Article Dans Une Revue Nutrients Année : 2022

Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice

1 UB - Université de Bordeaux
2 CHU Bordeaux - Centre Hospitalier Universitaire de Bordeaux
3 Hôpital Haut-Lévêque [CHU Bordeaux]
4 Hôpital Jeanne de Flandre [Lille]
5 Université de Lille
6 Hôpital Robert Debré
7 CHU Nice - Centre Hospitalier Universitaire de Nice
8 CarMeN - Cardiovasculaire, métabolisme, diabétologie et nutrition
9 HFME - Hôpital Femme Mère Enfant [CHU - HCL]
10 Hôpital Beaujon [AP-HP]
11 CHU Clermont-Ferrand
12 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
13 UT3 - Université Toulouse III - Paul Sabatier
14 CHU Angers - Centre Hospitalier Universitaire d'Angers
15 CHLS - Centre Hospitalier Lyon Sud [CHU - HCL]
16 CHRU Besançon - Centre Hospitalier Régional Universitaire de Besançon
17 TIMONE - Hôpital de la Timone [CHU - APHM]
18 CHU Amiens-Picardie
19 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
20 SU - Sorbonne Université
21 CHU Caen Normandie - CHU Caen Normandie – Centre Hospitalier Universitaire de Caen Normandie
22 CHU Limoges
23 ICM - Institut régional de Cancérologie de Montpellier
24 CHU de Poitiers [La Milétrie] - Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
25 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou]
26 Hôpital Necker - Enfants Malades [AP-HP]
27 UPD5 - Université Paris Descartes - Paris 5
28 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
29 Hôpital Hôtel-Dieu [CHU Nantes]
30 PhAN - Physiopathologie des Adaptations Nutritionnelles
31 Clinique Saint-Yves [Rennes]
32 CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille]
33 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
34 Centre hospitalier Félix-Guyon [Saint-Denis, La Réunion]
Djamal Djeddi
Philippe Fayemendy
  • Fonction : Auteur
Jeanne Languepin
  • Fonction : Auteur

Résumé

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.

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Dates et versions

hal-03723761 , version 1 (15-07-2022)

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Julien Gotchac, Florian Poullenot, Dominique Guimber, Emmanuelle Ecochard-Dugelay, Stephane Schneider, et al.. Management of Central Venous Catheters in Children and Adults on Home Parenteral Nutrition: A French Survey of Current Practice. Nutrients, 2022, 14 (12), pp.2532. ⟨10.3390/nu14122532⟩. ⟨hal-03723761⟩
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