Peripheral and central parenteral nutrition: a cost-comparison analysis.
The concept that total parenteral nutrition (TPN) has to be administered centrally is increasingly recognised to be mistaken: for most patients, peripheral parenteral nutrition provides satisfactory nutritional support. Use of the peripheral route avoids the risks of central venous cannulation--but is it more cost-effective? In a randomized clinical study we examined the costs of TPN in 51 patients who underwent a mean of 8 days of intravenous feeding and conclude that the use of peripheral parenteral nutrition may lead to cost savings.
Scarborough Hospital, North Yorkshire.
J
J
May
P
P
Sedman
C
C
Mitchell
J
J
MacFie
D002404:Catheterization / Q000191:economics; D004739:England; D005762:Gastroenterology / Q000191:economics; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006748:Hospital Departments / Q000191:economics; D006801:Humans; D007440:Intubation / Q000191:economics; D010289:Parenteral Nutrition, Total / Q000191:economics* / Q000295:instrumentation / Q000379:methods