nutrition in pediatric patients.
  • The psychological effects of VADs on young patients are not fully understood.

Purpose of the Study:

  • To systematically review and quantify the psychological effects of VADs in young patients (0-25 years) on parenteral nutrition.
  • To synthesize existing literature on anxiety, depression, body image, and quality of life.

Main Methods:

  • Systematic review and meta-analysis of studies from 2000-2023.
  • Inclusion of studies reporting quantitative psychological outcomes.
  • Random-effects models used for pooling effect sizes.

Main Results:

  • 31.7% experienced significant anxiety; 23.9% experienced depression.
  • VADs negatively impacted body image (g = -0.62) and quality of life (g = -0.34).
  • Centrally inserted catheters had a greater psychological impact than peripherally inserted devices.

Conclusions:

  • VADs impose a significant psychological burden on young patients.
  • Routine psychological screening and interventions are recommended.
  • Addressing the psychological needs of these patients is critical.
Abstract

Keywords:
AdolescentsMeta-analysisParenteral nutritionPediatric patientsPsychological impactVascular access devicesYoung adults

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