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A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
[Is it worth knowing the characteristics of inpatient paediatric parenteral nutrition?]
E Izquierdo-García1, A Fernández-Ferreiro, P Gomis-Muñoz
1Servicio de Farmacia, Hospital Universitario 12 de Octubre, Madrid, España.
Insights
This study analyzed inpatient parenteral nutrition (PN) in a pediatric hospital, finding gastrointestinal issues as the main indication. Standardizing PN practices is recommended to reduce errors and improve care for pediatric patients.
Area of Science:
- Pediatric Nutrition
- Clinical Practice Evaluation
- Parenteral Nutrition
Context:
- Inpatient parenteral nutrition (PN) is a critical intervention for pediatric patients unable to receive adequate nutrition enterally.
- Evaluating current PN practices is essential for identifying areas of improvement in pediatric care.
Purpose:
- To characterize inpatient parenteral nutrition (PN) practices in a tertiary pediatric hospital in 2008.
- To compare these practices against current standards for pediatric PN.
Summary:
- A retrospective study of 120 pediatric patients (under 16 years) receiving PN in 2008 revealed gastrointestinal surgery as the primary indication (35.5%).
- Average initial PN composition included 63.1 kcal/kg, 9.6 g/kg/d carbohydrates, 2.1 g/kg/d amino acids, and 1.9 g/kg/d lipids over a mean of 10.5 days.
- The complication rate was 27.3%, with transition to oral/enteral feeding being the main reason for discontinuation.
Impact:
- Findings highlight the need for evaluating and standardizing PN practices in pediatric settings.
- Infants and toddlers represent the primary recipients of PN, underscoring the importance of age-specific nutritional support.
- Standardization of PN preparation and prescription can potentially decrease errors and enhance patient safety.
Objective:
To describe the characteristics of inpatient parenteral nutrition during 2008 in a tertiary level paediatric hospital. To compare this practice with recent standards.
Material And Methods:
Longitudinal, descriptive, and retrospective study of patients under 16 years receiving parenteral nutrition in 2008. Demographic data as well as data of the nutritional support were recorded.
Results:
A total of 120 children received parenteral nutrition, of whom 63 were under 2 years, 30 between 3 and 7 years, and 27 older than 7 years. They accounted for 1.6% of all the inpatients during that period. Most frequent indication was gastrointestinal surgery (35.5%), followed by non-surgical gastrointestinal diseases (19.8%). The average composition in the first day of parenteral nutrition was: 63.1kcal/kg (SD: 21.3); volume, 76.6ml/kg (SD: 28.4); carbohydrates 9.6g/kg/d (SD: 3.2); amino acids 2.1g/kg/d (SD: 0.6), and lipids 1.9g/kg/d (SD: 1). The mean duration of parenteral support was 10.5 days (SD: 9.8). Internal jugular vein (34.7%) and femoral vein were the most common intravenous access. The main reason to discontinue parenteral nutrition was transition to oral/enteral feedings. The complication rate was 27.3%.
Conclusions:
There is an interest in evaluating standard practice in parenteral nutrition in order to develop improvement strategies. Infants and toddlers are the principal candidates for parenteral nutrition. Standardisation is one way to decrease errors in its preparation and prescription.
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