Malnutrition, Patients Requiring Home Parenteral Nutrition
Conditions
Keywords
Home, HPN, Homecare
Brief summary
The HEALTH Registry is a prospective, observational, non-interventional registry study of patients receiving home parenteral nutrition therapy in the US for a variety of indications.
Detailed description
The objective of the HEALTH Patient Registry is to establish and track therapy utilization and outcomes of patients receiving home parenteral nutrition therapy. Data collected will include information on patient safety, clinical outcomes, resource utilization and health-related quality of life (QOL). The goals of this Registry include: * To better understand the patients and populations requiring HPN in the U.S. * To measure clinical outcomes associated with HPN * To identify areas for focused quality improvement interventions * To provide opportunity for resource allocation identification and improvement
Interventions
None listed
Sponsors
Coram Clinical Trials
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patient of any age, gender, and indication referred to Coram/CVS Specialty Infusion Services to receive HPN in an alternate site of care, such as the home or infusion suite * Patient must be managed by Coram/CVS Specialty Infusion Services * The patient or the patient's caregiver must be willing to receive care and comply with the teaching and training necessary to administer treatment
Exclusion criteria
* Patient is unable to start, or stops receiving HPN * Patient is NOT managed by Coram/CVS Specialty Infusion Services * A patient and/or a patient's insurance will not cover cost of HPN therapy with Coram/CVS, or a patient elects not to start treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Quality of Life over time: The Short Form (36) | At baseline and every 6 months during therapy through study completion, up to 3 years | To examine the effect of HPN support on quality of life (functional health and well-being) as measured by The Short Form (36) Health Survey (SF-36v2). Physical component summary (PCS) and mental component summary (MCS) scores on a scale of 0 to 100 with higher scores reflecting better outcomes will be utilized. |
| Efficacy of Home Parenteral Nutrition defined as the percentage of patients reaching their PN therapy goals | through study completion, an average of 3 years | The therapy goals (i.e. weight gain, weight loss, weight maintenance, resolution of GI issue, etc). will be recorded at study start. Percentage of patients reaching their designated therapy goal will be recorded (presented as a single percentage of patients that successful reached any therapy goal) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Catheter-related infections | through study completion, an average of 3 years | Determine rate of catheter-related blood stream infections (CRBSIs) ( per 1000 catheter days) |
| Number of hospital readmissions and ER visits | through study completion, an average of 3 years | Assess number of hospital readmissions and visits to the ER |
| Mortality rate | through study completion, an average of 3 years | Number of study participants who expired during therapy |
Countries
United States
Outcome results
None listed