Advertisement

Pharmacy World and Science

, Volume 28, Issue 5, pp 265–273 | Cite as

Development of a software tool for computation of parenteral nutrition in adults, and its potential role in improving nutritional care

  • Marina Paschidi
  • Maria Skouroliakou
  • Fotis Archontovassilis
  • Petros Papassarantopoulos
  • Sophia L. MarkantonisEmail author
Commentary

Abstract

The detailed development of a computer program for management of parenteral nutrition (PN) in adults is described. Strengths and weaknesses are mentioned. By using the software, individualized PN prescriptions based on patient age, weight, sex, and clinical condition can be determined and available formulations can be automatically selected from incorporated databases. Automated PN management potentially enhances our ability to provide nutritional support with greater accuracy and precision and reduces the time required for writing and calculations. Day-to-day changes may also be monitored rapidly, simply, and safely.

Keywords

Calculations Computer program Computer software Greece Parenteral nutrition 

Notes

Acknowledgements

We greatly appreciate the support given by Mamidakis Brother Group throughout this study.

References

  1. 1.
    A.S.P.E.N. Board of Directors and the Clinical Guidelines TaskForce: Guidelines for the use of parenteral and enteral nutrition in adult and paediatric patients. JPEN 2002; 26(1):7SA-96SA.Google Scholar
  2. 2.
    Legler JD. Physician’s accuracy in manual computation. MD Comput 1990; 7:155–9.Google Scholar
  3. 3.
    Schloerb PR. Electronic parenteral and enteral nutrition. JPEN 2000; 24:23–9.Google Scholar
  4. 4.
    Harris JA, Benedict FG. Abiometric study of basal metabolism. Publication 279. Washington DC: Camegie Institute of Washington, 1919.Google Scholar
  5. 5.
    Finck C. How to provide nutritional support. Nutrition 2000; 16:155–57.PubMedCrossRefGoogle Scholar
  6. 6.
    Kathleen-Mahan L, Escott-Stump L. Krause’s food, nutrition and diet therapy. 10th ed. Chapter 33: Medical nutrition therapy for metabolic stress: sepsis, trauma, burns and surgery. Philadelphia: W.B. Saunders Company, 2003. p. 722–41.Google Scholar
  7. 7.
    De Cicco M, Bortolussi R, Fantin D, Matovic M, Fracasso A, Fabiani F et al. Supportive therapy of elderly cancer patients. Critical Reviews in Oncology/ Hematology 2002; 42:189–211.PubMedGoogle Scholar
  8. 8.
    Sharma RK, Sahu KM. Nutrition in dialysis patients. J Ind Med Assoc 2001; 99(4):207–13.Google Scholar
  9. 9.
    Han PD, Burke A, Baldassano RN, Rombeau JL, Lichtenstein GR. Nutrition and inflammatory bowel disease. Gastroenterol Clin NA 1999; 28(2):423.CrossRefGoogle Scholar
  10. 10.
    Forbes A. Review article. Crohn’s disease—the role of nutritional therapy. Altment Pharmacol Ther 2002; 16 (4):48–52.CrossRefGoogle Scholar
  11. 11.
    Marquez HA. Nutrition support in patients with fistulas—Conference review. Nutrition 2001; 17(11/12):989.Google Scholar
  12. 12.
    Wolfe RR, Martini WZ. Changes in intermediary metabolism in severe surgical illness. World J Surg 2000; 24:639–47.PubMedCrossRefGoogle Scholar
  13. 13.
    Jeanette H. Nutrition assessment and support of organ transplant recipient. JPEN 2001; 25:120–31.Google Scholar
  14. 14.
    Skouroliakou M, Konstantinou D, Papasarantopoulos P, Matthaiou C. Computer assisted total PN for pre-term and sick term neonates. Pharm World Sci 2005; 27(4):305–10.PubMedCrossRefGoogle Scholar
  15. 15.
    Peverini R, Beach DS, Wan KW, Vyhmeister NR. Graphical user interface for a neonatal PN decision support system. 2000. http://www.amia.org/pubs/symposia/D200580.PDF
  16. 16.
    Kirchner L, Popow C, Horn W, Dobner M, Seyfang A, Miksch S. Clinical experience with VIE-PNN, a knowledge-based system for planning the PN of newborn infants. http://www.citeseer.ist.psu.edu/226712.html
  17. 17.
    Horn W, Popow C, Miksch S, Kirchner L, Seyfang A. Development and evaluation of VIE-PNN, a knowledge-based system for calculating the PN of newborn infants. Artif Intell Med 2002; 24(3):217–28.PubMedCrossRefGoogle Scholar
  18. 18.
    Berger M. Impact of a computerized information system on quality of nutritional support in the ICU. Nutrition 2006; 22:221–29.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2006

Authors and Affiliations

  • Marina Paschidi
    • 1
  • Maria Skouroliakou
    • 2
  • Fotis Archontovassilis
    • 3
  • Petros Papassarantopoulos
    • 4
  • Sophia L. Markantonis
    • 1
    Email author
  1. 1.Laboratory of Biopharmaceutics and Pharmacokinetics, School of PharmacyUniversity of AthensAthensGreece
  2. 2.Harokopio University of AthensAthensGreece
  3. 3.Surgical Intensive Care Unit, First Department of Propaedeutic SurgeryUniversity of Athens, Hippokratio General HospitalAthensGreece
  4. 4.Business Information SupportAthensGreece

Personalised recommendations