Artificial nutrition support in hospitals in the United Kingdom — 1991: Second national survey

Payne-James, Jason; Gara, C.J. De; Grimble, G.; Bray, M.J.; Rana, S.K.; Kapadia, S.; Silk, D. B. A.

doi:10.1016/0261-5614(92)90027-n

Cited by 74 publications

(27 citation statements)

References 7 publications

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“…Compared to parenteral nutritions, EN is simpler to provide, as it does not require a special hospital infrastructure (Rollins 1993), and cheaper (Szeluga et al, 1987;Payne-James et al 1990).…”

Section: The Role Of Enteral Nutrition (En)mentioning

confidence: 99%

Nutritional considerations in children undergoing bone marrow transplantation

Papadopoulou

1998

Eur J Clin Nutr

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Bone marrow transplantation is often associated with multiple organ failure which is usually reversible. Oral mucositis and dysphagia, vomiting, diarrhoea, protein losing enteropathy, transient exocrine pancreatic impairment, hypoalbuminaemia, biochemical trace element and mineral de®ciencies are all common following transplantation and have profound nutritional consequences. Malnutrition affects negatively the clinical outcome. Nutritional support is provided to malnourished patients and those who suffer deterioration in nutritional status despite the provision of dietetic counselling. Only a few randomised studies comparing enteral with parenteral nutrition after transplant exist. Both enteral tube feeding (in the absence of mucositis) and parenteral nutrition are effective in maintaining nutritional status. However, enteral nutrition is associated with a better nutritional response and fewer complications than parenteral. With existing enteral and parenteral nutrition regimens close monitoring of trace element and mineral status is required.

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Section: The Role Of Enteral Nutrition (En)mentioning

confidence: 99%

Nutritional considerations in children undergoing bone marrow transplantation

Papadopoulou

1998

Eur J Clin Nutr

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“…(Mughal & Irving, 1986;Brown et al, 1987;Payne-James et al, 1990;Howard et al, 1991;Cohen, 1993;Hassel et al, 1994;Sousa, 1994;Elia, 1993). The spatial distribution of the NST in Germany showed a clear West-East slope.…”

Section: Discussionmentioning

confidence: 99%

“…In the Anglo-American countries, the medical nutrition of patients through nutrition teams, the so-called nutrition support teams (NST), have an important role (Payne-James et al, 1990;Regenstein, 1991;Hassel et al, 1994;Howard, 2001a, b). NSTs in North America and a few in European countries are integrating physicians, dietitians, nurses and pharmacists to an independent and interdisciplinary working unit (Payne-James et al, 1990;Howard et al, 1997;Jonkers et al, 1999;Howard, 2001a, b).…”

Section: Introductionmentioning

confidence: 99%

“…NSTs in North America and a few in European countries are integrating physicians, dietitians, nurses and pharmacists to an independent and interdisciplinary working unit (Payne-James et al, 1990;Howard et al, 1997;Jonkers et al, 1999;Howard, 2001a, b). NSTs in the Anglo-America region have shown their worth in clinical care as well as within the scope of medical nutrition education, research and in quality management (Payne-James et al, 1990;Regenstein, 1991;Hassel et al, 1994;Howard, 2001a, b). Individual NSTs have been shown to cover their own operating costs and in many cases have demonstrated savings in therapy costs (Roberts & Levine, 1992;Hassel et al, 1994;Ashley and Howard, 2000;Howard, 2001a,b).…”

Section: Introductionmentioning

confidence: 99%

“…Individual NSTs have been shown to cover their own operating costs and in many cases have demonstrated savings in therapy costs (Roberts & Levine, 1992;Hassel et al, 1994;Ashley and Howard, 2000;Howard, 2001a,b). Although the advantages of NST in various disciplines inhospital as well as in the out-patient field could be demonstrated for the USA and a few European countries (Mughal & Irving, 1986;Brown et al, 1987;Payne-James et al, 1990;Howard et al, 1991;Cohen, 1993;Elia, 1993;Hassel et al, 1994;Sousa, 1994;Howard et al, 1997;Ashley & Howard, 2000;Allison, 2001), but very little is known on the structure and function of NST in Germany (Suchner et al, 2000). Among others, this must be because of the lack of acceptance of nutritional medicine in Germany (general lack of specialty, or subspecialty or curriculum) and also because of the lack of specifications for a standardisation of clinical nutrition by the patronage organisations, for example, DEGEM (Suchner et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

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Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999

et al. 2003

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Objective: Evaluation. Contrary to the Anglo-American region, very little is known in Germany on the structure and organisation of nutrition support teams (NST). Design: Prospective investigation of the structure and organisation of German NST, using standardised interview questionnaires. Settings: Hospitals with more than 250 beds in Germany. Subjects: German NST (n ¼ 47). Interventions: Face-to-face interview in 1999, using a standardised questionnaire. Results: From a total of 2000 German hospitals, NST have been established at 47 hospitals (2.3%). Most NST are affiliated to a large university hospital or an academic teaching hospital. In general, the NST are not independently operating units but are affiliated to a special discipline, and were in operation for an average of 8 y. The NST cared for a median of 65 outpatients annually. At the university hospitals in average, 477 in-patients were treated per year, at the teaching hospitals 400 and at all other hospitals 179. The work of the NST centred on enteral nutrition. A total of 47% of the physicians, 19% of the nurses and 19% of the dietitians in the NST held a nutrition-specific additional qualification. A total of 2% of the physicians, 68% of the nurses and 77% of the dietitians are exclusively responsible for the NST. More than 70% of the financing of the personnel was secured through third-party funds. Conclusion: In Germany, neither uniform nor comprehensive patient care by NST existed in 1999. More than 50% of all NST members do not hold a nutrition-specific additional qualification. Frequently, besides their tasks in the team, the NST staff also carries out other clinical functions. Contrary to the American NST, the German NST are not interdisciplinary operating units but are primarily financed through third-party funds of the industry.

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Prolonged peripheral parenteral nutrition with an ultrafine cannula and low-osmolality feed

Williams

Wales

Irving

1996

Journal of British Surgery

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Peripheral parenteral nutrition is an attractive alternative to centrally delivered parenteral nutrition because it obviates the need for central venous cannulation and its attendant complications. Some 45 consecutive patients were fed peripherally using a 22-G polyurethane catheter and a fat-based, low-osmolality feed. Of these patients, 36 were fed for a median of 8.5 (range 3-31) days without peripheral vein thrombophlebitis (PVT). Seven patients developed PVT after a median of 6 (range 5-7) days. The cumulative daily risk of PVT was 0.016 episodes per day. These results suggest that prolonged (more than 7 days) problem-free peripheral parenteral nutrition is possible.

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Artificial nutrition support in hospitals in the United Kingdom — 1991: Second national survey

Cited by 74 publications

References 7 publications

Nutritional considerations in children undergoing bone marrow transplantation

Nutritional considerations in children undergoing bone marrow transplantation

Structure and organisation of 47 nutrition support teams in Germany: a prospective investigation in 2000 German hospitals in 1999

Prolonged peripheral parenteral nutrition with an ultrafine cannula and low-osmolality feed

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