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Cost Analysis of Parenteral Nutrition Regimens in the Intensive Care Unit: Three-Compartment Bag System vs Multibottle System

Menne, Roland ; Adolph, Michael ; Brock, Elisabeth ; Schneider, Heinz ; Senkal, Metin

JPEN. Journal of parenteral and enteral nutrition, 2008-11, Vol.32 (6), p.606-612 [Periódico revisado por pares]

United States: SAGE Publications

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  • Título:
    Cost Analysis of Parenteral Nutrition Regimens in the Intensive Care Unit: Three-Compartment Bag System vs Multibottle System
  • Autor: Menne, Roland ; Adolph, Michael ; Brock, Elisabeth ; Schneider, Heinz ; Senkal, Metin
  • Assuntos: 3‐compartment bag system ; Analysis of Variance ; cost comparison ; Cost-Benefit Analysis ; Costs and Cost Analysis ; Critical Care - economics ; Critical Care - methods ; economic evaluation ; Hospital Costs ; Humans ; multibottle system ; Nursing Staff, Hospital - economics ; parenteral nutrition (PN) ; Parenteral Nutrition - economics ; Parenteral Nutrition - instrumentation ; Parenteral Nutrition - nursing
  • É parte de: JPEN. Journal of parenteral and enteral nutrition, 2008-11, Vol.32 (6), p.606-612
  • Notas: Financial disclosure: supported in part by Baxter, Munich, Germany.
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  • Descrição: Background: Parenteral nutrition (PN) can be administered with separate bottles or as commercially prepared all-in-one systems. The aim of this study was to evaluate the overall cost of PN using the 3-compartment bag vs standard multibottle system. Methods: Overall costs of hospital PN were calculated from expenditures (solutions, consumable items, and staff costs). Time that staff spent preparing the PN was measured to determine personnel costs; bottom-up costing was used to assign a monetary value. Standard treatment algorithms of a 10-day course of PN for a standard 70-kg patient were specified for both systems. One-way sensitivity analyses were performed to test the robustness of the model's conclusions. Results: The daily total cost of the 3-compartment bag system was €42.26 per patient whereas the total cost of the separate bottle system was €51.62, resulting in a cost saving of €9.36 per patient with the 3-compartment bag system. For 10 days of treatment, PN costs €422.51 per patient for the 3-compartment system vs €516.16 for the multibottle system. Sensitivity analyses showed that the difference in costs between the 2 systems was maintained in the face of changes in patients' nutrition requirements and personnel costs. Conclusions: The costs associated with PN using a 3-compartment bag system were lower than those associated with a multibottle system. Given the established therapeutic equivalence of the 2 systems, this study shows the 3-compartment bag system to be the system of choice to reduce costs.
  • Editor: United States: SAGE Publications
  • Idioma: Inglês
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