A study on the provision of TPN for hospitalized patients.
- Author:
Eun Hee KANG
1
;
Mi Kyung KIM
;
Shin Sook KANG
Author Information
1. Department of Clinical Nutrition, Asan Medical Center, Seoul, Korea. ehkang@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
TPN;
duration of TPN provision;
nutrition support team;
ASPEN guidelines;
lipid emulsion;
protein-calorie malnutrition
- MeSH:
Consensus;
Humans;
Insurance, Health, Reimbursement;
Korea;
Protein-Energy Malnutrition;
Referral and Consultation
- From:Journal of the Korean Dietetic Association
2002;8(1):26-32
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In Korea, implementation of nutrition support guidelines has been limited due to strict health insurance reimbursement policies as well as the lack of consensus on the best approach to TPN management. We examined the impact of TPN provision to hospitalized patients where NST (nutrition support team ) consultations were not requested by their primary physicians. The study showed the followings : 1. The median dutation of TPN provision was 8 days, but many patients were on TPN for less than 1 week. 2. The intake of energy and protein were less than the patient's requirements 3. Lipid emulsion was not provided to the most TPN patients. In conclusion, the role of NST should be expanded and studies are needed not only on TPN formulations which are suitable to Koreans but also on the cost-effectiveness of NST activities. TPN policies and protocols should be established based on the needs of each hospital.
