Samenvatting
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.
Originele taal-2 | English |
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Artikelnummer | 5353 |
Aantal pagina's | 9 |
Tijdschrift | Journal of clinical medicine |
Volume | 10 |
Nummer van het tijdschrift | 22 |
DOI's | |
Status | Published - 17 nov 2021 |
Bibliografische nota
Funding Information:Conflicts of Interest: M.M. has received speaker fees from Medtronic and Nevro. L.G. is a postdoctoral research fellow funded by the Research Foundation Flanders (FWO), Belgium (project number 12ZF622N). STIMULUS received research grants from Medtronic. There are no other conflicts of interests to declare.
Funding Information:
Funding: This study was funded by Medtronic Europe Sàrl, who provided an independent research grant. Medtronic was not involved in the collection and analysis of the data or in writing the manuscript.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Copyright:
Copyright 2022 Elsevier B.V., All rights reserved.