Hostname: page-component-7479d7b7d-rvbq7 Total loading time: 0 Render date: 2024-07-11T15:26:51.714Z Has data issue: false hasContentIssue false
  • English
  • Français

Perioperative Use of Total Parenteral Nutrition: Variations in Guidelines and Practice in Three Norwegian Hospitals

Published online by Cambridge University Press:  10 March 2009

Marianne Mjaaland ,
Arthur Revhaug  and
Olav Helge Førde
Marianne Mjaaland
Affiliation:
Tromsø University Hospital
Arthur Revhaug
Affiliation:
Tromsø University Hospital
Olav Helge Førde
Affiliation:
Tromsø University
Get access Rights & Permissions [Opens in a new window]

Abstract

In a cross-sectional, retrospective study of 604 cases, variations among three Norwegian hospitals in use of perioperative parenteral nutrition (TPN) after gastrointestinal surgery was determined. Postoperative TPN rates were 25%, 34% (p =.05) and 56% (p <.0001). respectively. However, a substantial part of the variation was explained by differences in patient characteristics.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 11 , Issue 4 , Fall 1995 , pp. 741 - 749
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Bistrian, B. R., Blackburn, G. L., Haltowell, E., & Heddle, R.Protein status of general surgical patients. Journal of American Medical Association, 1974, 230, 858–60.CrossRefGoogle ScholarPubMed
2.Bunker, J.Surgical manpower: A comparison of operations and surgeons in the United States and England and Wales. New England Journal of Medicine, 1970, 282, 135–44.Google Scholar
3.Buzby, G. P., Mullen, J. L., Matthews, D. C., et al. Prognostic nutritional index in gastrointestinal surgery. American Journal of Surgery, 1980, 139, 160–67.CrossRefGoogle ScholarPubMed
4.Dempsey, D T., Mullen, J. L., & Buzby, G. P.The link between nutritional status and clinical outcome: Can nutritional intervention modify it? American Journal of Clinical Nutrition, 1988, 47, 352–56.Google Scholar
5.Detsky, A. S., Baker, J. P., O’Rourke, K., et al. Peri-operative parenteral nutrition: A meta-analysis. Annals of Internal Medicine, 1987, 107, 195–203.Google Scholar
6.Elwyn, D. H.Nutritional requirements of adult surgical patients. Critical Care Medicine, 1980, 8, 9–20.CrossRefGoogle ScholarPubMed
7.Health and Public Policy Committee, American College of Physicians. Peri-operative parenteral nutrition. Annals of Internal Medicine, 1987, 107, 252–53.CrossRefGoogle Scholar
8.Hovind, O. B., & Forsen, L.Kirurgiske operasjonsfrekvenser: Variasjon mellom 7 fylker. Oslo: Gruppe for helsetjenesteforskning nr. 2, 1983.Google Scholar
9.Koretz, R. L.Nutritional support: How much for how much? Gut, 1986, 27, 85–91.CrossRefGoogle ScholarPubMed
10.Lewis, C. E.Variations in the incidence of surgery. New England Journal of Medicine, 1969, 281, 880–84.Google Scholar
11.McPherson, K., Strong, P. M., Epstein, A., & Jones, L.Regional variations in the use of common surgical procedures: Within and between England and Wales, Canada and the United States of America. Social Science and Medicine, 1981, 15A, 273–88.Google ScholarPubMed
12.Nordenström, J., & Persson, E.Energy supply during total parenteral nutrition: How much and what source? Anaesthesiologica Scandinavica, 1985, 29, 95–99.Google Scholar
13.Revhaug, A., & Giercksky, K.-E.Preoperative cutaneous hypersensitivity reaction related to postoperative complications following elective surgery. Acta Chirurgica Scandinavica, 1984, 150, 279–83.Google ScholarPubMed
14.Sandström, R., Drott, C., Hyltander, A., et al. The effect of postoperative intravenous feeding (TPN) on outcome following major surgery evaluated in a randomized study. Annals of Surgery, 1983, 217, 185–95.CrossRefGoogle Scholar
15.Studley, H. O.Percentage of weight loss: A basic indicator of surgical risk in patients with chronic peptic ulcer. Journal of American Medical Association, 1936, 106, 458–60.CrossRefGoogle Scholar
16.The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Peri-operative total parenteral nutrition in surgical patients. New England Journal of Medicine, 1991, 325, 525–32.CrossRefGoogle Scholar
17.Vayda, E.A comparison of surgical rates in Canada and in England and Wales. New England Journal of Medicine, 1973, 289, 1224–29.CrossRefGoogle ScholarPubMed
18.Vayda, E., Morrison, M., & Anderson, C.Surgical rates in Canadian provinces. Canadian Journal of Surgery, 1976, 19, 235–42.Google ScholarPubMed
19.Wenneberg, J. E., Barnes, B. A., & Zubkoff, M.Professional uncertainty and the problem of supplier-induced demand. Social Science and Medicine, 1982, 16, 811–24.CrossRefGoogle Scholar
20.Wenneberg, J. E., & Gittelsohn, A.Small area variations in health care delivery. Science, 1973, 182, 1102–08.Google Scholar
21.Wenneberg, J. E., & Gittelsohn, A.Variations in medical care among small areas. Scientific American, 1982, 246, 100–11.Google Scholar