ArticleIntestinal Failure (New York, N.Y.)
Evaluation of combined multi-chamber with compounded bags and multi-chamber bags only for British adults on home parenteral nutrition: A mixed methods pilot study.
Article in Intestinal Failure (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
Background: People with chronic intestinal failure (IF) require home parenteral nutrition (HPN). Parenteral nutrition regimens can comprise of bespoke prescriptions compounded specifically for the individual, commercially produced multi-chamber bags (MCBs), or a combination of compounded and MCBs known as 'hybrid' regimens. This pilot study aimed to evaluate quality of life (QoL) and clinical outcomes with hybrid or MCBs-only parenteral nutrition regimens. Methods: This mixed-methods pilot study collected data from patients between June 2022 and January 2023. Data were gathered at baseline and 180 days post-discharge. Patients were interviewed about their lived experiences and completed a QoL questionnaire. Quantitative data were analysed using descriptive statistics while qualitative data analysis used framework analysis. Results: We recruited 28 patients, 16 on hybrid HPN regimens and 12 on MCBs. After 180 days, no catheter-related bloodstream infections were recorded. No differences were found between hybrid and MCBs-only regarding QoL. Patients on hybrid regimens reported no issues arising specifically from using two bag types, and some of those on MCBs-only appreciated extra flexibility in their lives. Conclusions: Both MCB and hybrid HPN regimens were acceptable to patients, with neither showing a substantial difference in QoL.
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