Instituting an intrathecal baclofen pump program at an academic institution

Blue, Rachel; Shah, Priyanca; Spadola, Michael; Lang, Shih-Shan; Yoo, Kristen; Hampton, Stephen; Chen, H Isaac

doi:10.1002/pmrj.12567

Cited by 1 publication

(3 citation statements)

References 27 publications

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“…It is of paramount importance to determine appropriate patient selection based on the reliability and capability of the patient and their families to be able to ensure compliance with instructions critical for patient safety [10]. Psychological attributes, socio-economic factors, access to care, support services, and availability of expertise remain important factors in patient selection [16,17]. The treating teams should not only make management decisions on the clinical attributes, but rather non-clinical factors should always be prioritized, given their potential to affect the continuity of safe and effective ITB treatment.…”

Section: Importance Of Patient Selection In Itb Therapymentioning

confidence: 99%

“…The detection of the earliest symptoms and signs of baclofen overdose or withdrawal may be challenging in a radiology setting, where staff may not be familiar with emergencies related to ITB. Similarly, clinical expertise across all medical, surgical, nursing, and allied health professionals needs to be ensured at the time of introducing intrathecal drug delivery programs across an institution or health system [16,17]. Feller et al observed catheter-related complications in 7.1% of patients.…”

Section: Outcome-loss Of Efficacymentioning

confidence: 99%

“…ITB management involves a skilled and specialized multidisciplinary team [4]. The requirements of running a safe and effective Healthcare 2023, 11, 2820 2 of 16 program are not only limited to clinical expertise. Patient selection, payer system, access to specialized care, support structure, and socioeconomic factors are important considerations in ITB service [10].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Complications of Intrathecal Baclofen Pump Therapy: An Institutional Experience from Saudi Arabia

Qureshi,

Shacfe,

Ilyas

et al. 2023

Healthcare

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The intrathecal baclofen pump (ITB) is one of the advanced treatment options in the management of spasticity. This retrospective cohort study was conducted to identify the complications of ITB treatment at a tertiary care rehabilitation facility. Various demographic and technical factors were analyzed, which are less often reported in the literature. All patients with ITB who had their refill at the ITB clinic between November 2019 and March 2020 were included. Of 48 patients, 17 patients had 18 (37.5%) ITB-related complications. Catheter-related complications were most common, whereas loss of efficacy (16.7%) and baclofen withdrawal (14.5%) were the most common outcomes of complications. Only catheter occlusion had a significant relationship with the pattern of spastic quadriparesis (p = 0.001). Gender, rehabilitation diagnosis, patients’ residence, and facility of ITB placement did not have significant association. Similarly, age, distance from hospital, disease onset, ITB therapy duration, and baclofen dose were not statistically significant in relation to ITB-related complications.

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Section: Importance Of Patient Selection In Itb Therapymentioning

confidence: 99%

Section: Outcome-loss Of Efficacymentioning

confidence: 99%