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Open Access Research article

Evaluation of parenteral nutritional support in the surgical and medical wards of a referral teaching hospital

Samaneh Bairami2, Sepideh Elyasi1, Hossein Khalili1* and Saeed Reza Jamali-Moghadam3

Author Affiliations

1 Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran

2 Central Hospital Pharmacy of Imam Khomeini Hospital, Tehran, Iran

3 Department of Infectious Diseases, Imam Khomeini Hospital, Tehran, Iran

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DARU Journal of Pharmaceutical Sciences 2012, 20:60  doi:10.1186/2008-2231-20-60

Published: 19 October 2012

Abstract

Background and purpose

Malnutrition is a common problem in patients who are hospitalized in surgical and medical wards. Surgical patients, geriatric populations and individuals with severe illness are more vulnerable to malnutrition during their hospitalization course.

The purpose of this study was evaluation of parenteral nutrition services in a referral teaching hospital, Tehran, Iran.

Method

Medical records of 72 patients who received parenteral nutrition during one year period in different surgical and medical wards of Imam Khomeini hospital were reviewed retrospectively by clinical pharmacists. Criteria for initiation of parenteral nutrition, selection of appropriate formulation and monitoring parameters were assessed based on the American Society of Parenteral and Enteral Nutrition recommendations.

Results

Based on the patients' anthropometric parameters and serum albumin levels, 4.2%, 75% and 20.8% of the patients were well-nourished, moderately malnourished and severely malnourished respectively at the hospital admission and before nutritional support. Adequate calorie, protein, carbohydrate and lipid supports were achieved in 21.1%, 32.4%, 23.7% and 10.5% of the patients respectively. About 91% of the patients experienced at least one complication of the nutritional support.

Conclusion

In this evaluation, several errors in assessment, establishing goals, and monitoring of parenteral nutrition regimens have been detected. Approximately all of the patients did not receive to the trace elements supports goals.

Keywords:
Parenteral nutrition; Errors; Medical and surgical wards