Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study

Continuous Intrathecal Drug Delivery through an implanted pump is a well-known therapeutic option for the management of chronic pain and severe disabling spasticity. To have a successful therapy, pump refills need to be performed at regular time intervals after implantation. In line with the increas...

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Autores principales:	Lisa Goudman, Ann De Smedt, René Huygens, Marc Noppen, Maria Vanschoenwinkel, Samar M. Hatem, Maarten Moens
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	hospital at home intrathecal drug delivery pilot study neuromodulation pump refill Medicine R
Acceso en línea:	https://doaj.org/article/2b6a5d4f1e934de39f0ea048057373fc
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spelling	oai:doaj.org-article:2b6a5d4f1e934de39f0ea048057373fc2021-11-25T18:01:59ZHospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study10.3390/jcm102253532077-0383https://doaj.org/article/2b6a5d4f1e934de39f0ea048057373fc2021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5353https://doaj.org/toc/2077-0383Continuous Intrathecal Drug Delivery through an implanted pump is a well-known therapeutic option for the management of chronic pain and severe disabling spasticity. To have a successful therapy, pump refills need to be performed at regular time intervals after implantation. In line with the increased applications of Hospital at Home, these refill procedures might be performed at the patient’s home. The aim of this pilot study is to evaluate the feasibility, safety, and effectiveness of intrathecal pump refill procedures at home. Twenty patients were included whereby pump refill procedures were conducted at the patient’s home. To enable contact with the hospital, a video connection was set-up. Tele-ultrasound was used as post-refill verification. All procedures were successfully performed with complete patient satisfaction. Ninety-five percent of the patients felt safe during the procedure, and 95% of the procedures felt safe according to the physician. All patients indicated that they preferred their next refill at home. The median time consumption for the physician/nurse at the patient’s home was 26 min and for the researcher at the hospital 15 min. In light of quality enhancement programs and personalized care, it is important to continue urgent pain management procedures in a safe way, even during a pandemic.Lisa GoudmanAnn De SmedtRené HuygensMarc NoppenMaria VanschoenwinkelSamar M. HatemMaarten MoensMDPI AGarticlehospital at homeintrathecal drug deliverypilot studyneuromodulationpump refillMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5353, p 5353 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hospital at home intrathecal drug delivery pilot study neuromodulation pump refill Medicine R
spellingShingle	hospital at home intrathecal drug delivery pilot study neuromodulation pump refill Medicine R Lisa Goudman Ann De Smedt René Huygens Marc Noppen Maria Vanschoenwinkel Samar M. Hatem Maarten Moens Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study
description	Continuous Intrathecal Drug Delivery through an implanted pump is a well-known therapeutic option for the management of chronic pain and severe disabling spasticity. To have a successful therapy, pump refills need to be performed at regular time intervals after implantation. In line with the increased applications of Hospital at Home, these refill procedures might be performed at the patient’s home. The aim of this pilot study is to evaluate the feasibility, safety, and effectiveness of intrathecal pump refill procedures at home. Twenty patients were included whereby pump refill procedures were conducted at the patient’s home. To enable contact with the hospital, a video connection was set-up. Tele-ultrasound was used as post-refill verification. All procedures were successfully performed with complete patient satisfaction. Ninety-five percent of the patients felt safe during the procedure, and 95% of the procedures felt safe according to the physician. All patients indicated that they preferred their next refill at home. The median time consumption for the physician/nurse at the patient’s home was 26 min and for the researcher at the hospital 15 min. In light of quality enhancement programs and personalized care, it is important to continue urgent pain management procedures in a safe way, even during a pandemic.
format	article
author	Lisa Goudman Ann De Smedt René Huygens Marc Noppen Maria Vanschoenwinkel Samar M. Hatem Maarten Moens
author_facet	Lisa Goudman Ann De Smedt René Huygens Marc Noppen Maria Vanschoenwinkel Samar M. Hatem Maarten Moens
author_sort	Lisa Goudman
title	Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study
title_short	Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study
title_full	Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study
title_fullStr	Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study
title_full_unstemmed	Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study
title_sort	hospital at home for intrathecal pump refills: a prospective effectiveness, safety and feasibility study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2b6a5d4f1e934de39f0ea048057373fc
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Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility Study

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