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Updated: Jun 26, 2026

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
Cost analysis of two approaches to parenteral nutrition in critically ill children
Thomas Gamsjäger1, Lydia Brenner, Eva Schaden
1Department of Anesthesia, General Intensive Care and Pain Control Medical, University of Vienna, Vienna, Austria. thomas.gamsjaeger@meduniwien.ac.at
Objective:
In pediatric intensive care, two approaches to parenteral nutrition are available: individualized admixtures or commercial standard solutions. Even though individualized admixtures can be tailored to sometimes highly intricate requirements, standard solutions are able to meet the demands of the majority of pediatric patients. To address the growing importance of costs in intensive care, we investigated whether relevant differences between individualized admixtures and standard solutions in terms of costs can be found.
Design:
Retrospective analysis.
Setting:
University-affiliated intensive care unit.
Patients:
Fifty consecutively admitted pediatric patients requiring parenteral nutrition.
Interventions:
None.
Measurements And Main Results:
Comparison of actual costs of individualized admixtures and theoretical costs of standard solutions. Mean actual costs of individualized admixtures of Euro 81.78 (+/- 16.33) per patient and day were significantly higher than the theoretical costs of standard solutions of Euro 61.21 (+/- 6.55). Cost differences increased with patients' body weights.
Conclusions:
Parenteral nutrition with standard solutions offers the potential of a relevant cost reduction compared with individualized admixtures in critically ill children.
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