TY - JOUR
T1 - Home parenteral nutrition in pediatric patients with intestinal insufficiency
AU - Zapata Olivares, Yazmín
AU - Isabel Hodgson Bunster, María
AU - Bayón, María Luisa Cordero
AU - Osiac, Lorena Rodríguez
AU - Lorca, Jaime Cerda
AU - Reus, Gigliola Alberti
AU - Antilef, Rosa María
AU - Balboa, Paulina
AU - Cors, Carolina
AU - De la Fuente, Graciela
AU - Delgado, Jessica
AU - Fritis, Ana
AU - Guevara, Mercedes
AU - Le Roy, Catalina
AU - Maggi, Aída
AU - Moraga, Francisco
AU - Morales, Beatriz
AU - Puchi, Alexa
AU - Rebollo, María Jesús
AU - Schilling, K. Walewska
AU - Teitelboim, Marcia
AU - Vildoso, Mario
AU - Villalobos, Rossana
AU - Villalobos, J. Carlos
AU - Wong, Carolina
N1 - Publisher Copyright:
© 2019, Sociedad Chilena de Pediatria. All rights reserved.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - © 2019, Sociedad Chilena de Pediatria. All rights reserved. Introduction: Home parenteral nutrition (HPN) has been shown to offer important benefits for pa- tients and the health system. In Chile, the number of patients who are receiving this type of treatment or who could be candidates for it is unknown. Objective: To determine the prevalence and clinical characteristics of patients with intestinal insufficiency (11) currently receiving HPN or who are can- didates for it. Patients and Method: Cross-sectional descriptive study which included patients aged between 0 to IS years with diagnosis of It who were receiving parenteral nutrition (PN) for over three months, either at home or in the hospital, with a stable clinical situation and a long-term venous catheter (CVC). Through a digitalized survey, the following variables were collected and studied: gender, birth history, indication to initiate parenteral nutritional support, age of initiation of PN, type of CVC, frequency of PN, nutritional status and feeding in the last control and complications as- sociated with the use of PN. Data analysis was performed using the SPSS Statistics Software, Version 21, Macintosh. The descriptive analysis considered frequency analysis and central trend measures. The Chi-square and Fisher tests were used for comparison of proportions. Results: Data from 46 patients were recorded. The average age was 55.5 months. The main indication for initiating the PN was the decrease of the intestinal surface (78.3%). 63% of the patients were hospitalized. No signi- ficant differences were found between the place of treatment and the nutritional status and catheter infections variables in the last year. Conclusions: The prevalence of patients with long-term PN and their clinical characteristics were identified. No differences were found to support the administration of this treatment in the hospital over the home. Public policies must be developed to guarantee the option of receiving this treatment at home.
AB - © 2019, Sociedad Chilena de Pediatria. All rights reserved. Introduction: Home parenteral nutrition (HPN) has been shown to offer important benefits for pa- tients and the health system. In Chile, the number of patients who are receiving this type of treatment or who could be candidates for it is unknown. Objective: To determine the prevalence and clinical characteristics of patients with intestinal insufficiency (11) currently receiving HPN or who are can- didates for it. Patients and Method: Cross-sectional descriptive study which included patients aged between 0 to IS years with diagnosis of It who were receiving parenteral nutrition (PN) for over three months, either at home or in the hospital, with a stable clinical situation and a long-term venous catheter (CVC). Through a digitalized survey, the following variables were collected and studied: gender, birth history, indication to initiate parenteral nutritional support, age of initiation of PN, type of CVC, frequency of PN, nutritional status and feeding in the last control and complications as- sociated with the use of PN. Data analysis was performed using the SPSS Statistics Software, Version 21, Macintosh. The descriptive analysis considered frequency analysis and central trend measures. The Chi-square and Fisher tests were used for comparison of proportions. Results: Data from 46 patients were recorded. The average age was 55.5 months. The main indication for initiating the PN was the decrease of the intestinal surface (78.3%). 63% of the patients were hospitalized. No signi- ficant differences were found between the place of treatment and the nutritional status and catheter infections variables in the last year. Conclusions: The prevalence of patients with long-term PN and their clinical characteristics were identified. No differences were found to support the administration of this treatment in the hospital over the home. Public policies must be developed to guarantee the option of receiving this treatment at home.
KW - Intestinal insufficiency
KW - Long-term parenteral nutrition
KW - Pediatric home parenteral nutrition
KW - Registry
UR - http://www.scopus.com/inward/record.url?scp=85063040390&partnerID=8YFLogxK
U2 - 10.32641/rchped.v90i1.800
DO - 10.32641/rchped.v90i1.800
M3 - Article
AN - SCOPUS:85063040390
SN - 0370-4106
VL - 90
SP - 60
EP - 68
JO - Revista Chilena de Pediatria
JF - Revista Chilena de Pediatria
IS - 1
ER -