Implementation of an evidenced based nutrition support pathway for haematopoietic progenitor cell transplant patients. Issue 3 (June 2015)

• Record Type: Journal Article
• Authors: Andersen, Sarah; Brown, Teresa; Kennedy, Glen; Banks, Merrilyn
• Is Part Of: Clinical nutrition. Volume 34:Issue 3(2015:Jun.)
• Page Start: 536
• Page End: 540
• Publication Date: 2015-06
• Subjects: Critically ill -- Nutrition -- Periodicals; Diet therapy -- Periodicals; Parenteral feeding -- Periodicals; Enteral feeding -- Periodicals; Enteral Nutrition -- Periodicals; Parenteral Nutrition -- Periodicals; Metabolism -- Periodicals; Diétothérapie -- Périodiques; Alimentation parentérale -- Périodiques; Alimentation entérale -- Périodiques; Nutrition -- Périodiques; Diet therapy; Enteral feeding; Nutrition; Parenteral feeding; Electronic journals; Periodicals; Electronic journals; 615.854
• DOI: 10.1016/j.clnu.2014.06.006
• Languages: English
• ISSNs: 0261-5614

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Summary</title> <sec> <title id="sectitle0015">Background and aims</title> <p id="abspara0010">The type of nutrition support given during haematopoietic progenitor cell transplantation (HPCT) varies greatly between transplant units and often includes enteral nutrition (EN) and/or parenteral nutrition (PN). The aims of this study were to develop an evidenced based nutrition support pathway for HPCT patients and then evaluate changes in nutrition support practices post implementation of the pathway into clinical practice.</p> </sec> <sec> <title id="sectitle0020">Methods</title> <p id="abspara0015">A retrospective audit of 66 consecutive patients who underwent HPCT during the six months prior to the development of the pathway was undertaken, followed by a prospective audit of 61 consecutive patients undertaking HPCT during the six months post implementation. Data collected included type and timing of nutrition support given.</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0020">Post implementation of the pathway the use of PN for allogeneic HPCT patients reduced significantly from 86% to 50% (<italic>p</italic> < 0.001) and use of oral nutrition support increased significantly from 14% to 45% (<italic>p</italic> = 0.003). Autologous HPCT recipients had shorter lengths of inadequate intake with only 30% of patients having a poor intake for greater than one week compared to 72% prior to implementation of the pathway (<italic>p</italic> = 0.02).</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0025">Implementation of a nutrition support pathway impacts significantly on appropriate use of nutritional support in recipients of HPCT.</p> </sec> </abstract>