Home Care NetWork
Home Care Literature Reviews 2003
Home Infusion:
Knafelz D, Gambarara M, Diamanti A, Papadatou B, Ferretti F, Tarissi De Iacobis I, Castro M. Complications of home parenteral nutrition in a large pediatric series. Transplant Proc. 2003;35:3050-1.
This Italian retrospectively case series of 61 children receiving long term home (HPN) over a 20 year period (27,740 patient/days) observed a total of 58 complications with a mean of 0.79 per patient/year. Venous access and other mechanical problems accounted for 52% of problems and infection 26 % with 0.20 episodes of sepsis per patient/year. Metabolic complications (3%) and HPN-related hepatic complications (19%) were less frequent. None of the complications resulted in death. The rate of sepsis in the HPN patients was lower that in hospital patients receiving parenteral nutrition at the authors' insitution over the same time period.
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