AdRes-Health Economics and Outcome Research, Turin, Italy.
Department of Clinical Medicine, Sapienza University of Rome, Rome, Italy.
JPEN J Parenter Enteral Nutr. 2020 Feb;44 Suppl 1:S68-S73. doi: 10.1002/jpen.1775.
The inclusion of ω-3 fatty acids as part of parenteral nutrition is associated with clinical benefits such as a reduced likelihood of infectious complications and shorter hospital and intensive care unit (ICU) stays. As healthcare resources are limited, pharmacoeconomic analyses have been performed, typically modeling studies, using cost and outcomes data to investigate the cost-effectiveness of parenteral nutrition regimens including ω-3 fatty acids from fish oil compared with standard parenteral nutrition without such ω-3 fatty acids. This review covers pharmacoeconomic studies encompassing Italian, French, German, and UK hospitals for ICU and non-ICU hospitalized patients, and for ICU patients in China. The results show that the use of parenteral nutrition including ω-3 fatty acids more than offsets any additional acquisition costs in all national scenarios investigated to date, indicating that parenteral nutrition including ω-3 fatty acids is a clinically and economically beneficial strategy compared with standard parenteral nutrition.
ω-3 脂肪酸作为肠外营养的一部分,与临床益处相关,例如降低感染并发症的可能性以及缩短住院时间和重症监护病房(ICU)的停留时间。由于医疗资源有限,已进行了药物经济学分析,通常使用成本和结果数据来进行模型研究,以调查包括鱼油来源的 ω-3 脂肪酸的肠外营养方案与不含此类 ω-3 脂肪酸的标准肠外营养的成本效益。这篇综述涵盖了涵盖意大利、法国、德国和英国的 ICU 和非 ICU 住院患者以及中国 ICU 患者的药物经济学研究。结果表明,迄今为止,在所有研究的国家方案中,使用包括 ω-3 脂肪酸的肠外营养足以抵消任何额外的获得成本,这表明与标准肠外营养相比,包括 ω-3 脂肪酸的肠外营养是一种具有临床和经济效益的策略。