Cost analysis of two approaches to parenteral nutrition in critically ill children*

Gamsjäger, Thomas; Brenner, Lydia; Schaden, Eva; Sitzwohl, Christian; Weinstabl, C.

doi:10.1097/pcc.0b013e3181956b76

Cited by 12 publications

(9 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Their energy expenditures are not only related to the maintenance of body tissue but also to additional needs for growth and development. 1,2 Special guidelines have been developed to address the needs of parenteral nourished neonates and children. 1 In general, two mechanisms to deliver PN are available: standard PN solutions, or individualized admixtures compounded in hospital or by external suppliers.…”

Section: Introductionmentioning

confidence: 99%

Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study

et al. 2012

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study

et al. 2012

View full text Add to dashboard Cite

show abstract

“…We also found that the direct cost for manufacturing standard solutions were similar or reduced, when compared to individualised PN. Gamsjaeger et al [30] compared the actual cost of individualised PN versus standard PN and found that, on average, individualised PN per day cost 82.78 Euros, versus 61.21 Euros. In our unit, there were concerns related to the wastage of volume in standard PN.…”

Section: Discussionmentioning

confidence: 99%

Developing and Implementing All-in-One Standard Paediatric Parenteral Nutrition

et al. 2013

View full text Add to dashboard Cite

Parenteral nutrition (PN) is a feeding mode suitable for children that do not achieve requirements via the enteral route. For this intervention to be successful, healthcare professionals require: knowledge on nutrient requirements; access to an aseptic compounding facility; and a system that ensures adequate and safe delivery of PN. Previously, it was thought that individualised PN was the “gold standard” for delivering nutrients to children; however, studies have highlighted concerns regarding inadequate delivery of nutrients, prescribing and compounding errors. We, therefore, set out to develop and implement all-in-one (AIO) paediatric PN solutions. Through a systematic approach, four AIO PN solutions were developed: birth–two months of age (Ped 1); two months–10 kg (Ped 2); 11–15 kg (Ped 3); and 16–30 kg (Ped 4). We implemented them with the help of a teaching pack, over a one month time period, and reviewed usage at six months. At that time, five children initially received standard PN without electrolyte changes; but after a few days, electrolytes needed amendments, and three required individualised PN. A change to AIO PN is feasible and safe; however, some may require electrolyte changes, and there will always be those that will require individualised PN.

show abstract

“…Bei kurzfristiger totaler und partieller PE bietet sich die Verwendung von Standardlösungen an [276]. Hierdurch kann auch eine Kostenreduktion erreicht werden [277]. Eine retrospektive Studie mit Frühgeborenen verglich eine Standard-PE mit einer verhältnismäßig höheren Zufuhr an Aminosäuren, Glukose und einem besseren Kalzium-Phosphat-Verhält-nis mit einer individualisierten PE.…”

Section: Sind Standardlösungen Für Pädiatrische Patienten Von Nutzen?unclassified

S3-Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) in Zusammenarbeit mit der Gesellschaft für klinische Ernährung der Schweiz (GESKES), der Österreichischen Arbeitsgemeinschaft für klinische Ernährung (AKE), die Deutsche Gesellschaft für Kinder- und Jugendmedizin (DGKJ) und die Gesellschaft für Neonatologie und pädiatrische Intensivmedizin (GNPI)

Jochum

Krohn²,

Kohl

et al. 2014

Aktuel Ernahrungsmed

View full text Add to dashboard Cite

Zusammenfassung Eine besondere Herausforderung bei der Durchf?hrung parenteraler Ern?hrung (PE) bei p?diatrischen Patienten ergibt sich aus der gro?en Spannbreite der Physiologie und Physiognomie von S?uglingen, Kleinkindern, Kindern und Jugendlichen, die von extrem unreifen Fr?hgeborenen bis hin zu Jugendlichen mit einem K?rpergewicht von mehr als 100?kg reicht, und dem jeweils unterschiedlichen Substratbedarf. Dabei sind alters- und reifeabh?ngige Ver?nderungen des Stoffwechsels sowie des Fl?ssigkeits- und N?hrstoffbedarfs zu ber?cksichtigen sowie auch die klinische Situation, in der eine PE eingesetzt wird. Das Vorgehen unterscheidet sich deshalb ganz erheblich von der PE-Praxis bei erwachsenen Patienten, z.?B. ist der Fl?ssigkeits-, N?hrstoff- und Energiebedarf von Fr?h- und Neugeborenen pro kg K?rpergewicht weitaus h?her als bei ?lteren p?diatrischen und erwachsenen Patienten. In der Regel ben?tigen alle Fr?hgeborenen

show abstract

Cost analysis of two approaches to parenteral nutrition in critically ill children*

Abstract: Parenteral nutrition with standard solutions offers the potential of a relevant cost reduction compared with individualized admixtures in critically ill children.

Cited by 12 publications

References 10 publications

Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study

Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study

Developing and Implementing All-in-One Standard Paediatric Parenteral Nutrition

Contact Info

Product

Resources

About