Department of Pediatrics, Montreal Children's Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, Canada H4A 3J1.
Department of Pediatrics, Division of Gastroenterology and Nutrition, Montreal Children's Hospital, McGill University, 1001 Boulevard Decarie, Montreal, QC, Canada H4A 3J1.
Can J Gastroenterol Hepatol. 2016;2016:9132134. doi: 10.1155/2016/9132134. Epub 2016 May 19.
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.
目的。我们医院成立了一个多学科团队来管理肠衰竭患者（INFANT：肠衰竭高级营养团队）。我们旨在评估该团队的实施对这类患者的治疗结果的影响。方法。对肠衰竭患者进行了为期 6 年的回顾性图表审查。将通过 INFANT（2010-2012 年）进行随访的患者的结果与历史队列（2007-2009 年）进行比较。结果。28 名肠衰竭患者通过 INFANT 进行了随访，而历史队列由 27 名患者组成。两组在残留小肠和大肠长度、ICV 存在情况或达到完全肠内喂养的婴儿数量方面无差异。通过 INFANT 进行随访的患者达到完全肠内喂养的时间更长，并且 PN 的持续时间更长，这可能反映出病例更复杂。总体死亡率（14.8%/7.1%）低于其他中心，这可能表明我们的肠衰竭患者为“早期”患者。结论。我们的数据表明，在没有肠和肝移植项目的三级中心创建和实施多学科项目可以改善他们护理的许多方面。
