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Impact of Customized Parenteral Nutrition in a Pediatric Hospital
Author(s) -
Stettler Nicolas,
Sentongo Timothy A.,
Carroll Mimi,
Schears Gregory J.,
Mascarenhas Maria R.
Publication year - 2001
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/088453360101600607
Subject(s) - medicine , parenteral nutrition , micronutrient , pediatrics , retrospective cohort study , pathology
In pediatric hospitals, several factors interfere with the delivery of parenteral nutrition (PN). The purpose of this study was to assess the impact of a customized system of PN ordering on PN delivery, using a retrospective chart review before (n = 40) and after (n = 43) implementation of the system. No difference was observed in the proportions of children who did not receive the ordered amount of dextrose and amino acids (30% versus 23%, p = .49). Before customization, the subjects were more likely to receive intralipids (42% versus 19%, p = .02), and micronutrients (67% versus 9%, p < .0001) out of range. These results remained unchanged after adjustment for age, hospital unit, other fluids, and presence of a central line. Our findings highlight the discrepancy between ordered and received PN in pediatric patients. Customized PN ordering was associated with improved delivery of intralipids and micronutrients.