Pharmaceutical intervention with parenteral nutrition

Sevilla Sánchez, D.; Placeres Alsina, M.M.; Miana Mena, M.T.; López Suñé, E.; Codina Jané, C.; Ribas Sala, J.

doi:10.1016/S2173-5085(10)70059-9

Farmacia Hospitalaria

ISSN: 1130-6343

Farmacia Hospitalaria (Farm Hosp) is the official publication of the Spanish Society of Hospital Pharmacists (SEFH), a professional and scientific organization that currently has about 4.351 members.

The Mission of Farm Hosp is to be the support for health professionals for expanding the influence of projects, publications, and training programs, and to promote the exchange of experiences.

Vision Farm Hosp is:
- to increase the state of knowledge about the hospital pharmacy and whose actions should increase the adequate and safe use of medicines and health products.
- to be an instrument of exchange and dissemination of scientific knowledge of pharmacy practice through the best use and safe medication and health outcomes.

It is a peer-reviewed double-blind scientific journal aimed at publishing in the broad field of Hospital Pharmacy advances in Pharmacy Services. This journal included the following topics: Drug evaluation. Quality of life. Patient Reported Outcome Measures (PROMs), and Patient Reported Experience Measures (PREMs) in the use of drugs. Monitoring medication. Pharmaceutical compounding. Medication administration. Management of Pharmacy Services (logistics, quality control). Technologies and information systems in the process of using medication. Medical devices. Patient Education. Pharmacist´s role in the society and /or in the Health System in Spain, and other topics related to clinical, scientific, and institutional role of hospital pharmacists.

Farmacia Hospitalaria publishes bimonthly (6 issues yearly) originals, short originals, reviews, clinical cases, special articles, protocols, consensus documents, clinical guidelines, letters to the editor, editorials.

All the articles are published in Spanish and English language regardless of the language in which they are received.

Farmacia Hospitalaria is an Open Access journal, whose content is available free of charge to users or their institutions. Users are authorised to read, download, copy, distribute, print, search, or link to entire texts of the articles in this journal without prior permission from the editor or author, according to the BOAI definition of Open Access. The papers may be re-used under the terms of the Creative Commons 4.0 license. (CC BY-NC-ND). Such use shall be subject to authorisation from SEFH, the journal owner.

Farmacia Hospitalaria journal charges no fees for submission of papers or publication of articles.

Adherence to international ethics recommendations

Manuscripts must follow the most recent recommendations of the International Committee of Medical Journal Editors (available at http://www.icmje.org).

The articles published in Farmacia Hospitalaria are indexed in PubMed and other 17 date bases:
- Evaluation databases: MEDLINE, DOAJ, Scopus, Latindex y Scimago Journal and Country Rank (SJR). Índice H: 18, quartile 3 (Medicine, miscellaneous / Pharmacology)
- Bibliographic databases: CINHAL, EMBASE Excerpta Medica, Índice Bibliográfico Español en Ciencias de la Salud (IBECS), Índice Español de Ciencia Y Tecnología (ICyT), Índice Médico Español (IME), International Pharmaceutical Abstracts (IPA).
- Journal collections: Dialnet, Medes, Scientific Electronic Library Online (SciELO), REDIB, ScienceDirect, ClinicalKey.

Farmacia Hospitalaria ha recibido Factor de Impacto (JCR) por primera vez en 2023.
Guía para autores - Envío de manuscritos

Farmacia Hospitalaria has received its first journal Impact Factor (JCR) in 2023.
Instructions for authors - Submit an article

Indexed in:

Web of Science, Scopus, Scimago Journal and Country Rank (SJR), Índice H: 18, CINHAL, EMBASE Excerpta Medica, Índice Bibliográfico Español en Ciencias de la Salud (IBECS), Índice Español de Ciencia Y Tecnología (ICyT), Índice Médico Español (IME), International Pharmaceutical Abstracts (IPA), MEDLINE, DOAJ, Dialnet, Latindex, Medes, Scientific Electronic Library Online (SciELO), REDIB.

Prospective six-month study. Design of a data collection sheet (with personal data, the indication for parenteral nutrition, hospital area, nutrition type, time and type of intervention, type of notification, acceptance) for recording interventions carried out based on normal activities: complete review of pharmacotherapy and clinical history.

Results

A total of 265 interventions were carried out during the study period (1.5 interventions/day) with a mean of 2.1 interventions/patient. The overall degree of acceptance was 83.77%; significant differences were found between type of communication for the intervention (oral and/or written) and the degree of acceptance.

Conclusions

Adding a pharmacist to the care team permits direct intervention in partnership with the doctor, and it is an effective method for preventing and resolving the complications, generally metabolic, that are associated with parenteral nutrition. Using this process for resolving medication-related problems in hospitalised patients, principally in surgical areas, is an addition to the pharmacist's activities in the area of nutritional support.

Keywords:

Pharmacist intervention

Parenteral nutrition

Acceptance

Resumen

Objetivo

Descripción y análisis de las intervenciones farmacéuticas realizadas en el ámbito de la nutrición parenteral (NP) y valoración del grado de aceptación.

Método

Estudio prospectivo de 6 meses. Se diseñó una hoja de recogida de datos (datos personales, indicación de NP, sala de hospitalización, tipo de nutrición, momento y tipo de intervención, modo de notificación y aceptación) en la que se registraron las intervenciones realizadas a partir de la actividad diaria: revisión completa de la farmacoterapia y de la historia clínica.

Resultados

Se realizaron un total de 265 intervenciones en el período de estudio (1,5 intervenciones/ día) con una media de 2,1 intervenciones/paciente. El grado global de aceptación fue del 83,77%, fueron significativas las diferencias encontradas entre el tipo de comunicación de la intervención (oral y/o escrita) y el grado de aceptación.

Conclusiones

La integración del farmacéutico en el equipo asistencial permite una intervención directa con el médico, y es un método eficaz para la prevención y resolución de complicaciones asociadas a la NP, principalmente de tipo metabólico. Utilizar este proceso para resolver problemas relacionados con la medicación en los pacientes ingresados, principalmente en salas quirúrgicas, proporciona una calidad añadida a la actividad del farmacéutico en el área del soporte nutricional.

Palabras clave:

Intervención farmacéutica

Nutrición parenteral

Aceptación

Full text is only aviable in PDF

References

[1.]

C.D. Hepler, L.M. Strand.

Opportunities and responsibilities in pharmaceutical care.

Am J Hosp Pharm, 47 (1990), pp. 533-543

Medline

[2.]

L. Anoz Jiménez, C. Borrás Almenar, E. Cavero Rodrigo.

Actuaciones farmacéuticas en pacientes en tratamiento con nutrición parenteral total.

Farm Hosp, 28 (2004), pp. 349-355

Medline

[3.]

D.B. Levy.

Documentation of clinical and cost-saving pharmacy interventions in the emergency room.

Hosp Pharm, 28 (1993), pp. 624-653

Medline

[4.]

M.J. Otero López, C. Codina Jané, M.J. Tamés Alonso, M. Pérez Encinas.

Errores de medicación: estandarización de la terminología y clasificación. Resultados de la beca Ruiz-Jarabo 2000.

Farm Hosp, 27 (2003), pp. 137-149

[5.]

American Society of Parenteral, Enteral Nutrition.

Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients.

JPEN, 26 (2002), pp. 9

[6.]

D.K. Heyland, M. Montalvo, S. Mac Donald, L. Keefe, X.Y. Su, J.W. Drover.

Total parenteral nutrition in the surgical patient: A metaanalysis.

Can J Surg, 44 (2001), pp. 102-111

Medline

[7.]

J. Llop-Talaverón, B. Gracia-García, J.J. Machí-Ribes, M. Perayre- Badia, M.B. Badia-Tahull, R. Jódar-Masanes.

Pharmaceutical interventions in metabolic and nutritional follow-up of surgical patients receiving parenteral nutrition.

Farm Hosp, 32 (2008), pp. 216-225

Medline

[8.]

J.M. Leblanc, E. Seoane-Vazques, T.C. Arbo, J.F. Dasta.

International critical care hospital pharmacist activities.

Intensive Care Med, 34 (2008), pp. 538-542

http://dx.doi.org/10.1007/s00134-007-0918-2 | Medline

[9.]

D.K. Heyland, S. MacDonald, L. Keefe, J.W. Drover.

Total parenteral nutrition in the critically ill patient: A meta-analysis.

JAMA, 280 (1998), pp. 2013-2019

Medline

[10.]

J. Cerulli, M. Malone.

Assessment of drug-related problems in clinical nutrition patients.

JPEN J Parenter Enteral Nutr, 23 (1999), pp. 218-221

Medline

[11.]

M.J. Otero, P. Alonso, J.A. Maderuelo, J. Ceruelo, A. Domínguez-Gil, A. Sánchez.

Prevalencia y factores asociados a los acontecimientos adversos prevenibles por medicamentos que causan el ingreso hospitalario.

Farm Hosp, 30 (2006), pp. 161-170

Medline

[12.]

R.L. Howard, A.J. Avey, P.D. Howard, M. Partridge.

Investigation into the reasons for preventable drug related admissions to a medical admission unit: Observational study.

Qual Saf Health Care, 12 (2003), pp. 280-285

Medline

[13.]

M. Pirmohamed, S. James, S. Meakin, C. Green, A.K. Scott, T.J. Walley, et al.

Adverse drug reactions as a cause of admissions to hospital: Prospective analysis of 18820 patients.

BMJ, 329 (2004), pp. 15-19

http://dx.doi.org/10.1136/bmj.329.7456.15 | Medline

[14.]

D.W. Bates, N. Spell, D.J. Cullen, E. Burdick, N. Laird, L.A. Petersen, et al.

The costs of adverse drug events in hospitalized patients Adverse Drug Events Prevention Study Group.

JAMA, 277 (1997), pp. 307-311

Medline

[15.]

D.J. Cullen, D.W. Bates, L.L. Leape.

Prevention of adverse drug events: A decade of progress in patient safety.

J Clin Anesth, 12 (2000), pp. 600-614

Medline

☆

This study has been presented in part at the LIII Congreso Nacional de la Sociedad Española de Farmacia Hospitalaria held in Valencia from 21 to 24 October 2008.

Tools

Indexed in:

Follow us:

Subscribe to our newsletter