AI Article Synopsis

  • Pharmacists played a key role in developing a personalized nutritional computing system to enhance nutritional support therapy, allowing for better treatment approaches involving multi-disciplinary team members.
  • The intervention led to significant improvements in efficiency, reducing treatment time by 10-15 minutes per patient and increasing the use of Total Nutrient Admixture (TNA) and enteral nutrition (EN) in high-risk malnutrition patients.
  • In the ICU, where a high percentage of patients were malnourished, both EN and TNA use increased, while unnecessary use of parenteral nutrition (PN) significantly decreased, highlighting the effectiveness of the new system.

Article Abstract

To explore the efficiency of nutritional support therapy . Pharmacists led the construction of an individualized nutritional computing system and were involved in the process of treatment. After obtaining relevant professional knowledge and instruction on how to operate the system, MDT members intervened in the incorrect treatment process during nutritional support therapy. The Department of Radiation Oncology and the Intensive Care Unit (ICU) were selected as pilot departments to compare and analyze the rationality of nutrition risk screening and the use of enteral nutrition (EN) and parenteral nutrition (PN) in treatment before and after intervention. The individualized nutritional computing system significantly improved work efficiency, promoted nutrition risk screening, and saved 10-15 minutes in the treatment of each patient. After intervention in the Department of Radiation Oncology, the use rate of Total Nutrient Admixture (TNA) increased by 7.17%, and the single-bottle infusion rate of PN preparation decreased by 17.94% in patients at risk of malnutrition. The use rate of EN and single-bottle infusion rate of PN preparation in patients without risk of malnutrition decreased by 15.17% and 20.81%, respectively. Overall, 98.75% of ICU patients were at risk of malnutrition. The use rates of EN and TNA increased by 12.79% and 12.14%, respectively, and the single-bottle infusion rate of PN preparation decreased by 10.06%. Streamlined and mobile MDT, the use of an individualized nutritional computing system, and the effective work of pharmacists in the process significantly improved the efficiency and rationality of nutritional support therapy .

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http://dx.doi.org/10.1080/02648725.2023.2193049DOI Listing

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