PT40 - ANALYSIS OF HOME PARENTERAL NUTRITION BASED ON HOME HEALTH CARE IN A TERTIARY HOSPITAL IN KOREA FROM 2010 TO 2021

PT40

ANALYSIS OF HOME PARENTERAL NUTRITION BASED ON HOME HEALTH CARE IN A TERTIARY HOSPITAL IN KOREA FROM 2010 TO 2021

J. K. Min^1,*, H. Choi², H. J. Park³, S. Lee⁴, J. Y. Park⁵, E.-M. Seol⁶, E. Kim⁶, J. M. Song⁷, M. Seok⁸

¹Sungkyunkwan University, Seoul, ²Nursing, Konkuk University, Chungju, ³Pharmaceutical Services, Samsung Medical Center, ⁴School of Medicine, Sungkyunkwan University, Seoul, ⁵Nursing, Ulan University, Ulsan, ⁶Nutrition Support Team, Seoul National University Hospital, ⁷Nutrition Support Team, Asan Medical Center, Seoul, ⁸Nursing, Keimyung University Dongsan Hospital, Daegu, Korea, Republic Of

Rationale: Home parenteral nutrition (HPN) is a life-sustaining therapy for patients with impaired nutrient absorption, and home healthcare serves as a specialized management system. However, large-scale studies on trends, complications, and survival rates among HPN patients under home healthcare in Korea have been lacking. This study analyzed the characteristics and survival-influencing factors of Korean HPN patients (2010–2021) to contribute to policy and clinical guideline development.

Methods: A retrospective secondary data analysis was conducted using electronic medical records of 3,147 HPN patients receiving home healthcare. Demographic/clinical characteristics, nutritional status, catheter-related bloodstream infections (CRBSI), 30-day unplanned readmissions, and survival rates were evaluated. Multivariate analysis identified survival predictors, including gender, age, BMI, diagnosis, modified Glasgow Prognostic Score (mGPS), and enteral nutrition support.

Results: Over 11 years, HPN patient numbers increased 2.32-fold, with 90% being cancer patients. CRBSI incidence was low at 0.03 per 1,000 HPN days (per person) and 0.04 per 1,000 HPN days (per event). Unplanned 30-day readmissions occurred in 10.3% (n=323). Mean survival was 15.5 months (median: 5.5 months). Significantly reduced survival was associated with male gender, age ≥65, BMI <18.5, cancer diagnosis, mGPS 1, and lack of enteral nutrition support.

Conclusion: This study provides the first large-scale survival and prevalence data for HPN patients under home healthcare in Korea. Tailored management strategies considering patient characteristics (gender, age, nutritional status) and cancer progression stage are essential. Concurrent enteral nutrition may improve survival rates. The findings serve as critical evidence for developing HPN homecare guidelines and policies.

Disclosure of Interest: None declared