Examination of factors that lead to complications for new home parenteral nutrition patients.
Home parenteral nutrition carries a risk of infectious, metabolic, and mechanical complications that cause significant morbidity and mortality. This study investigated the incidence and the causative factors of these complications that occur within the first 90 days after discharge from the hospital to home. Data were prospectively collected and analyzed for 97 adult patients. A complication developed in one third of the patients, and the majority required rehospitalization. Infectious complications were the most prevalent, followed by mechanical and then metabolic complications. The authors describe their methods of collecting data in a quantifiable manner with the ultimate goal of improving patient outcomes.
Nutrition Support and Vascular Access Department, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. jerisl@ccf.org
Lori Jeris
LJ
de Burgoa
Douglas
D
Seidner
Cindy
C
Hamilton
Judy
J
Stafford
Ezra
E
Steiger
D000328:Adult; D002983:Clinical Competence / Q000592:standards; D004868:Equipment Failure; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000451:nursing / Q000517:prevention & control / Q000706:statistics & numerical data; D008875:Middle Aged; D015403:Nursing Evaluation Research; D009820:Ohio; D017063:Outcome Assessment, Health Care; D016331:Parenteral Nutrition, Home / Q000009:adverse effects* / Q000451:nursing / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic; D010359:Patient Readmission / Q000706:statistics & numerical data; D018579:Patient Selection; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D017749:Total Quality Management / Q000458:organization & administration; D016312:Treatment Refusal