000 02584nam a2200241Ia 4500
008 200306s2019 xx 000 0 und d
100 _aZhou, Xin.
245 0 _aNutrition support for critically ill patients in China :
_brole of the pharmacist /
_cXin Zhou, Feng Qiu, Dong Wan, Shusen Sun, Gaoqiong Yao, Yu Liu, Juan Li
260 _cJune 2019
336 _atext
337 _aunmediated
338 _avolume
440 _n28 : 2, page 246-251
_aAsia Pacific Journal of Clinical Nutrition
520 _aBackground and Objectives: The participation of a nutrition support pharmacist (NSP) in a multidisciplinary team (MDT) for patients receiving nutrition support therapy (NST) may lead to more favorable outcomes and fewer complications and adverse events. However, few studies have demonstrated the role of NSPs in MDTs in China. To investigate pharmacy interventions and physician acceptance of these interventions for patients receiving NST in an intensive care unit (ICU). Methods and Study Design: A prospective study over a 12-month period was conducted in an ICU at an academic hospital in China. Interventions were documented and divided into the following categories: indication of NST, parenteral nutrition (PN) prescription and delivery, enteral nutrition (EN) route and formulation, fluids and electrolytes, laboratory test monitoring, nutritional supplements, and other medication-related problems. Data regarding the intervention categories, timing, acceptance rates, and methods of communication to discuss pharmacy interventions were collected. Results: In total, 247 interventions for 120 patients were identified. The overall acceptance rate of interventions was 85.0% (210/247), and more than half of the interventions (143, 57.9%) were performed during daily follow-up. The most common intervention categories were PN prescription and delivery (81/247, 32.8%), EN route and formula (33/247, 13.4%), indication of NST (33/247, 13.4%), and nutritional supplements (30/247, 12.1%). The most accepted intervention category was PN prescription and delivery (79/81, 97.5%), and the most common method of communication was oral communication during MDT rounds (201/247, 81.4%). Conclusions: This study demonstrated the unique perspectives offered and importance of having pharmacists as members of MDTs
521 _aNutrition.
650 _aChina.
650 _aCritically ill patient.
650 _aNutrition support pharmacist.
650 _aPharmacy intervention.
650 _aPhysician acceptance.
942 _2lcc
_cA
998 _c84343
_d142706
999 _c80843
_d80843