| ABSTRACT Objective:To investigate the clinical use of nutrition preparation in adult inpatient in Peking University Third Hospital.Methods:A retrospective study was conducted to analyze the utilization rate, constitute change and disease distribution of nutrition preparation in inpatient during 2011-2015.Results: The proportion,expressing asconsumption sum of nutrition preparation in total drug income from inpatients, was stable during 2011 2015. It was 2.56% for parenteral nutrition (PN) and 1.79% for enteral nutrition (EN).Inpatients prescribed PN preparation in total concurrent discharged inpatients increased from 5.90% to 6.31% for PN, and from 1.53% to 2.15% for EN. The personal daily consumption of PN preparation increased from 0.16 bottle (bag) to 0.23 bottle (bag). The proportion of total nutrition admixtures and multiple compartment bag in PN preparation was 6.55% and 28.84% in 2011, and rose up to 13.66% and 36.58% in 2015, respectively, meanwhile, single bottle infusion made a 36.11% drop. The personal daily consumption of EN preparations fluctuated between 0.11 and 0.13 bottle (bag), which was stable. The primary diseases in patients using PN preparation were gastrointestinal malignancies, ileus, obstruction jaundice, hematologic neoplasms and acute pancreatitis. Cerebrovascular disease, respiratory failure or infection, along with motor neuron disease was the most common diseases in patients using EN preparation. Conclusion:The utilization rate of nutrition preparation in inpatients improved gradually in the last five years, and the constitute change of it suggested a rational use. The disease distribution showed clinical use complied with guidelines and had a unique feature of the hospital. The utilization of EN should be improved in future. |
