Related Experiment Video
Updated: Mar 31, 2026
04:53
A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
11.5K
Differences in quality standards when prescribing nutritional support: Differences between specialist and
Jesús Manuel Morán López1, María Piedra León2, Fidel Jesús Enciso Izquierdo1
1Unidad de Endocrinología y Nutrición, Complejo Hospitalario de Cáceres, Cáceres, España.
Summary
Physician expertise significantly impacts clinical nutrition. Specialist physicians provide higher quality nutritional support plans, adhering more closely to clinical guidelines than non-specialists.
Area of Science:
- Clinical Nutrition
- Medical Education
- Healthcare Quality
Background:
- Inadequate understanding of clinical nutrition among healthcare professionals can lead to suboptimal patient support.
- Nutritional support is a critical component of patient care, encompassing various aspects of dietary intake and monitoring.
Purpose of the Study:
- To compare the quality of enteral and parenteral nutritional support plans.
- To evaluate the impact of physician specialization on the adequacy of prescribed nutritional support.
Main Methods:
- A comparative study design was employed.
- Nutritional support plans prescribed by specialist and non-specialist physicians were analyzed.
- Key parameters including anthropometric data, protein, calorie, and glutamine provision, and laboratory controls were assessed.
Main Results:
- Non-specialist physicians inadequately recorded patient data and performed no nutritional assessments.
- Protein provision by non-specialists was significantly lower than ESPEN (European Society for Parenteral and Enteral Nutrition) recommendations (10.29g N vs 14.62g N; P<.001).
- Specialists' prescriptions for calories, glutamine, and laboratory controls more closely aligned with clinical guidelines.
Conclusions:
- Nutritional support prescribed by specialists in endocrinology and nutrition aligns better with clinical practice guidelines.
- Specialist-prescribed nutritional support demonstrates higher quality compared to that of non-specialists.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
1.7K
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.7K
01:28Chronic Kidney Disease III: Interprofessional Care
625
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
625
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
1.6K
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
1.6K
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
2.4K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
2.4K
01:24Dosage Regimen: Individualization
285
Individualization in dosing regimens is the customization of medication doses for individual patients. Its necessity arises from the goal of maximizing therapeutic benefits while minimizing risks. This approach is pivotal because human responses to drugs can vary widely; what is effective for one person may be inadequate or excessive for another. Interpatient (intersubject) variability refers to differences in drug responses between individuals, while intrapatient (intrasubject) variability...
285
01:22Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence
243
Generic intravenous (IV) drugs are considered bioequivalent to their branded counterparts due to their 100% bioavailability upon administration. However, variations in stability among different drug products can significantly influence their therapeutic performance, even if they are pharmaceutically equivalent.Cefuroxime, a prophylactic antimicrobial, is often used as a single-dose IV injection for patients undergoing coronary artery bypass grafting surgery. A 3 g dose typically provides...
243