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Ramakrishnan N, Shankar B, Ranganathan L, et al. Parenteral nutrition support: Beyond gut feeling? Quality control study of parenteral nutrition practices in a Tertiary Care Hospital. Indian J Crit Care Med. 2016;20(1):36-9doi: 10.4103/0972-5229.173687.
Ramakrishnan, N., Shankar, B., Ranganathan, L., Daphnee, D. K., Bharadwaj, A., & Venkataraman, R. (2016). Parenteral nutrition support: Beyond gut feeling? Quality control study of parenteral nutrition practices in a Tertiary Care Hospital. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 20(1), 36-9. https://doi.org/10.4103/0972-5229.173687
Ramakrishnan, Nagarajan, et al. "Parenteral nutrition support: Beyond gut feeling? Quality control study of parenteral nutrition practices in a Tertiary Care Hospital." Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine vol. 20,1 (2016): 36-9. doi: https://doi.org/10.4103/0972-5229.173687
Ramakrishnan N, Shankar B, Ranganathan L, Daphnee DK, Bharadwaj A, Venkataraman R. Parenteral nutrition support: Beyond gut feeling? Quality control study of parenteral nutrition practices in a Tertiary Care Hospital. Indian J Crit Care Med. 2016 Jan;20(1):36-9. doi: 10.4103/0972-5229.173687. PMID: 26955215; PMCID: PMC4759992.
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Indian J Crit Care Med. 2016 Jan;20(1):36-9. doi: 10.4103/0972-5229.173687.

Parenteral nutrition support: Beyond gut feeling? Quality control study of parenteral nutrition practices in a Tertiary Care Hospital.

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

Nagarajan Ramakrishnan, Bhuvaneshwari Shankar, Lakshmi Ranganathan, D K Daphnee, Adithya Bharadwaj, Ramesh Venkataraman

Affiliations

  1. Department of Critical Care, Apollo Hospitals, Chennai, Tamil Nadu, India.
  2. Department of Dietetics, Apollo Hospitals, Chennai, Tamil Nadu, India.

PMID: 26955215 PMCID: PMC4759992 DOI: 10.4103/0972-5229.173687

Abstract

BACKGROUND: Enteral nutrition (EN) is preferred over parenteral nutrition (PN) in hospitalized patients based on International consensus guidelines. Practice patterns of PN in developing countries have not been documented.

OBJECTIVES: To assess practice pattern and quality of PN support in a tertiary hospital setting in Chennai, India.

METHODS: Retrospective record review of patients admitted between February 2010 and February 2012.

RESULTS: About 351,008 patients were admitted to the hospital in the study period of whom 29,484 (8.4%) required nutritional support. About 70 patients (0.24%) received PN, of whom 54 (0.18%) received PN for at least three days. Common indications for PN were major gastrointestinal surgery (55.6%), intolerance to EN (25.9%), pancreatitis (5.6%), and gastrointestinal obstruction (3.7%).

CONCLUSIONS: The proportion of patients receiving PN was very low. Quality issues were identified relating to appropriateness of indication and calories and proteins delivered. This study helps to introspect and improve the quality of nutrition support.

Keywords: Critical illness; hospitalized patients; parenteral nutrition; quality control

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