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Relevance of parenteral nutrition prescription in a French University Hospital A formative assessment

Abstract : Objectives In 2018, a formative assessment of practices in parenteral nutrition was performed in a French University Hospital. Materials and methods Forty-eight patients receiving parenteral nutrition were retrospectively studied. The list of data collected was developed from the survey proposed by the French speaking Society for Clinical Nutrition and Metabolism (SFNCM). Results The indication of the prescription of parenteral nutrition was justified in 75% of cases. A quarter of the prescriptions was in accordance with the recommended energy intakes (25–35 kcal/kg/day). A total of 72,9% of prescriptions of parenteral nutrition were supplemented with vitamins and trace elements. Body Mass Index was calculated for 77% of patients. The 1 month-ago weight was registered in 87,5% of patient records. Weight loss was only mentioned in 23% of cases. Clinical and biological monitoring was insufficient for all patients. Conclusion This analysis shows positive points in our practices but improvements are needed. We plan to improve our practice for 3 selected axes the prescription of vitamins and trace elements, a complete biological assessment before the start of parenteral nutrition and the systematic screening for malnutrition by recommended indicators weight, weight loss and Body Mass Index.
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A. Frapsauce, E. Barbottin, I. Cardiet, R. Thibault. Relevance of parenteral nutrition prescription in a French University Hospital A formative assessment. Nutrition Clinique et Métabolisme, Elsevier Masson, 2019, 33 (4), pp.265-271. ⟨10.1016/j.nupar.2019.08.004⟩. ⟨hal-02400058⟩

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