Use assessment and cost analysis of parenteral nutrition for adults in a public hospital

The Parenteral Nutrition (PN) is a high-alert medication, with high-cost, indicated for patients in which oral or enteral nutrition is not possible, is insufficient or contraindicated. There are two PN systems currently available, the custom system, prepared in hospital pharmacies or outsourced to...

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Autores principales:	Jakeline Liara Teleken, Jéssica Cristina Balbinot, Michelle Varaschim, Edson Antonio Alves da Silva, Daniela Ferreira Miyata de Olivera, Andreia Cristina Conegero Sanches
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2019
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/5f7be77ac0a5411b9b7891839cd3945e
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spelling	oai:doaj.org-article:5f7be77ac0a5411b9b7891839cd3945e2021-11-28T02:46:39ZUse assessment and cost analysis of parenteral nutrition for adults in a public hospital10.30968/rbfhss.2018.093.0042179-59242316-7750https://doaj.org/article/5f7be77ac0a5411b9b7891839cd3945e2019-10-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/402https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 The Parenteral Nutrition (PN) is a high-alert medication, with high-cost, indicated for patients in which oral or enteral nutrition is not possible, is insufficient or contraindicated. There are two PN systems currently available, the custom system, prepared in hospital pharmacies or outsourced to specialized clinics, and the standardized compartmentalized bag system. Currently, it is fundamental that the application of financial resources in health be performed efficiently, considering effectiveness, safety and economy. The aim of this study was to evaluate the effectiveness of industrialized NP in the supply of energy and to perform a pharmacoeconomic analysis of cost minimization comparing standardized and custom bags. For this, was determined the total energy expenditure of patient and then determined the adequacy of the prescriptions of PN. For cost analysis was used the values of the standardized bags used for the patient in relation with the hypothetical cost if the same formulation were custom manipulated. 28 patients and 296 PN prescriptions were identified in the study period. The rates of adequacy to the energy expenditure were 39.3% on the 1st day, 34.6% on the 2nd day, 44.65% on the remaining days of treatment, and 33.33% on the last day. As for the analysis cost, the cost of standardized bags was lower in relation to manipulated bags (p <0.05). It was therefore verified that this was a high level of the inadequacy of the prescriptions of industrialized PN bags and that the same is more cost effective for the hospital in question. Jakeline Liara TelekenJéssica Cristina BalbinotMichelle VaraschimEdson Antonio Alves da SilvaDaniela Ferreira Miyata de Olivera Andreia Cristina Conegero SanchesSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 9, Iss 3 (2019)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Jakeline Liara Teleken Jéssica Cristina Balbinot Michelle Varaschim Edson Antonio Alves da Silva Daniela Ferreira Miyata de Olivera Andreia Cristina Conegero Sanches Use assessment and cost analysis of parenteral nutrition for adults in a public hospital
description	The Parenteral Nutrition (PN) is a high-alert medication, with high-cost, indicated for patients in which oral or enteral nutrition is not possible, is insufficient or contraindicated. There are two PN systems currently available, the custom system, prepared in hospital pharmacies or outsourced to specialized clinics, and the standardized compartmentalized bag system. Currently, it is fundamental that the application of financial resources in health be performed efficiently, considering effectiveness, safety and economy. The aim of this study was to evaluate the effectiveness of industrialized NP in the supply of energy and to perform a pharmacoeconomic analysis of cost minimization comparing standardized and custom bags. For this, was determined the total energy expenditure of patient and then determined the adequacy of the prescriptions of PN. For cost analysis was used the values of the standardized bags used for the patient in relation with the hypothetical cost if the same formulation were custom manipulated. 28 patients and 296 PN prescriptions were identified in the study period. The rates of adequacy to the energy expenditure were 39.3% on the 1st day, 34.6% on the 2nd day, 44.65% on the remaining days of treatment, and 33.33% on the last day. As for the analysis cost, the cost of standardized bags was lower in relation to manipulated bags (p <0.05). It was therefore verified that this was a high level of the inadequacy of the prescriptions of industrialized PN bags and that the same is more cost effective for the hospital in question.
format	article
author	Jakeline Liara Teleken Jéssica Cristina Balbinot Michelle Varaschim Edson Antonio Alves da Silva Daniela Ferreira Miyata de Olivera Andreia Cristina Conegero Sanches
author_facet	Jakeline Liara Teleken Jéssica Cristina Balbinot Michelle Varaschim Edson Antonio Alves da Silva Daniela Ferreira Miyata de Olivera Andreia Cristina Conegero Sanches
author_sort	Jakeline Liara Teleken
title	Use assessment and cost analysis of parenteral nutrition for adults in a public hospital
title_short	Use assessment and cost analysis of parenteral nutrition for adults in a public hospital
title_full	Use assessment and cost analysis of parenteral nutrition for adults in a public hospital
title_fullStr	Use assessment and cost analysis of parenteral nutrition for adults in a public hospital
title_full_unstemmed	Use assessment and cost analysis of parenteral nutrition for adults in a public hospital
title_sort	use assessment and cost analysis of parenteral nutrition for adults in a public hospital
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2019
url	https://doaj.org/article/5f7be77ac0a5411b9b7891839cd3945e
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Use assessment and cost analysis of parenteral nutrition for adults in a public hospital

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