Evidence map›Paper›PMID 32825528›Full record

ArticleNutrients2020

Cost-Consequences Analysis of Increased Utilization of Triple-Chamber-Bag Parenteral Nutrition in Preterm Neonates in Seven European Countries.

Alexander Kriz, Antony Wright, Mattias Paulsson, Stephen Tomlin, Venetia Simchowitz, Thibault Senterre, Julian Shepelev

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06200324 (Clinical Outcomes of the Use of Ready-to-Use Parenteral Nutrition in Very Low Birth Weight Newborns in a Fourth-level Neonatal Intensive Care Unit in Cali, Colombia, March 2017-March 2023), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06200324 completednot on this map

Clinical Outcomes of the Use of Ready-to-Use Parenteral Nutrition in Very Low Birth Weight Newborns in a Fourth-level Neonatal Intensive Care Unit in Cali, Colombia, March 2017-March 2023

TypeobservationalSponsorFundacion Clinica Valle del LiliRan2017 to 2023Enrolled284ConditionsVery Low Birth Weight InfantArmsReady-to-Use Parenteral Nutrition
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Alexander KrizExecutive Insight AG, 8008 Zurich, Switzerland.
Antony WrightMaverex Ltd., Newcastle upon Tyne NE6 2HL, UK.
Mattias PaulssonDepartment of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0002-2514-6618
Stephen TomlinGreat Ormond Street Hospital, London WC1N 3JH, UK.
Venetia SimchowitzGreat Ormond Street Hospital, London WC1N 3JH, UK.
Thibault SenterreDepartment of Neonatology, Liège University, 4000 Liège, Belgium.
Julian ShepelevBaxter Healthcare Ltd., Compton RG20 7QW, UK.ORCID 0000-0002-3761-3455
Great Ormond Street Hospital · GBUniversity of Liège · BEUppsala University · SE

Funding

Baxter Healthcare Sponsor
6 · The paper itself

Abstract

The safety of parenteral nutrition (PN) remains a concern in preterm neonates, impacting clinical outcomes and health-care-resource use and costs. This cost-consequence analysis assessed national-level impacts of a 10-percentage point increase in use of industry-prepared three-chamber bags (3CBs) on clinical outcomes, healthcare resources, and hospital budgets across seven European countries. A ten-percentage-point 3CB use-increase model was developed for Belgium, France, Germany, Italy, Portugal, Spain, and the UK. The cost-consequence analysis estimated the impact on compounding error harm and bloodstream infection (BSI) rates, staff time, and annual hospital budget. Of 265,000 (52%) preterm neonates, 133,000 (52%) were estimated to require PN. Baseline compounding methods were estimated as 43% pharmacy manual, 16% pharmacy automated, 22% ward, 9% outsourced, 3% industry provided non-3CBs, and 7% 3CBs. A modeled increased 3CB use would change these values to 39%, 15%, 18%, 9%, 3%, and 17%, respectively. Modeled consequences included -11.6% for harm due to compounding errors and -2.7% for BSIs. Labor time saved would equate to 41 specialized nurses, 29 senior pharmacists, 26 pharmacy assistants, and 22 senior pediatricians working full time. Budget impact would be a €8,960,601 (3.4%) fall from €260,329,814 to €251,369,212. Even a small increase in the use of 3CBs in preterm neonates could substantially improve neonatal clinical outcomes, and provide notable resource and cost savings to hospitals.

Indexed as

Infant, PrematureBudgetsCosts and Cost AnalysisCost SavingsDrug CompoundingEconomics, HospitalEuropeFemaleHealth ResourcesHumansInfant, NewbornMaleMedical ErrorsMedical Staff, HospitalParenteral NutritionPatient Acceptance of Health Carecompounding errorscost-consequence analysisparenteral nutritionpreterm neonatesready-to-use three-chamber-bags

Identifiers

PMID32825528
PMCPMC7551227
OpenAlexW3077429854

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.