کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2687496 1143022 2008 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinical relevance of parenteral nutrition prescription and administration in 200 hospitalized patients: A quality control study
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
پیش نمایش صفحه اول مقاله
Clinical relevance of parenteral nutrition prescription and administration in 200 hospitalized patients: A quality control study
چکیده انگلیسی

SummaryBackground & aimsOptimal implementation of parenteral nutrition (PN) is required to promote clinical outcome and costs control. This prospective quality control study examined if PN prescription was justified and PN administration was adequate to cover the nutritional needs of patients hospitalized in the Geneva University Hospital.MethodsTwo-hundred consecutive patients receiving PN were included from Medicine, Intensive Care or Surgery Units. PN prescription was considered justified if oral feeding or enteral nutrition were contraindicated or provided less than 40% of the energy target after 5 days. PN was considered adequate if it covered 90%–110% of the recommended need for energy (i.e., 110% of the Harris–Benedict formula) and proteins (i.e., 1.2 or 1.0 g protein/kg body weight/day for patients ≤ or >65 years, respectively), and was supplemented with vitamins and trace elements.ResultsPN prescription was justified in all but 14 patients (7%). However, PN administration was frequently inadequate: overfeeding (62%) was more often observed than underfeeding (14%), particularly among thin, elderly and female patients (P < 0.01). Moreover, PN was not supplemented with vitamins and/or trace elements in 47 patients (24%).ConclusionPN prescription is generally justified but PN administration is often inadequate. Further teaching of medical teams and quality control surveys are warranted to optimize PN practices.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Nutrition - Volume 27, Issue 6, December 2008, Pages 858–864
نویسندگان
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