Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study
Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study
复制标题
DOI：
10.1038/ejcn.2011.225
复制
发表时间：
2012-05-01
影响因子：
4.7
通讯作者：
Sondhi, S.
中科院分区：
文献类型：
--
作者：
Walter, E.;Liu, F. X.;Sondhi, S.
目的：肠外营养（PN）对于无法耐受肠内喂养的新生儿和儿科患者的护理至关重要。本研究评估了新生儿、婴儿和儿童复合 PN 治疗的总成本。 方法：在四个欧洲国家（比利时、法国、德国和英国）的 12 家医院进行面对面和电话访谈，收集用于复合 PN 的资源信息，包括营养物质、人员时间、设备成本和用品。构建了一个自下而上的成本模型，通过使用公布的标价和访谈数据对资源利用进行货币价值来评估 PN 治疗的总成本。 结果：这些医院每年总共使用 49 922 个 PN 袋来治疗 4295 名新生儿和儿科患者。四个国家 12 家医院新生儿一袋复合 PN 袋的每日总费用为 (sic)55.16（比利时 (sic)53.26、法国 (sic)46.23、德国 (sic)64.05、英国 (L) 超过 37.43/(sic)42.86）。总体而言，营养素占总成本的25%，物资占18%，工资占54%，设备占3%。婴儿每件行李的平均费用
OBJECTIVES: Parenteral nutrition (PN) is critical in neonatal and pediatric care for patients unable to tolerate enteral feeding. This study assessed the total costs of compounding PN therapy for neonates, infants and children.METHODS: Face-to-face and telephone interviews were conducted in 12 hospitals across four European countries (Belgium, France, Germany and UK) to collect information on resources utilized to compound PN, including nutrients, staff time, equipment cost and supplies. A bottom-up cost model was constructed to assess total costs of PN therapy by assigning monetary values to the resource utilization using published list prices and interview data.RESULTS: A total of 49 922 PN bags per year were used to treat 4295 neonatal and pediatric patients among these hospitals. The daily total costs of one compounded PN bag for neonates in the 12 hospitals across the four countries equalled (sic)55.16 (Belgium (sic)53.26, France (sic)46.23, Germany (sic)64.05, UK (L) over bar 37.43/(sic)42.86). Overall, nutrients accounted for 25% of total costs, supplies 18%, wages 54% and equipment 3%. Average costs per bag for infants