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Psychosocial complaints are associated with venous access-device related complications in patients on home parenteral nutrition

Huisman-de Waal, Getty, Versleijen, Michelle, van Achterberg, Theo, Jansen, Jan B., Sauerwein, Hans, Schoonhoven, Lisette and Wanten, Geert (2011) Psychosocial complaints are associated with venous access-device related complications in patients on home parenteral nutrition Journal of Parenteral and Enteral Nutrition, 35, (5), pp. 588-596. (doi:10.1177/0148607110385818). (PMID:21881011).

Record type: Article


Background: Complications related to venous access devices (VADs) remain the major drawback of home parenteral nutrition (HPN) support. In addition to technical issues, patients also experience psychosocial problems. The aim of this study is to present an overview of VAD-related complications in patients on long-term HPN and to assess whether these adversities are related to experienced psychosocial problems and quality of life (QOL).

Methods: Information on VAD-related complications was collected from the medical charts of 110 adult HPN patients who were followed by the 2 major referral centers in the Netherlands. In addition, a survey was conducted in this group to characterize psychosocial problems and assess their association with technique-related complications; 75 patients (68%) responded.

Results: At the time of survey, the majority of patients (76%) had developed 1 or more episodes of catheter-related sepsis at some point during their HPN treatment. The overall incidence of VAD-related blood stream infections (BSIs) was 3 per 1,000 venous access days. The incidence of VAD occlusions was 0.8 per 1,000 venous access days. During the observation period, there was a highly significant association between the incidence of VAD-related complications and the occurrence of psychosocial complaints (eg, depression, fatigue, social impairment, and decreased QOL).

Conclusions: Psychosocial complaints are associated with previously experienced VAD-related complications in patients on HPN therapy. Although only an association, and not a causal relationship is demonstrated by these findings, our results underscore the need for preventive and therapeutic measures regarding both types of problems in these patients.

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Published date: September 2011
Keywords: home parenteral nutrition, venous access device– related complications, psychosocial problems
Organisations: Faculty of Health Sciences


Local EPrints ID: 339205
ISSN: 0148-6071
PURE UUID: bde04ef4-b5b0-43ff-979d-203ffbe0b958
ORCID for Lisette Schoonhoven: ORCID iD

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Date deposited: 25 May 2012 09:14
Last modified: 18 Jul 2017 05:54

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Author: Getty Huisman-de Waal
Author: Michelle Versleijen
Author: Theo van Achterberg
Author: Jan B. Jansen
Author: Hans Sauerwein
Author: Geert Wanten

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