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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/22/5353 |
| _version_ | 1797509839831695360 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T05:23:25Z |
| format | Article |
| id | doaj.art-2b6a5d4f1e934de39f0ea048057373fc |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T05:23:25Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-2b6a5d4f1e934de39f0ea048057373fc2023-11-22T23:50:09ZengMDPI AGJournal of Clinical Medicine2077-03832021-11-011022535310.3390/jcm10225353Hospital at Home for Intrathecal Pump Refills: A Prospective Effectiveness, Safety and Feasibility StudyLisa Goudman0Ann De Smedt1René Huygens2Marc Noppen3Maria Vanschoenwinkel4Samar M. Hatem5Maarten Moens6Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumSTIMULUS Consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, BelgiumNursing Department, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumChief Executive Officer, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumNursing Department, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumSTIMULUS Consortium (reSearch and TeachIng neuroModULation Uz bruSsel), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, BelgiumDepartment of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, BelgiumContinuous 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.https://www.mdpi.com/2077-0383/10/22/5353hospital at homeintrathecal drug deliverypilot studyneuromodulationpump refill |
| spellingShingle | 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 Journal of Clinical Medicine hospital at home intrathecal drug delivery pilot study neuromodulation pump refill |
| title | 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_short | 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 |
| topic | hospital at home intrathecal drug delivery pilot study neuromodulation pump refill |
| url | https://www.mdpi.com/2077-0383/10/22/5353 |
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