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Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study
Continuous Intrathecal Drug Delivery through an implanted pump is a well-known therapeutic option for the management of chronic pain and severe disabling spasticity. To have a successful therapy, pump refills need to be performed at regular time intervals after implantation. In line with the increas...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8617747/ https://www.ncbi.nlm.nih.gov/pubmed/34830635 http://dx.doi.org/10.3390/jcm10225353 |
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author | Goudman, Lisa De Smedt, Ann Huygens, René Noppen, Marc Vanschoenwinkel, Maria Hatem, Samar M. Moens, Maarten |
author_facet | Goudman, Lisa De Smedt, Ann Huygens, René Noppen, Marc Vanschoenwinkel, Maria Hatem, Samar M. Moens, Maarten |
author_sort | Goudman, Lisa |
collection | PubMed |
description | Continuous Intrathecal Drug Delivery through an implanted pump is a well-known therapeutic option for the management of chronic pain and severe disabling spasticity. To have a successful therapy, pump refills need to be performed at regular time intervals after implantation. In line with the increased applications of Hospital at Home, these refill procedures might be performed at the patient’s home. The aim of this pilot study is to evaluate the feasibility, safety, and effectiveness of intrathecal pump refill procedures at home. Twenty patients were included whereby pump refill procedures were conducted at the patient’s home. To enable contact with the hospital, a video connection was set-up. Tele-ultrasound was used as post-refill verification. All procedures were successfully performed with complete patient satisfaction. Ninety-five percent of the patients felt safe during the procedure, and 95% of the procedures felt safe according to the physician. All patients indicated that they preferred their next refill at home. The median time consumption for the physician/nurse at the patient’s home was 26 min and for the researcher at the hospital 15 min. In light of quality enhancement programs and personalized care, it is important to continue urgent pain management procedures in a safe way, even during a pandemic. |
format | Online Article Text |
id | pubmed-8617747 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86177472021-11-27 Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study Goudman, Lisa De Smedt, Ann Huygens, René Noppen, Marc Vanschoenwinkel, Maria Hatem, Samar M. Moens, Maarten J Clin Med Article Continuous Intrathecal Drug Delivery through an implanted pump is a well-known therapeutic option for the management of chronic pain and severe disabling spasticity. To have a successful therapy, pump refills need to be performed at regular time intervals after implantation. In line with the increased applications of Hospital at Home, these refill procedures might be performed at the patient’s home. The aim of this pilot study is to evaluate the feasibility, safety, and effectiveness of intrathecal pump refill procedures at home. Twenty patients were included whereby pump refill procedures were conducted at the patient’s home. To enable contact with the hospital, a video connection was set-up. Tele-ultrasound was used as post-refill verification. All procedures were successfully performed with complete patient satisfaction. Ninety-five percent of the patients felt safe during the procedure, and 95% of the procedures felt safe according to the physician. All patients indicated that they preferred their next refill at home. The median time consumption for the physician/nurse at the patient’s home was 26 min and for the researcher at the hospital 15 min. In light of quality enhancement programs and personalized care, it is important to continue urgent pain management procedures in a safe way, even during a pandemic. MDPI 2021-11-17 /pmc/articles/PMC8617747/ /pubmed/34830635 http://dx.doi.org/10.3390/jcm10225353 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Goudman, Lisa De Smedt, Ann Huygens, René Noppen, Marc Vanschoenwinkel, Maria Hatem, Samar M. Moens, Maarten Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study |
title | Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study |
title_full | Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study |
title_fullStr | Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study |
title_full_unstemmed | Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study |
title_short | Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study |
title_sort | hospital at home for intrathecal pump refills: a prospective effectiveness, safety and feasibility study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8617747/ https://www.ncbi.nlm.nih.gov/pubmed/34830635 http://dx.doi.org/10.3390/jcm10225353 |
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