Abstract
Background: Home parenteral nutrition (HPN) program is one of the few examples of an extension of medical treatment to the home environment, for an otherwise stable patient. The program was initiated with the intention to provide an individualized, safe, effective and appropriate nutrition support plan at discharge from hospital. There has been a high demand among the cancer group of patients as well as the short bowel syndrome (from bowel resection regardless of the primary pathology). However, there were not many established centers with such experience to provide the service. Institut Kanser Negara, Malaysia has a modest experience since the program established in October 2020. A retrospective case series was conducted from all HPN cases available since the initiation of the service. We report a review of seven adult patients that has been enrolled in our HPN program with up to 1 year follow-up. These patients were enrolled into the program after they have qualified the pre-determined criteria and undergone the technical aspect of parenteral nutrition administration training. Seven adult patients were enrolled with half of them were of malignant origin and the remaining was due to short bowel syndrome. Four patients were of ECOG 0 and others were 1 at the point of recruitment. At the point of analysis, the duration of HPN use was 9 days to 300 days. Five patients had at least one episode of catheter related blood stream infection. Two patients remained in the program, two patients were discharged and the remaining had passed away due to the advancement of their disease. In conclusion, carefully selected stable patients which then being continuously supervised and evaluated on a regular basis in the community is prudent in ensuring the success of the HPN program. This service is best alternative to be offered for continuation the standard of care when the patient is not able to be hospitalized.
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- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-58,
title = {Home Parenteral Nutrition: Can it be a reality for cancer patient?},
author = {Mohd Syamir Mohamad Shukeri and Khong Khei Choong and Nik Nuradlina Nik Adnan and Muhammad Ashraf Mohamad Jalani and Muhammad Shukri Jahit},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-58.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/APCPH2022-P-58-Home-Parenteral-Nutrition-Can-it-be-a-Reality-for-a35fe7653845764a47fb3077443f74b4.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Background: Home parenteral nutrition (HPN) program is one of the few examples of an extension of medical treatment to the home environment, for an otherwise stable patient. The program was initiated with the intention to provide an individualized, safe, effective and appropriate nutrition support plan at discharge from hospital. There has been a high demand among the cancer group of patients as well as the short bowel syndrome (from bowel resection regardless of the primary pathology). However, there were not many established centers with such experience to provide the service. Institut Kanser Negara, Malaysia has a modest experience since the program established in October 2020. A retrospective case series was conducted from all HPN cases available since the initiation of the service. We report a review of seven adult patients that has been enrolled in our HPN program with up to 1 year follow-up. These patients were enrolled into the program after they have qualified the pre-determined criteria and undergone the technical aspect of parenteral nutrition administration training. Seven adult patients were enrolled with half of them were of malignant origin and the remaining was due to short bowel syndrome. Four patients were of ECOG 0 and others were 1 at the point of recruitment. At the point of analysis, the duration of HPN use was 9 days to 300 days. Five patients had at least one episode of catheter related blood stream infection. Two patients remained in the program, two patients were discharged and the remaining had passed away due to the advancement of their disease. In conclusion, carefully selected stable patients which then being continuously supervised and evaluated on a regular basis in the community is prudent in ensuring the success of the HPN program. This service is best alternative to be offered for continuation the standard of care when the patient is not able to be hospitalized.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Institut Kanser Negara},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}