Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/18972
Title: Clinical classification of adult patients with chronic intestinal failure due to benign disease: An international multicenter cross-sectional survey.
Authors: Pironi, Loris;Konrad, Denise;Brandt, Chrisoffer;Joly, Francisca;Wanten, Geert;Agostini, Federica;Chambrier, Cecile;Aimasso, Umberto;Zeraschi, Sarah;Kelly, Darlene;Szczepanek, Kinga;Jukes, Amelia;Di Caro, Simona;Theilla, Miriam;Kunecki, Marek;Daniels, Joanne;Serlie, Mireille;Poullenot, Florian;Wu, Jian;Cooper, Sheldon C;Rasmussen, Henrik H;Compher, Charlene;Seguy, David;Crivelli, Adriana;Pagano, Maria C;Hughes, Sarah-Jane;Guglielmi, Francesco W;Kozjek, Nada Rotovnik;Schneider, Stéphane M;Gillanders, Lyn;Ellegard, Lars;Thibault, Ronan;Matras, Przemysław;Zmarzly, Anna;Matysiak, Konrad;Van Gossum, Andrè;Forbes, Alastair;Wyer, Nicola;Taus, Marina;Virgili, Nuria M;O'Callaghan, Margie;Chapman, Brooke;Osland, Emma;Cuerda, Cristina;Sahin, Peter;Jones, Lynn;Lee, Andre D W;Bertasi, Valentino;Orlandoni, Paolo;Izbéki, Ferenc;Spaggiari, Corrado;Díez, Marta Bueno;Doitchinova-Simeonova, Maryana;Garde, Carmen;Serralde-Zúñiga, Aurora E;Olveira, Gabriel;Krznaric, Zeljko;Czako, Laszlo;Kekstas, Gintautas;Sanz-Paris, Alejandro;Jáuregui, Estrella Petrina;Murillo, Ana Zugasti;Schafer, Eszter;Arends, Jann;Suárez-Llanos, José P;Shaffer, Jon;Lal, Simon
Affiliation: Center for Chronic Intestinal Failure, Department of Digestive System, St. Orsola-Malpighi University Hospital, Bologna, Italy
Home Nutrition Support, Cleveland Clinic Foundation, Cleveland, OH, USA
Rigshospitalet, Department of Gastroenterology, Copenhagen, Denmark
Centre for Intestinal Failure, Department of Gastroenterology and Nutritional Support, Hôpital Beaujon, Clichy, France
Intestinal Failure Unit, Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Unité de Nutrition Clinique Intensive, Hospices Civils de Lyon, Hôpital de la Croix Rousse, Lyon, France
Città della Salute e della Scienza, Turin, Italy
Nutrition Team Office, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN, USA
General and Oncology Surgery Unit, Stanley Dudrick's Memorial Hospital, Skawina, Poland
University Hospital of Wales, Cardiff, United Kingdom
University College Hospital, London, United Kingdom
Rabin Medical Center, Petach Tikva, Israel
M. Pirogow Hospital, Lodz, Poland
Nottingham University Hospital NHS Trust, Nottingham, United Kingdom
Academic Medical Center, Amsterdam, The Netherlands
Service de Gastroentérologie, Hôpital Haut-Lévêque, CHU de Bordeaux, Pessac, France
Intestinal Failure Unit, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom
Centre for Nutrition and Bowel Disease, Department of Gastroenterology, Aalborg University Hospital, Aalborg, Denmark
Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Service de Nutrition, CHRU de Lille, Lille, France
Unidad de Soporte Nutricional, Rehabilitación y Trasplante de Intestino, Hospital Universitario Fundacion Favaloro, Buenos Aires, Argentina
Federico II University, Naples, Italy
Belfast Health and Social Care Trust, Belfast, Northern Ireland, United Kingdom
Gastroenterology Unit, San Nicola Pellegrino Hospital, Trani, Italy
Institute of Oncology, Ljubljana, Slovenia
Gastroenterology and Clinical Nutrition, CHU of Nice, University of Nice Sophia Antipolis, Nice, France
National Intestinal Failure Service, Auckland City Hospital, Auckland, New Zealand
Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden
Gastrointestinal and Nutritional Rehabilitation Medicine, Clinique Saint Yves, Rennes Cedex, France
Department of General and Transplant Surgery and Clinical Nutrition, Medical University of Lublin, Lublin, Poland
Department of Clinical Nutrition, J. Gromkowski City Hospital, Wroclaw, Poland
Centre for Intestinal Failure, Department of General, Endocrinological and Gastroenterological Surgery, Poznan University of Medical Science, Poznań, Poland
Medico-Surgical Department of Gastroenterology, Hôpital Erasme, Free University of Brussels, Belgium
Norfolk and Norwich University Hospital, University of East Anglia, Norwich, United Kingdom
University Hospital, Coventry, United Kingdom
Centro di Riferimento Regionale NAD Ospedali Riuniti Ancona, Ancona, Italy
Unitat Nutrició i Dietética, Servei Endocrinologia i Nutrició, Hospital Universitari de Bellvitge, Barcelona, Spain
Flinders Medical Centre, Adelaide, Australia
Austin Health, Heidelberg, Victoria, Australia
Royal Brisbane and Women's Hospital, Herston, Australia
Nutrition Unit, Hospital General Universitario Gregorio Marañon, Madrid, Spain
St. Imre Hospital, Budapest, Hungary
Royal Prince Alfred Hospital, Camperdown, Australia
Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
Ospedale Orlandi, Bussolengo, VR, Italy
Centro di Riferimento Regionale NAD, INRCA -IRCCS, Ancona, Italy
Szent György Teaching Hospital of County Fejér, Székesfehérvár, Hungary
AUSL Parma, Parma, Italy
Servei d'Endocrinologia i Nutrició, Hospital Universitari Arnau de Vilanova, Lleida, Spain
Bulgarian Executive Agency of Transplantation, Sofia, Bulgaria
Hospital Universitario Donostia, San Sebastian, Spain
Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, México, Mexico
Hospital Regional Universitario de Málaga, Málaga, Spain
Centre of Clinical Nutrition, Department of Medicine, University Hospital Centre, Zagreb, Croatia
First Department of Internal Medicine, Szeged, Hungary
Vilnius University Hospital Santariskiu Clinics, Vilnius, Lithuania
Miguel Servet Hospital, Zaragoza, Spain
Complejo Hospitalario de Navarra, Pamplona, Spain
Hospital Virgen del Camino, Pamplona, Spain
Magyar Honvedseg Egészségügyi Központ (MHEK), Budapest, Hungary
Department of Medicine, Oncology and Hematology, University of Freiburg, Germany
Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
Intestinal Failure Unit, Salford Royal Foundation Trust, Salford, UK
Issue Date: Apr-2018
EDate: 2017
Citation: Clinical nutrition (Edinburgh, Scotland) 2018; 37(2): 728-738
Abstract: The aim of the study was to evaluate the applicability of the ESPEN 16-category clinical classification of chronic intestinal failure, based on patients' intravenous supplementation (IVS) requirements for energy and fluids, and to evaluate factors associated with those requirements. ESPEN members were invited to participate through ESPEN Council representatives. Participating centers enrolled adult patients requiring home parenteral nutrition for chronic intestinal failure on March 1st 2015. The following patient data were recorded though a structured database: sex, age, body weight and height, intestinal failure mechanism, underlying disease, IVS volume and energy need. Sixty-five centers from 22 countries enrolled 2919 patients with benign disease. One half of the patients were distributed in 3 categories of the ESPEN clinical classification. 9% of patients required only fluid and electrolyte supplementation. IVS requirement varied considerably according to the pathophysiological mechanism of intestinal failure. Notably, IVS volume requirement represented loss of intestinal function better than IVS energy requirement. A simplified 8 category classification of chronic intestinal failure was devised, based on two types of IVS (either fluid and electrolyte alone or parenteral nutrition admixture containing energy) and four categories of volume. Patients' IVS requirements varied widely, supporting the need for a tool to homogenize patient categorization. This study has devised a novel, simplified eight category IVS classification for chronic intestinal failure that will prove useful in both the clinical and research setting when applied together with the underlying pathophysiological mechanism of the patient's intestinal failure.
URI: http://ahro.austin.org.au/austinjspui/handle/1/18972
DOI: 10.1016/j.clnu.2017.04.013
PubMed URL: 28483328
Type: Journal Article
Subjects: Chronic intestinal pseudo-obstruction
Home parenteral nutrition
Intestinal failure
Intravenous supplementation
Short bowel syndrome
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.