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Evaluating catheter complications and outcomes in patients receiving home parenteral nutrition
Author(s) -
Szeinbach Sheryl L.,
Pauline Jessica,
Villa Kathleen F.,
Commerford S. Renee,
Collins Ann,
SeoaneVazquez Enrique
Publication year - 2015
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12264
Subject(s) - medicine , parenteral nutrition , catheter , peripherally inserted central catheter , thrombosis , retrospective cohort study , central line , surgery , emergency medicine , pediatrics
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 B oston H ome I nfusion agency that provided HPN therapy to 212 patients [ I nternational C lassification of D iseases, 9th revision ( ICD ‐9) codes: gastrointestinal ( GI )‐related disorders and oncology] between 1 J anuary 2005 and 30 S eptember 2011. Results Of the 163 patients who represented 19 104 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 CC s compared with patients with no CC s ( P < 0 .03). Conclusion Patients who experienced CC s 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.