Rationality analysis of parenteral nutrition in a tertiary general hospital in Shanghai
ZHAO Qiongyue
CAO Ying
YAO Nannan
ZHAO Yuhan
GU Dongshi
XIE Ming
XU Fujian
Abstract：Objective To analyze the rationality of parenteral nutrition(PN)used in a tertiary general hospital in Shanghai and to provide reference for clinical rational use of PN.Methods The medical records of 821 patients who used PN in a tertiary general hospital in Shanghai from January 2023 to January 2024 were selected through the hospital medical record system.According to the recommendations of the guidelines of PN,the rationality of the use of PN in each patient was retrospectively analyzed according to the diet,nutritional status,clinical diagnosis and laboratory examination results.Results Among the 821 PN medical records,there were 192 cases of unreasonable PN use,with an unreason-able rate of 23.51%.The main unreasonable items were non-nutritional risk screening of 181 cases(22.00%),inappro-priate drug administration of 96 cases(11.10%),total energy shortage of 87 cases(10.60%),and glucose-to-lipid ratio exceeding the recommended range of 116 cases(14.13%),etc.Conclusions The rate of unreasonable use of PN in this tertiary general hospital in Shanghai is high,and the main unreasonable items are non-nutritional risk screening,inap-propriate drug administration,total energy shortage,and glucose-to-lipid ratio exceeding the recommended range,etc.When using PN in clinic,the treatment process should be improved,the clinicians'understanding of PN and the examina-tion and intervention of nutrition department,pharmacy department and other related departments should be strengthened.
Keywords：parenteral nutritionparenteral nutrition prescriptionnutritional screeningprescription analysis
Publication Date：2025-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 70-74 )