*EMBARGOED All research presented at the 2020 ACG Annual Scientific Meeting and Postgraduate Course is strictly embargoed until Monday, October 26, 2020, at 8:00 am EDT.
Oral 10 Tunneled Intravenous Catheters for Home Parenteral Nutrition Have a Lower Rate of Deep Vein Thrombosis Than PICC Lines in Inflammatory Bowel Disease
Author Insight from Mohamed Tausif Siddiqui, MD, Cleveland Clinic Foundation
What’s new here and important for clinicians?
Patients with Inflammatory Bowel Disease (IBD) are at a higher risk of thrombosis. These patients also have a higher risk of malnutrition and often require short- or long-term intravenous nutrition support. Central venous access catheters for infusion of parenteral nutrition can cause further increase in thrombosis risk.
We conducted a retrospective analysis of the patients with IBD who received home parenteral nutrition (PN) and noted higher rates of catheter-associated deep vein thrombosis (DVT) in patients with Peripherally Inserted Central catheters (PICC) compared to the tunneled catheters with a significantly high odds ratio (OR) of 3.66, p<0.05 and a respective DVT rate of 0.16 vs 0.08 per 1,000 catheter days.
These findings are important for the physicians caring for patients with IBD, gastroenterologists specializing in nutrition, and the clinical nutrition support teams. Our study can help these clinicians in strategically planning an appropriate access to minimize the potential complications that these patients commonly experience while receiving home PN. Our research also validates our long-term practice of suggesting tunneled central lines for the IBD patients receiving Home Parenteral Nutrition.
What do patients need to know?
Mohamed Tausif Siddiqui, MD, Cleveland Clinic Foundation
dr_tausifsiddiqui [at] yahoo [dot] com
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