外周肠外营养:一项评估实用性和并发症的回顾性观察研究。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS Nutrition in Clinical Practice Pub Date : 2024-10-28 DOI:10.1002/ncp.11237
Emma Bidgood, Joanna Huang, Elise Murphy, Ralley Prentice, Beth Hede, David Russell
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引用次数: 0

摘要

背景:外周肠外营养(PPN)为需要短期肠外营养的特定患者提供了一种替代中央给药肠外营养的营养支持策略。以往的研究表明,PPN 的使用有限,且并发症发生率不一。本研究旨在评估该中心的 PPN 并发症和使用情况:这是一项单中心回顾性观察研究,研究对象为 2018 年 6 月至 2023 年 12 月期间接受至少 1 天 PPN 的所有成人患者。研究收集了人口统计学和临床数据,包括并发症、PN 适应症和 PPN 原因、治疗持续时间、停止 PPN 原因、营养状况、能量和蛋白质供应以及中心管插入率:共纳入 381 名患者,中位年龄为 62 岁(四分位数间距 = 28-74),235 人为男性(61.7%)。最常见的 PN 适应症是回肠梗阻(153 人,占 40%),其次是胃肠道梗阻(93 人,占 24%)。接受 PPN 的中位时间为 3(2-4)天。患者通过 PPN 获得的能量和蛋白质需求量的中位数分别为 65% (55%-75%) 和 58% (50%-69%)。47.5%的患者(n = 181)被诊断为营养不良。总并发症发生率为 8.7%(33 例),插管浸润是最常见的并发症(6.6%,25 例)。213名(56%)患者进行了中心静脉置管:事实证明,在营养支持团队的管理下,PPN 是一种安全有效的短期 PN 治疗方法。PPN 有可能减轻短期营养不足,并防止选定患者插入中心静脉通路装置,因此是一种有价值的营养支持疗法。
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Peripheral parenteral nutrition: A retrospective observational study to evaluate utility and complications.

Background: Peripheral parenteral nutrition (PPN) provides an alternative nutrition support strategy to centrally administered PN for specific patients requiring short-term PN. Previous studies have demonstrated limited use of PPN and variable complication rates. This study aimed to evaluate PPN complications and usage at this center.

Methods: This was a single-center retrospective observational study of all adult patients who received at least 1 day of PPN from June 2018 to December 2023. Demographic and clinical data were collected, including complications, indications for PN and reason for PPN, duration of therapy, reason for cessation of PPN, nutrition status, energy and protein provision, and central line insertion rates.

Results: 381 patients were included, the median age was 62 (interquartile range = 28-74) years, and 235 were men (61.7%). The most common indication for PN was ileus (n = 153, 40%) followed by gastrointestinal obstruction (n = 93, 24%). The median time receiving PPN was 3 (2-4) days. Patients received a median of 65% (55%-75%) of energy and 58% (50%-69%) of protein requirements with PPN. Malnutrition was diagnosed in 47.5% (n = 181) of this cohort. Total complication rates were 8.7% (n = 33), with cannula infiltration being the most common complication (6.6%, n = 25). 213 (56%) patients proceeded to central line insertion.

Conclusion: PPN proved to be a safe and effective therapy for short-term PN when managed by a nutrition support team. PPN has the potential to attenuate short-term nutrition deficits and prevent central venous access device insertion in selected patients, making it a valuable nutrition support therapy.

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来源期刊
CiteScore
6.00
自引率
9.70%
发文量
128
审稿时长
3 months
期刊介绍: NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
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