Effects of a nutrition support team on clinical outcomes, metabolic complications and electrolyte abnormalities in patients receiving parenteral nutrition

Pei Feng Chong, Thomas Paraidathathu

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    The effectiveness of the Nutrition Support Team (NST) at Hospital Sungai Buloh, a large public hospital in Kuala Lumpur, Malaysia, in optimising parenteral nutrition (PN) has not been evaluated. To evaluate the effects of this NST in optimising patient outcomes, treatment outcomes, and adherence to biochemical monitoring guidelines, two groups of patients, those given PN before (n = 106) NST intervention and those given PN after (n=106) NST intervention, were retrospectively compared. Intervention by the NST significantly reduced metabolic abnormalities, reducing sodium abnormalities from 67% to 44% (p<0.01); potassium abnormalities from 42% to 15% (p<0.01); magnesium abnormalities from 13% to 3% (p<0.05) and phosphate abnormalities from 21% to 9% (p=0.01). Intervention by the NST also significantly reduced the incidence of hypertriglyceridemia from 68% to 45% (p=0.002) and significantly improved adherence to biochemical monitoring guidelines from 46% to 72% (p<0.01). However, the length of hospital stay, patient mortality, and duration of PN were similar in both groups. This study failed to demonstrate hat the establishment of a NST gave better outcomes in terms of the common measures of effectiveness.In conclusion, although management by an NST significantly reduced metabolic abnormalities and improved adherence to biochemical monitoring guidelines, the NST did not improve patient mortality rates and length of hospital stay.

    Original languageEnglish
    Pages (from-to)548-556
    Number of pages9
    JournalAsia Pacific Journal of Clinical Nutrition
    Volume22
    Issue number4
    DOIs
    Publication statusPublished - Nov 2013

    Fingerprint

    Parenteral Nutrition
    Electrolytes
    Length of Stay
    Guidelines
    Nutrition Policy
    Mortality
    Hypertriglyceridemia
    Public Hospitals
    Malaysia
    Magnesium
    Potassium
    Sodium
    Phosphates
    Incidence

    Keywords

    • Multidisciplinary
    • Nutrition
    • Parenteral
    • Support
    • Team

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Nutrition and Dietetics

    Cite this

    Effects of a nutrition support team on clinical outcomes, metabolic complications and electrolyte abnormalities in patients receiving parenteral nutrition. / Chong, Pei Feng; Paraidathathu, Thomas.

    In: Asia Pacific Journal of Clinical Nutrition, Vol. 22, No. 4, 11.2013, p. 548-556.

    Research output: Contribution to journalArticle

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