{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:50:52Z","timestamp":1779195052553,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T00:00:00Z","timestamp":1522368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006823","name":"Boston Children's Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006823","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24DK104676"],"award-info":[{"award-number":["K24DK104676"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["2P30 DK040561"],"award-info":[{"award-number":["2P30 DK040561"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2018,11]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Home parenteral nutrition (HPN) is a life\u2010sustaining therapy for short bowel syndrome (SBS) and other severe digestive diseases, but complications are common. We evaluated a predischarge HPN hands\u2010on training course to reduce complications in children with SBS, including hospital readmissions.<\/jats:p><\/jats:sec>Methods<\/jats:title>We conducted a prospective, nonrandomized controlled research study between April 1, 2014, and April 30, 2017. Eligible participants were children aged <18 years old with SBS and anticipated HPN dependence duration \u22656 months. Excluded participants had a previous history of discharge with a central venous catheter (CVC), HPN, or intravenous fluids or strictly palliative goals of care. An intervention group practiced hands\u2010on HPN within the hospital room for 24 hours using infusion equipment. The groups received standard teaching (CVC care, home infusion pump operation, HPN preparation and administration).<\/jats:p><\/jats:sec>Results<\/jats:title>Nine children were assigned to the intervention group and 12 served as controls. The median age was 8.4 months, and length of stay (LOS) was 82 days. All participants experienced \u22651 event, with a total of 47 issues related to HPN. There were no significant associations between group assignment and 30\u2010day postdischarge events. Each additional week of LOS was associated with 11% increase in the odds of an emergency department visit (OR 1.11; 95% CI, 1.01\u20101.26) and 16% increase in the odds of readmission (OR 1.16; 95% CI, 1.04\u20101.37).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Postdischarge events remained widespread despite HPN bedside interventions offered by this pilot intervention. With refinement of HPN discharge processes, quality benchmarks are needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.1158","type":"journal-article","created":{"date-parts":[[2018,3,31]],"date-time":"2018-03-31T02:50:58Z","timestamp":1522464658000},"page":"1295-1303","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Innovative Discharge Process for Families with Pediatric Short Bowel Syndrome: A Prospective Nonrandomized Trial"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4031-5974","authenticated-orcid":false,"given":"Bram P.","family":"Raphael","sequence":"first","affiliation":[{"name":"Home Parenteral Nutrition Program Boston Children's Hospital Boston Massachusetts USA"},{"name":"Division of Gastroenterology Hepatology and Nutrition Boston Children's Hospital Boston Massachusetts 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Dana\u2010Farber\/Boston Children's Cancer and Blood Disorders Center, 450 Brookline Avenue, Boston, MA 02115"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Dalton","sequence":"additional","affiliation":[{"name":"Home Parenteral Nutrition Program Boston Children's Hospital Boston Massachusetts USA"},{"name":"Division of Gastroenterology Hepatology and Nutrition Boston Children's Hospital Boston Massachusetts USA"},{"name":"Antepartum Postpartum and Newborn Nursery Units Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA, 02215"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Takvorian\u2010Ben\u00e9","sequence":"additional","affiliation":[{"name":"Home Parenteral Nutrition Program Boston Children's Hospital Boston Massachusetts USA"},{"name":"Division of Gastroenterology Hepatology and Nutrition Boston Children's Hospital Boston Massachusetts 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