Added by | adjiane.lab |
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Group name | EquipeAD |
Item Type | Journal Article |
Title | [Not Available] |
Creator | Lacroix et al. |
Author | Catherine Lacroix |
Author | Geneviève Georges |
Author | Nicolas Flori |
Author | Laure Francioni |
Author | Chloé Janiszewski |
Author | Julie Courraud |
Author | Héloise Lecornu |
Author | Hélène de Forges |
Author | Pierre Senesse |
Abstract | Background : In France, home parenteral nutrition (HPN) is managed by two parallel healthcare systems : in approved specialist centers (HPN > 12 weeks), and outside of these approved specialist centers (HPN<12 weeks).Objective : To prospectively evaluate infectious and vascular complications in adult cancer patients undergoing HPN administered via a central venous line, outside of approved specialist HPN centers.Methods : Our observational prospective study included adult patients with cancer, hospitalized for 48 hours or more, and under HPN. They had a WHO performance status of ? 2 and had had a nutritional consultation before discharge.Results : 25 patients were included in the study, with a median age of 63 years [19-74]. Weight loss of ? 5% was reported in 79% of patients. The Ingesta score was < 7 in 96% of cases. 87% of patients presented chill or body temperature variation episodes, with a median of 2 episodes [1-6] per patient. The median delay between end of hospitalization and the first chill episode was 11 days [1-85]. A vascular complication (obstruction without thrombosis) was reported in one patient.Discussion : This high number of infectious episodes requires improvement of patient care when it comes to strictly adhering to the recommendations. Getting the approved specialist HPN centers to work together and share care protocols could be the first important step. |
Publication | Recherche En Soins Infirmiers |
Volume | 140 |
Issue | 1 |
Pages | 107-116 |
Date | 2020 |
Journal Abbr | Rech Soins Infirm |
Language | fre |
DOI | 10.3917/rsi.140.0107 |
ISSN | 0297-2964 |
Library Catalog | PubMed |
Extra | PMID: 35724012 |
Date Added | 2024/09/30 - 12:11:52 |
Date Modified | 2024/09/30 - 12:11:52 |
Notes and Attachments | Full Text (Attachment) PubMed entry (Attachment) |