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Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice
Although central venous catheter (CVC)-related thrombosis (CRT) is a severe complication of home parenteral nutrition (HPN), the amount and quality of data in the diagnosis and management of CRT remain low. We aimed to describe current practices regarding CVC management in French adult and pediatric...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9227599/ https://www.ncbi.nlm.nih.gov/pubmed/35745262 http://dx.doi.org/10.3390/nu14122532 |
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author | Gotchac, Julien Poullenot, Florian Guimber, Dominique Ecochard-Dugelay, Emmanuelle Schneider, Stéphane Peretti, Noël Billiauws, Lore Borderon, Corinne Breton, Anne Chaillou Legault, Emilie Chambrier, Cécile Comte, Aurélie Coste, Marie-Edith Djeddi, Djamal Dubern, Béatrice Dupont, Claire Espeso, Lucile Fayemendy, Philippe Flori, Nicolas Fotsing, Ginette Gastineau, Swellen Goulet, Olivier Guiot, Emeline Jirka, Adam Languepin, Jeanne Layec, Sabrina Quilliot, Didier Rebouissoux, Laurent Seguy, David Talon, Isabelle Turquet, Anne Vallee, Marjolaine Willot, Stéphanie Lamireau, Thierry Enaud, Raphael |
author_facet | Gotchac, Julien Poullenot, Florian Guimber, Dominique Ecochard-Dugelay, Emmanuelle Schneider, Stéphane Peretti, Noël Billiauws, Lore Borderon, Corinne Breton, Anne Chaillou Legault, Emilie Chambrier, Cécile Comte, Aurélie Coste, Marie-Edith Djeddi, Djamal Dubern, Béatrice Dupont, Claire Espeso, Lucile Fayemendy, Philippe Flori, Nicolas Fotsing, Ginette Gastineau, Swellen Goulet, Olivier Guiot, Emeline Jirka, Adam Languepin, Jeanne Layec, Sabrina Quilliot, Didier Rebouissoux, Laurent Seguy, David Talon, Isabelle Turquet, Anne Vallee, Marjolaine Willot, Stéphanie Lamireau, Thierry Enaud, Raphael |
author_sort | Gotchac, Julien |
collection | PubMed |
description | Although central venous catheter (CVC)-related thrombosis (CRT) is a severe complication of home parenteral nutrition (HPN), the amount and quality of data in the diagnosis and management of CRT remain low. We aimed to describe current practices regarding CVC management in French adult and pediatric HPN centers, with a focus on CVC obstruction and CRT. Current practices regarding CVC management in patients on HPN were collected by an online-based cross-sectional survey sent to expert physicians of French HPN centers. We compared these practices to published guidelines and searched for differences between pediatric and adult HPN centers’ practices. Finally, we examined the heterogeneity of practices in both pediatric and adult HPN centers. The survey was completed by 34 centers, including 21 pediatric and 13 adult centers. We found a considerable heterogeneity, especially in the responses of pediatric centers. On some points, the centers’ responses differed from the current guidelines. We also found significant differences between practices in adult and pediatric centers. We conclude that the management of CVC and CRT in patients on HPN is a serious and complex situation for which there is significant heterogeneity between HPN centers. These findings highlight the need for more well-designed clinical trials in this field. |
format | Online Article Text |
id | pubmed-9227599 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92275992022-06-25 Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice Gotchac, Julien Poullenot, Florian Guimber, Dominique Ecochard-Dugelay, Emmanuelle Schneider, Stéphane Peretti, Noël Billiauws, Lore Borderon, Corinne Breton, Anne Chaillou Legault, Emilie Chambrier, Cécile Comte, Aurélie Coste, Marie-Edith Djeddi, Djamal Dubern, Béatrice Dupont, Claire Espeso, Lucile Fayemendy, Philippe Flori, Nicolas Fotsing, Ginette Gastineau, Swellen Goulet, Olivier Guiot, Emeline Jirka, Adam Languepin, Jeanne Layec, Sabrina Quilliot, Didier Rebouissoux, Laurent Seguy, David Talon, Isabelle Turquet, Anne Vallee, Marjolaine Willot, Stéphanie Lamireau, Thierry Enaud, Raphael Nutrients Article Although central venous catheter (CVC)-related thrombosis (CRT) is a severe complication of home parenteral nutrition (HPN), the amount and quality of data in the diagnosis and management of CRT remain low. We aimed to describe current practices regarding CVC management in French adult and pediatric HPN centers, with a focus on CVC obstruction and CRT. Current practices regarding CVC management in patients on HPN were collected by an online-based cross-sectional survey sent to expert physicians of French HPN centers. We compared these practices to published guidelines and searched for differences between pediatric and adult HPN centers’ practices. Finally, we examined the heterogeneity of practices in both pediatric and adult HPN centers. The survey was completed by 34 centers, including 21 pediatric and 13 adult centers. We found a considerable heterogeneity, especially in the responses of pediatric centers. On some points, the centers’ responses differed from the current guidelines. We also found significant differences between practices in adult and pediatric centers. We conclude that the management of CVC and CRT in patients on HPN is a serious and complex situation for which there is significant heterogeneity between HPN centers. These findings highlight the need for more well-designed clinical trials in this field. MDPI 2022-06-18 /pmc/articles/PMC9227599/ /pubmed/35745262 http://dx.doi.org/10.3390/nu14122532 Text en © 2022 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 Gotchac, Julien Poullenot, Florian Guimber, Dominique Ecochard-Dugelay, Emmanuelle Schneider, Stéphane Peretti, Noël Billiauws, Lore Borderon, Corinne Breton, Anne Chaillou Legault, Emilie Chambrier, Cécile Comte, Aurélie Coste, Marie-Edith Djeddi, Djamal Dubern, Béatrice Dupont, Claire Espeso, Lucile Fayemendy, Philippe Flori, Nicolas Fotsing, Ginette Gastineau, Swellen Goulet, Olivier Guiot, Emeline Jirka, Adam Languepin, Jeanne Layec, Sabrina Quilliot, Didier Rebouissoux, Laurent Seguy, David Talon, Isabelle Turquet, Anne Vallee, Marjolaine Willot, Stéphanie Lamireau, Thierry Enaud, Raphael Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice |
title | Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice |
title_full | Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice |
title_fullStr | Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice |
title_full_unstemmed | Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice |
title_short | Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice |
title_sort | management of central venous catheters in children and adults on home parenteral nutrition: a french survey of current practice |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9227599/ https://www.ncbi.nlm.nih.gov/pubmed/35745262 http://dx.doi.org/10.3390/nu14122532 |
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