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营养支持团队的营养疗法:多腔袋与定制肠外营养在住院患者中的比较。

Nutrition Therapy by Nutrition Support Team: A Comparison of Multi-Chamber Bag and Customized Parenteral Nutrition in Hospitalized Patients.

机构信息

College of Pharmacy and Institute of Pharmaceutical Science and Technology, Hanyang University, Ansan-si 15588, Gyeonggi-do, Republic of Korea.

Department of Pharmacy, Kyung Hee University Hospital at Gangdong, Seoul 05278, Republic of Korea.

出版信息

Nutrients. 2023 May 29;15(11):2531. doi: 10.3390/nu15112531.

DOI:10.3390/nu15112531
PMID:37299494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10255926/
Abstract

This study aimed to investigate the activity of a nutrition support team (NST) and the trends of multi-chamber bag (MCB) and customized parenteral nutrition (PN) with NST consultations in South Korea. Data were obtained from the National Inpatient Sample Cohort between 2015 and 2020. Three datasets were constructed for NST consultation, MCB-PN product prescriptions, and aseptic preparation of total PN. The intersections of the NST consultation and each PN dataset were compiled into MCB-PN with NST or customized PN with a NST sub-dataset, respectively. Using personal identifiers, the patients' characteristics were evaluated in the NST cohort. A total of 91,384 reimbursements and 70,665 patients were included. The NST activity had increased by more than 50% over 6 years. Approximately 70% and 11%, respectively, of the NST cohort were classified into two subgroups: MCB-PN with NST (M-NST) and customized PN with NST (C-NST). M-NST had many elderly patients with cancer and showed a higher in-hospital mortality than C-NST (12.6% vs. 9.5%). C-NST included a larger number of patients under the age of 5 years, and the hospitalization period was more extended than M-NST (26.2 vs. 21.2 days). The present study showed that NST activities and the proportion of PN with NST consultation are gradually increasing in South Korea.

摘要

本研究旨在调查韩国营养支持团队(NST)的活动以及多腔袋(MCB)和 NST 咨询定制肠外营养(PN)的趋势。数据来自 2015 年至 2020 年国家住院患者样本队列。构建了三个数据集,用于 NST 咨询、MCB-PN 产品处方和全肠外营养的无菌制备。将 NST 咨询与每个 PN 数据集的交点分别编译为具有 NST 的 MCB-PN 或具有 NST 的定制 PN 亚数据集。使用个人标识符评估 NST 队列中的患者特征。共有 91384 份报销和 70665 名患者被纳入研究。NST 活动在 6 年内增加了 50%以上。NST 队列中约 70%和 11%分别分为两组:NST 多腔袋(M-NST)和 NST 定制 PN(C-NST)。M-NST 有许多患有癌症的老年患者,院内死亡率高于 C-NST(12.6%比 9.5%)。C-NST 包括更多年龄在 5 岁以下的患者,住院时间比 M-NST 更长(26.2 天比 21.2 天)。本研究表明,NST 活动和 NST 咨询的 PN 比例在韩国逐渐增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9717/10255926/153e66c0e50c/nutrients-15-02531-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9717/10255926/a493362d8073/nutrients-15-02531-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9717/10255926/22dbd933f52a/nutrients-15-02531-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9717/10255926/153e66c0e50c/nutrients-15-02531-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9717/10255926/a493362d8073/nutrients-15-02531-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9717/10255926/22dbd933f52a/nutrients-15-02531-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9717/10255926/153e66c0e50c/nutrients-15-02531-g003.jpg

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Clin Nutr ESPEN. 2022 Feb;47:321-324. doi: 10.1016/j.clnesp.2021.11.024. Epub 2021 Nov 20.
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The experience and outcomes of multidisciplinary clinical pharmacist-led parenteral nutrition service for individuals with intestinal failure in a center without home parenteral nutrition.
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Nutrients. 2024 Nov 4;16(21):3782. doi: 10.3390/nu16213782.
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Ready-to-Use Multichamber Bags in Home Parenteral Nutrition for Patients with Advanced Cancer: A Single-Center Prospective Study.家用肠外营养用即用型多腔袋在晚期癌症患者中的应用:一项单中心前瞻性研究。
Nutrients. 2024 Feb 5;16(3):457. doi: 10.3390/nu16030457.
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