Trends in paediatric home parenteral nutrition and implications for service development.
Clin Nutr
; 30(4): 499-502, 2011 Aug.
Article
em En
| MEDLINE
| ID: mdl-21388723
ABSTRACT
BACKGROUND & AIMS:
The demand for home parenteral nutrition (HPN) services for children has risen over the past 20 years. To plan a strategy for delivery of care at regional level, we carried out a national point prevalence survey of HPN during February 2010.METHODS:
Paediatric gastroenterologists in 33 hospitals known to have provided HPN services were identified from their membership of the British Society of Paediatric Gastroenterology, Hepatology and Nutrition and participation in the British Intestinal Failure Survey (BIFS). Anonymised data were collated by the BIFS administrator and results compared with a similar study performed by the British Paediatric Surveillance Unit in 1993. Trends in underlying diagnosis were explored using the BIFS database for 2006-2009.RESULTS:
139 children on HPN were reported; a fourfold increase since 1993; six of these were older than 16 years. The regional point prevalence of HPN varied from 1.76 to 41.4 per million, with a mean of 13.7 patients per million. Short bowel syndrome had increased from 27% to 63% of cases.CONCLUSIONS:
The large overall increase in numbers of HPN patients suggests that a national strategy needs to be developed for the management of chronic IF.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Nutrição Parenteral no Domicílio
/
Serviços de Assistência Domiciliar
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
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Child, preschool
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Female
/
Humans
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Infant
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Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Clin Nutr
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Reino Unido