title: [Usage profile of different parenteral support options in acute and chronic care facilities].
abstract: OBJECTIVE
  To evaluate the use of parenteral, enteral, and mixed nutrition in one acute and one chronic hospital.
  
  
  METHODS
  Retrospective, non-randomised, observational study. STUDY SITES: South Seville Health Area: Acute Hospital (H1) and Chronic Hospital (H2) with 447 and 84 beds, respectively. We analysed all episodes of artificial nutrition administered in a 6-month period. Exclusion criteria included: age <18 years, oral supplements, and peripheral nutrition.
  
  
  RESULTS
  Artificial nutrition was used in a total of 568 episodes: 406 were enteral nutrition, 162 were parenteral nutrition, constituting 4.95%, 3.54% and 1,41% of all hospitalisations, respectively. Enteral nutrition was more common at H2 hospital (n=219, 15.5/100 hospitalisations) and parenteral nutrition was more commonly used at H1 (n=155, 6.96/100 hospitalisations), with the ICU providing the majority of treatments (43.8%). Mixed nutritional support was used in 68 patients (0.59% of all cases), and was most commonly used in the surgery department (n=32, P<.001). The most commonly used enteral formula was the special diabetes diet; 41.2% at H1 and 46.6% at H2. Patient mortality with enteral nutrition was 37% at H1, 63% at H2, and was correlated with age (OR=1.025, 95% CI: 1.006-1.046, P<.05), male sex (OR=1.612, 95% CI: 1.023-2.540, P<.05), and time in ICU (OR=49.379, 95% CI: 11.971-203.675, P<.01).
  
  
  CONCLUSIONS
  Enteral nutrition was more frequently used in both the acute and chronic hospitals. Parenteral nutrition and mixed nutritional support were used almost exclusively at the acute hospital.
authors: Unidad de Gestión Clínica de Farmacia, Hospital Universitario Nuestra Señora de Valme, Sevilla, España. gallardo.raquel@yahoo.es
authors: R
authors: R
authors: Gallardo
authors: J A
authors: JA
authors: Irles
authors: C V
authors: CV
authors: Almeida González
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004750:Enteral Nutrition / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D005526:Food, Formulated; D017052:Hospital Mortality; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D018529:Nutritional Support / Q000379:methods* / Q000706:statistics & numerical data*; D010288:Parenteral Nutrition / Q000379:methods* / Q000401:mortality / Q000706:statistics & numerical data*; D057947:Parenteral Nutrition Solutions; D013030:Spain
chemical_list: D057947:Parenteral Nutrition Solutions