Nutrición parenteral domiciliaria en los pacientes oncológicos

  1. Carmina Wanden-Berghe 1
  2. Cristina Cuerda Compes 2
  3. Julia Álvarez Hernandez 3
  4. José Luis Pereira Cunill 4
  5. Fátima Carabaña Pérez 5
  6. Carmen Gómez Candela 6
  1. 1 Hospital General Universitario e ISABIAL-FISABIO, Alicante, España.
  2. 2 Hospital General Universitario Gregorio Marañón
    info

    Hospital General Universitario Gregorio Marañón

    Madrid, España

    ROR https://ror.org/0111es613

  3. 3 Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
  4. 4 Hospital Universitario Virgen del Rocío, Sevilla, España.
  5. 5 Hospital Ramón y Cajal, Madrid, España.
  6. 6 Hospital La Paz, Madrid, España
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Journal:
Hospital a Domicilio

ISSN: 2530-5115

Year of publication: 2017

Volume: 1

Issue: 2

Pages: 65-72

Type: Article

DOI: 10.22585/HOSPDOMIC.V1I2.15 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Hospital a Domicilio

Abstract

Objective: to analyze the characteristics of oncology patients with home parenteral nutrition HPD collected from the NADYA registry. Method: cross-sectional study of the data collected from the NADYA’s group registry related to home and outpatient artificial nutrition. Patients with HPD and explicit oncological diagnosis were selected. Data were collected from January 1, 2010 to December 31, 2016. Results: Within the 7 years studied, 1463 patients were collected, of which 599 had a cancer diagnosis (40.94%) with an increase of 43% from the beginning. The mean age was 57 years IIQ [46-64], registering 5 children. The majority of the patients were oncologic palliative (51.3%). There were 3.18 septic catheterrelated complications per 1000 days of nutrition, most frequently in the radiation enteritis group (ANOVA p <0.001). The main cause of end of treatment was death 61%, palliative patients in higher proportion than the other diagnoses (x2 = 53,819, p <0.001). Conclusions: palliative represent the majority of cancer patients with HPD. Intestinal obstruction and short bowel syndrome was the main reason for indicating it, almost 80% of cases. Patients with radiation enteritis were the ones with the least metabolic and septic complications not related to the catheter, being the ones with the most septic complications related to the catheter. Quality of life is a parameter that would provide a very valuable information of these patients. It is a limitation of this study not to have data based on this parameter.

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Data source: Dialnet