Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team
Aim. A multidisciplinary team was created in our institution to manage patients with intestinal failure (INFANT: INtestinal Failure Advanced Nutrition Team). We aimed to evaluate the impact of the implementation of the team on the outcomes of this patient population. Methods. Retrospective chart rev...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/9132134 |
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| author | Sabrina Furtado Najma Ahmed Sylviane Forget Ana Sant’Anna |
| author_facet | Sabrina Furtado Najma Ahmed Sylviane Forget Ana Sant’Anna |
| author_sort | Sabrina Furtado |
| collection | DOAJ |
| description | Aim. A multidisciplinary team was created in our institution to manage patients with intestinal failure (INFANT: INtestinal Failure Advanced Nutrition Team). We aimed to evaluate the impact of the implementation of the team on the outcomes of this patient population. Methods. Retrospective chart review of patients with intestinal failure over a 6-year period was performed. Outcomes of patients followed up by INFANT (2010–2012) were compared to a historical cohort (2007–2009). Results. Twenty-eight patients with intestinal failure were followed up by INFANT while the historical cohort was formed by 27 patients. There was no difference between the groups regarding remaining length of small and large bowel, presence of ICV, or number of infants who reached full enteral feeds. Patients followed up by INFANT took longer to attain full enteral feeds and had longer duration of PN, probably reflecting more complex cases. Overall mortality (14.8%/7.1%) was lower than other centers, probably illustrating our population of “early” intestinal failure patients. Conclusions. Our data demonstrates that the creation and implementation of a multidisciplinary program in a tertiary center without an intestinal and liver transplant program can lead to improvement in many aspects of their care. |
| format | Article |
| id | doaj-art-0b726a2b9d3f43f18ea9228cc3ebf22b |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-0b726a2b9d3f43f18ea9228cc3ebf22b2025-08-20T03:54:16ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/91321349132134Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary TeamSabrina Furtado0Najma Ahmed1Sylviane Forget2Ana Sant’Anna3Department of Pediatrics, Montreal Children’s Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaDepartment of Pediatrics, Division of Gastroenterology and Nutrition, Montreal Children’s Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaDepartment of Pediatrics, Division of Gastroenterology and Nutrition, Montreal Children’s Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaDepartment of Pediatrics, Division of Gastroenterology and Nutrition, Montreal Children’s Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, H4A 3J1, CanadaAim. A multidisciplinary team was created in our institution to manage patients with intestinal failure (INFANT: INtestinal Failure Advanced Nutrition Team). We aimed to evaluate the impact of the implementation of the team on the outcomes of this patient population. Methods. Retrospective chart review of patients with intestinal failure over a 6-year period was performed. Outcomes of patients followed up by INFANT (2010–2012) were compared to a historical cohort (2007–2009). Results. Twenty-eight patients with intestinal failure were followed up by INFANT while the historical cohort was formed by 27 patients. There was no difference between the groups regarding remaining length of small and large bowel, presence of ICV, or number of infants who reached full enteral feeds. Patients followed up by INFANT took longer to attain full enteral feeds and had longer duration of PN, probably reflecting more complex cases. Overall mortality (14.8%/7.1%) was lower than other centers, probably illustrating our population of “early” intestinal failure patients. Conclusions. Our data demonstrates that the creation and implementation of a multidisciplinary program in a tertiary center without an intestinal and liver transplant program can lead to improvement in many aspects of their care.http://dx.doi.org/10.1155/2016/9132134 |
| spellingShingle | Sabrina Furtado Najma Ahmed Sylviane Forget Ana Sant’Anna Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team Canadian Journal of Gastroenterology and Hepatology |
| title | Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team |
| title_full | Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team |
| title_fullStr | Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team |
| title_full_unstemmed | Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team |
| title_short | Outcomes of Patients with Intestinal Failure after the Development and Implementation of a Multidisciplinary Team |
| title_sort | outcomes of patients with intestinal failure after the development and implementation of a multidisciplinary team |
| url | http://dx.doi.org/10.1155/2016/9132134 |
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