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Évaluation des pratiques professionnelles (EPP) en nutrition parentérale au Centre régional de lutte contre le cancer (CRLCC) de Rennes

Abstract : Objectives: In 2015, a formative assessment about relevance of parenteral nutrition (PN) prescriptions was performed in a French Cancer Center following the survey proposed by the French speaking Society for Clinical Nutrition and Metabolism (SFNEP).Methods: All patients hospitalized in acute care wards from January 1st to December 31, 2014 and receiving PN were retrospectively studied. Were analyzed the criteria for PN indication relevance: previous nutritional assessment and non-functional gastrointestinal tract; PN prescription relevance: micronutrients administration, amount of energy prescribed, PN duration, and relevance of clinical and biological monitoring.Results: Forty-six patients (49 PN prescriptions) were studied. The indication was relevant in only 53% of cases. Enteral nutrition was tested or proposed but refused in 2% of cases. Nutritional screening was performed in 65% of cases. In 39% of cases, energy intake was not adequate: > 35 kcal/kg/day in 6% or < 20 kcal/kg/day in 33% of cases. Micronutrients administration was lacking in 14% of prescriptions. Mean PN duration was 10.9 ± 8.8 days. Weight monitoring was performed in 31% of cases and biological monitoring was insufficient in 96% of cases.Conclusion: Most PN prescriptions were not in accordance with the SFNEP recommendations mainly because of the insufficient use of enteral nutrition, and the insufficient screening of nutritional status.
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M. Som, F. Chelle, E. Vauléon, F. Lebrun, C. Bertrand, et al.. Évaluation des pratiques professionnelles (EPP) en nutrition parentérale au Centre régional de lutte contre le cancer (CRLCC) de Rennes. Nutrition Clinique et Métabolisme, Elsevier Masson, 2016, 30 (3), pp.290--296. ⟨10.1016/j.nupar.2016.08.001⟩. ⟨hal-01451695⟩

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