Abstract:
BACKGROUND:Parenteral nutrition (PN) is a costly therapy that can also be associated with serious complications. Therefore, efforts are focusing on reducing rate of complications, and costs related to PN. OBJECTIVE:The aim was to analyze the effect of the implementation of PN standardization on costs and quality criteria. Secondary aim was to assess the use of individualized PN based on patient's clinical condition. METHODS:We compare the use of PN before and after the implementation of PN standardization. Demographic, clinical and PN characteristics were collected. Costs analysis was performed to study the costs associated to the two different periods. Quality criteria included were: 1) PN administration; 2) nutrition assessment (energy intake between 20-35 kcal/kg/day; protein contribution according to nitrogen balance); 3) safety and complications (hyperglycemia, hypertriglyceridemia, hepatic complications, catheter-related infection); 4) global efficacy (as serum albumin increase). Chi-square test was used to compare percentages; logistic regression analysis was performed to evaluate the use of customized PN. RESULTS:296 patients were included with a total of 3,167 PN compounded. During the first period standardized PN use was 47.5% vs 85.7% within the second period (p < 0.05). No differences were found in the quality criteria tested. Use of individualized PN was related to critical care patients, hypertriglyceridemia, renal damage, and long-term PN. Mean costs of the PN decreased a 19.5%. Annual costs savings would be € 86,700. CONCLUSIONS:The use of customized or standard PN has shown to be efficient and flexible to specific demands; however customized PN was significantly more expensive. Introducción:La nutrición parenteral (NP) es una terapia costosa asociada a serias complicaciones. De manera que muchos de los esfuerzos se centran en reducir éstas complicaciones, así como los costes asociados. Objetivos:Analizar el efecto de la estandarización de la NP en los costes y en indicadores de calidad. El objetivo secundario es estudiar la utilización de NP individualizadas en función de las condiciones clínicas de los pacientes. Métodos:Se compara la utilización de NP antes y después de la estandarización de la NP. Se recogen los datos demográficos, clínicos y características de la NP. Se realiza un análisis de costes asociados a los dos periodos de estudio. Se incluyen los siguientes indicadores de calidad: 1) Administración de NP; 2) Valoración nutricional (aporte calórico 20-35 kcal/kg/día; aporte proteico en función del balance nitrogenado); 3) seguridad y complicaciones (hiperglicemia, hipertrigliceridemia, complicaciones hepáticas, infección de catéter); eficacia global (aumento albúmina sérica). Se utiliza test de chi-cuadrado para comparación de porcentajes, y regresión logística para evaluar la utilización de NP individualizada. Resultados:Se incluyeron 296 pacientes para un total de 3,167 NP. Durante el primer período el uso de NP estandarizada fue del 47,5% frente 85,7% en el segundo (p < 0,05). No se encontraron diferencias en los indicadores de calidad estudiados. La utilización de NP individualizada fue relacionada con pacientes críticos, hipertrigliceridemia y NP de larga duración. El coste medio de NP disminuyó en un 19,5%; pudiendo resultar un ahorro anual de 86,700 . Conclusiones:La utilización de NP individualizadas o estándar ha mostrado ser eficiente y flexible; aunque el coste de la individualizada fue significativamente mayor.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Berlana D,Barraquer A,Sabin P,Chicharro L,Pérez A,Puiggrós C,Burgos R,Martínez-Cutillas Jdoi
10.3305/nh.2014.30.2.7575subject
Has Abstractpub_date
2014-08-01 00:00:00pages
351-8issue
2eissn
0212-1611issn
1699-5198journal_volume
30pub_type
杂志文章abstract::Children obesity is considered a serious public health problem around the world. In Spain, the prevalence of overweight/obesity is reaching alarming figures, exceeding 35% of the children. Several hypotheses suggest that the energy balance model does not fit very well when analyzing the causes of the current obesity e...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2013.28.sup5.6925
更新日期:2013-09-01 00:00:00
abstract:UNLABELLED:The Hospital at Home (HAD) is a choice of care that enables own care in a hospital at home patient. Moreover, the nutritional support (NS) -enteral or parenteral nutrition- is usually indicated in patients with serious underlying disease, and/or frequently remain severely disabled. AIMS:To analyze the chara...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::We have performed a clinical study involving patients with symptomatic gallstones and indications for surgery, to analyze the biliary and pancreatic response to the quality of dietary fat (degree of unsaturation). As part of the investigative method, we have designed a clinical protocol adapted to the needs of the stu...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:Amyotrophic Lateral Sclerosis (ALS) is a degenerative disorder that affects the pyramidal tract, producing progressive motor dysfunctions leading to paralysis. These patients can present with dysphagia, requiring nutritional support with a nasogastric tube or Percutaneous Endoscopic Gastrostomy (PEG). PEG is...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.6.7808
更新日期:2014-12-01 00:00:00
abstract:Introduction:Aging is associated, per se, with the loss of functional reserve of different organs and systems, a greater risk of vulnerability and frailty, sarcopenia and malnutrition, a reality that is extended to cancer patients. There are several factors that are associated with malnutrition in the elderly individua...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02986
更新日期:2020-07-01 00:00:00
abstract:INTRODUCTION:The school context stands out as one of the factors influencing the food practices of adolescents. Food consumption during the school day, the cafeterias' supply and the promotional activities proposed by the centers are objects of increasing attention to community health services. OBJECTIVES:To describe ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8450
更新日期:2015-04-01 00:00:00
abstract::We have done a clinical study in patients with benign biliary disease and indication for surgery, with the aim of analyzing some parameters of gastric secretion, biliary and pancreatic function, and gastrointestinal hormones in relation to the quantity and quality of the dietary fat (monounsaturated and polyunsaturate...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract:AIM:to evaluate the impact of a prenatal nutritional assistance proposal (PNA) for adult pregnant women. METHODS:a study of the impact of an applied nutritional intervention throughout the prenatal on perinatal outcomes - adequacy of total gestational weight gain, gestational anemia frequency and pregnancy complicatio...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.9045
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of anaemia and the risk of haemoconcentration and its risk factors during all 3 trimesters of pregnancy in women in a Mediterranean area in the south of Europe. MATERIAL AND METHODS:Longitudinal study of 11,259 women whose pregnancies were monitored at primary care centres between ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1045
更新日期:2018-01-10 00:00:00
abstract:Introduction:Objective: to identify cytokines and to associate them with several indexes of total and central adiposity in young female undergraduate students. Methods: 58 young female sophomore students, aged 18 to 25 years, from a Brazilian public university were evaluated. Both anthropometric measures (weight, heigh...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02860
更新日期:2020-04-16 00:00:00
abstract:Introduction:Introduction: promoting healthy lifestyles already from the pediatric age for prevention of diseases at a short, mid and long-term is compulsory worldwide. Objectives: to know eating patterns and dietary habits, physical activity and sedentary behaviours in urban Spanish children aged one to nine years old...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03348
更新日期:2021-01-13 00:00:00
abstract:INTRODUCTION:The assessment of fetal development and birth weight is a priority in the field of nutritional epidemiology and public health. Nowadays, the World Health Organization (WHO) does not have specific birth weight curves for the distinct gestational weeks considering that socio-economic, ecological and ethnic c...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.2.7722
更新日期:2014-09-12 00:00:00
abstract:OBJECTIVE:to identify what effect causes enteral nutrition on nutritional status of cancer. METHOD:a search was performed using the keywords "Cancer" AND "Enteral Nutrition" AND "Supplementation" in four document databases: Pubmed, EBSCO, ProQuest, and Web of Science. INCLUSION CRITERIA:age of the sample, major than ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.32.4.9227
更新日期:2015-10-01 00:00:00
abstract:Introduction:Background: the legislation currently regulating the inclusion of Food for Special Medical Purposes (FSMP) among the benefits of the National Health System (SNS) was made approximately 15 years ago. The evolution of the technical characteristics of the FSMP justifies an analysis of the current regulation a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03082
更新日期:2020-12-16 00:00:00
abstract:INTRODUCTION:Cardiovascular diseases are the leading cause of death in women after menopause, since after this stage there are profound metabolic and hormonal changes which favor the development of metabolic syndrome. An increase in the percentage of visceral fat may be related to the onset of this syndrome. OBJECTIVE...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1085
更新日期:2017-07-28 00:00:00
abstract:INTRODUCTION:Hypertension is a health problem that is of national importance. It is a major risk factor for the occurrence of atherosclerosis and cardiovascular, cerebrovascular and renal diseases that are leading or among the leading causes of mortality and morbidity as in ours, as in the most developed and less devel...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.973
更新日期:2017-02-01 00:00:00
abstract:INTRODUCTION:Adolescence is an important period of nutritional vulnerability due to the increased dietary requirements. OBJECTIVE:To describe the nutritional status of adolescent cyclist and a group of normoactive controls. METHODS:The HELENA Dietary Assessment Tool was used to evaluate the nutritional intake of 20 a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6513
更新日期:2013-07-01 00:00:00
abstract::Sustainability represents a major concern in recent years due to climate change pressure. The diet itself contribute to the emission of greenhouse gasses, water and land use, energy consumption and environment contamination. The Mediterranean diet should be understood not only as a set of foods but also as a cultural ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.2133
更新日期:2018-06-12 00:00:00
abstract:BACKGROUND/AIMS:The Food Consumption Survey, conducted for over 20 years by the Spanish Ministry of Agriculture, Food and Environment (MAGRAMA), is the most reliable source of data to evaluate the food consumption and dietary patterns of Spain. The aim of the present article was to review the diet trends in Spain and i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.sup5.6914
更新日期:2013-09-01 00:00:00
abstract::Over the last few years, obesity has been constantly increasing, thus turning it into a serious public health problem, with the subsequent impact on health-related expenditure, particularly in developed countries. The main peculiarity of obesity is its association with numerous pathologies (respiratory disease, cardio...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) coinfection may cause nutrient deficiency and affect the nutritional status.Objetive: To assess nutritional status, and energy and macronutrient intake in HCV/HIV coinfected patients. METHODS:Cross-sectional study on HIV/HCV-coinfected patient...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.576
更新日期:2016-10-18 00:00:00
abstract:INTRODUCTION:Taekwondo (TKD) is a combat sport, which has also been proposed as a fitness program, with a strong anaerobic component. Creatine (Cr) supplementation is used to improve both anaerobic exercise performance and body composition. Therefore, Cr supplementation could be beneficial in TKD. AIMS:To determine th...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,随机对照试验
doi:10.3305/nh.2013.28.2.6314
更新日期:2013-03-01 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.129
更新日期:2016-03-25 00:00:00
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journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.985
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of overweight and obesity among adolescents in five Arab countries, relative to age and sex. METHODS:A multistage stratified random sampling technique was used to select the secondary school students from five Arab countries (Kuwait, Libya, Palestine, Syria and United Arab Emirate...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,多中心研究
doi:10.3305/nutr hosp.v28in06.6412
更新日期:2013-11-01 00:00:00
abstract::Advances in HIV infected patients' treatment have modified their prognosis, making possible to consider their admission to the ICU for acute complications. HIV infected patients show nutritional impairments onto which changes due to acute disease are added. Thus, they are candidate to receive specialized nutritional s...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract:INTRODUCTION:Dietary questionnaires usually only assess the intake of drinks that provide calories, but do not accurately evaluate total fluid or water intake. The evaluation of the fluid consumption pattern of a population has been the main objective of only a very few studies. OBJECTIVE:To evaluate the total fluid i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.5.7421
更新日期:2014-05-01 00:00:00
abstract::Denutrition of the uremic patient is a substantial contributing factor to the high rate of morbimortality. At the present time there are no resources which slow the catabolic situation conditioned by humoral or hormonal factors, but resources are available which act on the nutritional factors. The aim of this paper is...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of the glycemic index (GI) on food intake, anthropometric measurements and body composition in subjects with excess body weight. METHODS:Crossover study, in which 17 subjects participated in two study sessions (high GI or low GI). Two daily meals were consumed in laboratory for 30 cons...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
doi:10.3305/nh.2012.27.4.5845
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:Nutritional problems develop complications in geriatric patients and increase their morbidity and mortality. Hyperproteic nutritional supplements are one of the options to improve nutritional deficiencies. OBJECTIVES:To assess the beneficial effect and tolerance of one hyperproteic nutritional supplement ...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:2010-07-01 00:00:00