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10.1002/jpen.2050

http://scihub22266oqcxt.onion/10.1002/jpen.2050
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33241555!7753815!33241555
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suck abstract from ncbi


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pmid33241555      JPEN+J+Parenter+Enteral+Nutr 2021 ; 45 (1): 43-49
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  • An International Survey of Clinicians Experience Caring for Patients Receiving Home Parenteral Nutrition for Chronic Intestinal Failure During the COVID-19 Pandemic #MMPMID33241555
  • Allan PJ; Pironi L; Joly F; Lal S; Van Gossum A
  • JPEN J Parenter Enteral Nutr 2021[Jan]; 45 (1): 43-49 PMID33241555show ga
  • BACKGROUND: This survey of centers caring for patients receiving home parenteral nutrition (HPN) was conducted to assess the impact of the coronavirus disease 2019 (COVID-19) crisis on the management of these patients regarding provision of care, monitoring, regular follow-up, and any changes to service infrastructure. METHODS: A survey was devised and publically published on the Research Electronic Data Capture database management system, with individual centers responding to a public link. RESULTS: A total of 78 adult and pediatric centers worldwide contributed to the survey, representing >/=3500 patients' experiences. Centers reported infrastructure maintenance for Parenteral Nutrition (PN) bag deliveries to patients (60, 76.92%) or delivery of ancillary items (57, 73.08%), home delivery and HPN administration (65, 83.33%), and home care nurse shortages (25, 32.05%). Routine follow-up of HPN patients changed to either all telemed or mixed with emergency clinic review (70, 89.74%). In 26 centers (33.33%), HPN for newly discharged patients with benign conditions was reduced or stopped. Based on clinical history, the centers reported psychological distress for patients (52, 66.67%), with anxiety, worry, concern, and apprehension reported most frequently (37 of 52, 71.15%) but also fear (10 of 52, 19.23%), depression (5 of 52, 9.62%), and issues related to isolation/confinement (12 of 52, 23.08%). CONCLUSIONS: The COVID-19 pandemic was reported by clinicians to have had a far-reaching adverse impact on patients receiving HPN, especially their safety in terms of provision of personal protective equipment, PN bags, available nursing staff, and psychological well-being. Healthcare systems responded to the challenge and presented new ways of working.
  • |COVID-19/*prevention & control[MESH]
  • |Humans[MESH]
  • |Intestinal Diseases/epidemiology/*therapy[MESH]
  • |Pandemics[MESH]
  • |Parenteral Nutrition, Home/*adverse effects[MESH]
  • |Patient Care[MESH]
  • |Physicians/*psychology[MESH]


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