Economic investigation of the use of three-compartment total parenteral nutrition bag: prospective randomized unblinded controlled study.

Détails

ID Serval
serval:BIB_1A7841BE4E78
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Economic investigation of the use of three-compartment total parenteral nutrition bag: prospective randomized unblinded controlled study.
Périodique
Clinical Nutrition
Auteur⸱e⸱s
Pichard C., Schwarz G., Frei A., Kyle U., Jolliet P., Morel P., Romand J.A., Sierro C.
ISSN
0261-5614 (Print)
ISSN-L
0261-5614
Statut éditorial
Publié
Date de publication
2000
Peer-reviewed
Oui
Volume
19
Numéro
4
Pages
245-251
Langue
anglais
Notes
Publication types: Clinical Trial ; Comparative Study ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
Optimal strategy for total parenteral nutrition (TPN) administration is essential both in terms of clinical effectiveness and economic efficiency. The aim of the present economic analysis was to provide a systematic and comprehensive cost comparison of the application of three currently available TPN systems: Separate Bottles (SB), Hospital-Compounded Bags (HCB) and Three-Compartment Bags (TCB). Sixty patients, admitted to the Geneva University Hospital and requiring TPN, were randomly assigned to one of the three systems. Three standard TPN formulas were prescribed to meet the patients' protein energy needs. TPN-related activities of medical, nursing and pharmacy staff were timed for the 24 hours of TPN administration. Manpower, nutrient solutions and medical supplies costs were calculated on the basis of mean Swiss salaries and hospital prices. TCB was the least expensive TPN system. SB and HCB systems' application costs were 120 and 150% of TCB cost, respectively. All intersystems cost comparisons were statistically significant (ANOVA p < or = 0.01). SB system required more items and manipulations, resulting in higher nurses manpower cost. Pharmacy overhead cost due to compounding was responsible for the higher cost of HCB system. Detailed manpower data presented in this study allow for an estimation of TPN application costs in other hospitals, using local salaries, specific product prices and compounding costs.
Mots-clé
Cost-Benefit Analysis, Costs and Cost Analysis, Female, Humans, Male, Parenteral Nutrition, Total/economics, Parenteral Nutrition, Total/instrumentation, Prospective Studies, Time Factors
Pubmed
Web of science
Création de la notice
27/06/2013 14:56
Dernière modification de la notice
20/08/2019 12:51
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