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Peripheral and central parenteral nutrition: a cost-comparison analysis
1Scarborough Hospital, North Yorkshire.
Summary
Peripheral parenteral nutrition (PPN) is a safe and effective alternative to central venous nutrition. This study found PPN may lead to cost savings for patients requiring intravenous feeding.
Area of Science:
- Clinical Nutrition
- Medical Economics
Background:
- Central venous catheterization for total parenteral nutrition (TPN) carries risks.
- Peripheral parenteral nutrition (PPN) is increasingly recognized as a viable alternative for nutritional support.
Purpose of the Study:
- To evaluate the cost-effectiveness of PPN compared to central venous TPN.
- To determine if peripheral administration of TPN offers financial benefits.
Main Methods:
- A randomized clinical study involving 51 patients.
- Examination of the costs associated with TPN administration over a mean of 8 days of intravenous feeding.
Main Results:
- Peripheral parenteral nutrition provides satisfactory nutritional support for most patients.
- The use of the peripheral route for TPN administration was found to potentially lead to cost savings.
Conclusions:
- Peripheral parenteral nutrition is a safe and effective method for nutritional support.
- Utilizing the peripheral route for TPN can result in significant cost savings, avoiding risks associated with central venous cannulation.