Influencing the timing of parenteral nutrition initiation in the pediatric intensive care unit
| Autor: | Jennifer Lueckler, Collin Anderson, Jared Olson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Parenteral Nutrition mesh:Utah Time Factors Consensus Non-Randomized Controlled Trials as Topic Intensive Care Units Pediatric Pharmacist Pharmaceutical Science lcsh:RS1-441 Pharmacy mesh:Infant Pharmacists law.invention lcsh:Pharmacy and materia medica Randomized controlled trial mesh:Intensive Care Units law Utah Health care mesh:Consensus Medicine Nutritionists mesh:Pharmacists Original Research Pediatric intensive care unit Pediatric business.industry Critically ill mesh:Length of Stay lcsh:RM1-950 mesh:Parenteral Nutrition Infant Retrospective cohort study Length of Stay Intensive Care Units mesh:Non-Randomized Controlled Trials as Topic Parenteral nutrition lcsh:Therapeutics. Pharmacology mesh:Nutritionists mesh:Pediatric Emergency medicine Nutrition support mesh:Time Factors business |
| Zdroj: | Pharmacy Practice Pharmacy Practice (Granada) v.17 n.2 2019 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Pharmacy Practice, Vol 17, Iss 2, p 1416 (2019) Pharmacy Practice (Granada), Volume: 17, Issue: 2, Article number: 1416, Published: 18 NOV 2019 |
| ISSN: | 1886-3655 1885-642X |
| Popis: | Background: Lack of benefit and potential harm of early parenteral nutrition (PN) initiation in critically ill children was highlighted in the 2016 published results of a large multicenter, randomized controlled trial. Objectives: The purpose of this project was to implement a process to delay PN initiation for up to five days after admission to our pediatric intensive care unit (PICU). Methods: Patients greater than thirty days of age, admitted to the PICU beginning July 1, 2016 were included in the analysis of the healthcare improvement initiative to decrease early PN initiation. A meeting was held with PICU fellows, attending physicians, dietitians, and pharmacists to reach a consensus to delay initiation of parenteral nutrition until PICU day five. The dietitian, with pharmacist support, reiterated recommendations on rounds and in formal notes. Results: A total of 2333 patients were identified in the pre-intervention group and a total of 2491 patients in the post-intervention group. The percentage of patients receiving PN prior to day five within the PICU was 5.5% in the pre-intervention group versus 3.1% in the delayed PN group (p |
| Databáze: | OpenAIRE |
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