title: Report on the first annual survey of home parenteral nutrition in Japan.
abstract: An annual survey of the current national status of home parenteral nutrition (HPN) in Japan was begun in 1991, with a total of 231 registered patients from 142 institutions providing adequate data for evaluation and analysis. HPN was given for an average of 683 +/- 764 days to 93 patients with malignant diseases and 138 with benign disease, including 53 with inflammatory bowel disease and 79 with short bowel syndrome, 107 (46.3%) of whom were successfully rehabilitated. By the end of 1990, 61% of the patients investigated were still on HPN, 7% had already completed HPN, and 26% had died, the deceased accounting for 54% of the patients with malignant diseases and 7% of those with benign diseases. A total of 321 catheters had been used by all 231 patients, the most common being the subcutaneously implanted type, accounting for 33% of all catheters. By the end of 1990, 32% of these 321 catheters were still in place, 18% had been removed on the termination of HPN and 44% had been removed due to complications of total parenteral nutrition, including 20% for catheter fever. Rehospitalization was required in 62% of the patients, the cause being HPN-related in 21% of the total patients. Metabolic complications were experienced by 60% of the patients, but none of these were severe although 6% required hospitalization.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Department of Pediatric Surgery, Osaka University Medical School, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Takagi
authors.forename: A
authors.initials: A
authors.lastname: Okada
authors.forename: T
authors.initials: T
authors.lastname: Sato
authors.forename: T
authors.initials: T
authors.lastname: Fukushima
authors.forename: N
authors.initials: N
authors.lastname: Shirotani
authors.forename: Y
authors.initials: Y
authors.lastname: Osawa
authors.forename: H
authors.initials: H
authors.lastname: Takeyama
authors.forename: M
authors.initials: M
authors.lastname: Taniguchi
authors.forename: H
authors.initials: H
authors.lastname: Takehara
authors.forename: H
authors.initials: H
authors.lastname: Mizote
mesh_terms: D000328:Adult; D002404:Catheterization / Q000706:statistics & numerical data; D003625:Data Collection; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D016331:Parenteral Nutrition, Home / Q000379:methods / Q000706:statistics & numerical data*; D010359:Patient Readmission; D016896:Treatment Outcome