Español Needs and recommendations in home parenteral nutrition in adult patients: a scoping review
DOI:
https://doi.org/10.22585/hospdomic.v8i2.209Keywords:
Home Care Services, Parenteral Nutrition, Home, Quality of LifeAbstract
Introduction: the population of patients receiving home parenteral nutrition (HPN) worldwide is increasing and present significant challenges for both patients and healthcare providers. The objective of the review was to identify and report the available evidence on the use of home parenteral nutrition, exploring the logistical needs for health care teams, clinical strategies based on nutritional objectives, prevention and management of complications, and the impact on quality of life of patients and associated costs.
Method: exploratory review of systematic reviews, meta-analyses and clinical practice guidelines focused on the management of adult patients with indication for parenteral nutrition (mixed or exclusive), excluding those requiring bypass surgery or those who are pregnant. Publications identified in the Cochrane, MEDLINE, LILACS and EMBASE databases were included, from 2018 to 2023 and without language restriction.
Results: 15 articles were analyzed, 12 focused mainly on health outcomes, 2 on the logistical needs for care and 1 on costs associated with DPN. In relation to the type of publication, 7 systematic literature reviews, 5 meta-analyses and 3 clinical practice guidelines were identified.
Conclusions: We identified clinical recommendations on HPN. More research is required focused on the evaluation of quality of life, logistical requirements and cost evaluation, supported by a structured homecare program.
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