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Utilization patterns of total parenteral nutrition in a university hospital

A methodological approach

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Abstract

To study the utilization of total parenteral nutrition, using methodology recommended by the World Health Organization, classification of components in accordance with the anatomical therapeutic chemical classification and defined daily dose system is necessary. Anatomical therapeutic chemical indices are available but defined daily dose values have not been established yet. In this article, a methodology to study both the total utilization of total parenteral nutrition, the utilization of individual substances and the composition of total parenteral nutrition is presented. To validate the proposed methodology, the utilization of total parenteral nutrition in a teaching hospital is studied, based on pharmacy computer data. The total utilization of total parenteral nutrition in the hospital in 1990 is 1.4 defined daily doses/100 beddays. The composition of total parenteral nutrition varied greatly between the clusters. In this study we showed that utilization of total parenteral nutrition can be measured with the proposed methodology, using a defined daily dose for total parenteral nutrition in concurrence with a defined daily dose for the individual components.

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Authors and Affiliations

  1. Department of Clinical Pharmacy, University Hospital Nijmegen, P.O. Box 9101, 6500, HB Nijmegen, the Netherlands

    Ellen Frankfort & Yechiel A. Hekster

  2. Department of Intensive Care, University Hospital Nijmegen, the Netherlands

    Cees Zimmerman & Roelof Van Dalen

Authors
  1. Ellen Frankfort
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  2. Cees Zimmerman
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  3. Roelof Van Dalen
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  4. Yechiel A. Hekster
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Frankfort, E., Zimmerman, C., Van Dalen, R. et al. Utilization patterns of total parenteral nutrition in a university hospital. Pharm World Sci 15, 68–72 (1993). https://doi.org/10.1007/BF01874085

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