在住院环境中使用亲肠道营养的模式:一个回顾性队列研究
Marc Romain1,2, Charles Weissman1,3, Khuloud Abu-Tair4
1Hebrew University of Jerusalem Faculty of Medicine, Jerusalem, Israel.
概括
亲肠道营养 (PN) 的使用在医院之间有所不同,大多数病例占外科和瘤服务. 高等医院显示PN使用率较高,特别是在瘤学中,观察到的趋势越来越大.
科学领域:
- 临床营养学 临床营养学
- 医疗保健管理局的管理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 胃肠道营养 (PN) 对患有胃肠道吸收问题的患者至关重要.
- 关于在医院内使用PN的模式和程度的数据有限.
- 了解PN使用为营养支持团队和医院管理人员提供了基准.
研究的目的:
- 分析医疗保健系统中使用亲肠道营养 (PN) 的程度,模式和趋势.
- 为了比较第三级护理和社区医院之间的PN使用情况.
主要方法:
- 使用9年的行政数据进行了回顾性队列研究.
- 分析医院和临床部门的PN使用情况.
主要成果:
- 在4488次入院 (72,972天) 中,PN给了3282名患者.
- 一般外科,外科ICU和瘤/血液学/BMT服务是PN的主要用户.
- 高等医院更广泛地使用PN,特别是对于瘤患者,涉及PN的成人瘤入院人数增加了三倍.
结论:
- 医院病例组合显著影响PN使用的程度和模式.
- 该研究为分析医疗机构内和医疗机构之间的PN使用提供了一个框架.
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