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Paediatric Home Parenteral Nutrition in the Czech Republic and Its Development: Multicentre Retrospective Study 1995-2011.
Stýblová, Jitka; Kalousová, Jana; Adamcová, Miroslava; Bajerová, Katerina; Bronský, Jirí; Fencl, Filip; Karásková, Eva; Keslová, Petra; Melek, Jan; Pozler, Oldrich; Sebron, Václav; Suláková, Astrid; Tejnická, Jana; Tláskal, Peter; Tomásek, Ladislav; Vlková, Barbora; Szitányi, Peter.
Afiliación
  • Stýblová J; Department of Paediatric Surgery, 2nd Faculty of Medicine, Charles University in Prague and University Hospital Motol, In Memoriam, Prague, Czech Republic.
Ann Nutr Metab ; 71(1-2): 99-106, 2017.
Article en En | MEDLINE | ID: mdl-28768249
BACKGROUND: Treatment quality and outcomes of paediatric home parenteral nutrition (HPN) program during its development in the Czech Republic. METHODS: A retrospective study of patients receiving HPN from May 1995 till June 2011. RESULTS: Sixty-six patients were treated in 8 centres. In 48 patients, long-term PN began in the first year of life and in 35 of them in the first month. Sixty children had gastrointestinal and 6 had non-gastrointestinal disease. In a majority of the patients, the Broviac catheter was used. Thirty-two (48.5%) patients were weaned from PN after 1-117 months, 21 (32.8%) continued on HPN after 7-183 months, and 13 (19.7%) patients died, all on PN. The mortality in patients with primary gastrointestinal disease was significantly lower than in patients with non-gastrointestinal disease. Thirty-one paediatric patients were receiving HPN for 14,480 catheter days in 2009-2010. Fourteen patients had 23 Catheter Related Blood Stream Infections (CRBSI) episodes. The incidence of CRBSI in 2009-2010 was 1.58/1,000 catheter days. CONCLUSION: Submitted data showed that even in the absence of expert centres, patient care may achieve results comparable to countries with well-developed HPN program. A majority of Czech HPN patients are at present treated in specialized centres, following the most desirable pattern of care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nutrición Parenteral en el Domicilio / Infecciones Relacionadas con Catéteres Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Europa Idioma: En Revista: Ann Nutr Metab Año: 2017 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nutrición Parenteral en el Domicilio / Infecciones Relacionadas con Catéteres Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male País/Región como asunto: Europa Idioma: En Revista: Ann Nutr Metab Año: 2017 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Suiza