Analysis of the application of enteral nutrition drugs in a 3A grade hospital
Objective To investigate the utilization of enteral nutrition drugs in a 3A grade hospital,to offer scientific reference for the clinical rational application of enteral nutrition drugs.Methods The medication data of enteral nutrition drugs from 2019 to 2021 were extracted from hospital information system(HIS)system of the hospital,and the pharmacoeconomic indicators such as the sales situation and composition ratio,defined daily doses(DDDs)and defined daily cost(DDC)of enteral nutrition drugs in the whole hospital,as well as the consumption situation of each clinical department were analyzed retrospectively.Results The amount of enteral nutrition in the hospital increased from 2019 to 2020,but decreased in 2021.The top 3 preparations in the list of DDDs were peptisorb liquid,nutrison and fresubin.The top 3 preparations in DDC ranking were fresubin energy fiber,peptisorb and peptisorb liquid.The department of hepatobiliary Surgery ranked first in the consumption of peptide-based enteral nutrition in the 3 years,and the department of neurology,the department of critical care medicine and the department of rehabilitation ranked top 3 in the consumption of intact protein enteral nutrition.Conclusion The average annual use of enteral nutrition in this hospital is low,and the proportion of enteral nutrition and parenteral nutrition treatment is not balanced,which should be paid much attention.The price of enteral nutrition should be reduced to relieve the burden of patients with maintaining the quality and effects.The clinical enteral nutrition treatment rate is far lower than the actual incidence of malnutrition.The department of nutrition needs to further strengthen the communication and cooperation with clinical departments,increase the rate of in-hospital nutritional risk screening,improve the proportion of enteral nutrition treatment of inpatients.