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KMID : 0664320020080010026
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Journal of the Korean Dietetic Association
2002 Volume.8 No. 1 p.26 ~ p.32
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A Study on the Provision of TPN for Hospitalized Patients
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Kang Eun-Hee
Kim Mi-Kyung
Kang Shin-Sook
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Abstract
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In Korea, implementation of nutrition support guidelines has been limited due to strict health insurance reimbursement policies as well as the lack of consensus on the best approach to TPN management. We examined the impact of TPN provision to hospitalized patients where NST (nutrition support team ) consultations were not requested by their primary physicians. The study showed the followings : 1. The median dutation of TPN provision was 8 days, but many patients were on TPN for less than 1 week. 2. The intake of energy and protein were less than the patient’s requirements 3. Lipid emulsion was not provided to the most TPN patients. In conclusion, the role of NST should be expanded and studies are needed not only on TPN formulations which are suitable to Koreans but also on the cost-effectiveness of NST activities. TPN policies and protocols should be established based on the needs of each hospital.
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KEYWORD
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ASPEN guidelines, duration of TPN provision, lipid emulsion, nutrition support team, protein-calorie malnutrition, TPN
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