J Clin Nutr.  2020 Dec;12(2):34-40. 10.15747/jcn.2020.12.2.34.

Characteristics and Practice of Parenteral Nutrition in Hospitalized Adult Cancer Patients in Korea

• Park HJ
• Sohn YM
• Chung JE
• Kim JT
• Yang JA
• Bae HJ
• Sung YW
• Kim SH
• Cho JY
• Jung KM
• Bae HK

• KMID: 2510376
• DOI: http://doi.org/10.15747/jcn.2020.12.2.34

Abstract

Purpose
There have been no clinical studies on the characteristics of parenteral nutrition (PN) for adult cancer inpatients in South Korea. The published evidence describing modern PN practices in these patients is also extremely limited. Therefore in this retrospective multicenter cross-sectional study, we aimed to investigate the PN support practice in hospitalized adult cancer patients.
Methods
The study included adult cancer patients hospitalized in nine hospitals in South Korea and received PN, during the period from August 1st, 2017 to October 30th, 2017. We evaluated the relevant hospital-based PN practices in this group.
Results
Among the 11,580 inpatient admissions during this period, 759 cancer patients received PN (6.6%). The majority of enrolled patients (97.2%) used commercially available PN and 71.2% of these used peripheral PN formulations. The average in-hospital PN duration was 16.1±19.9 days. Patients received only 65.4±25.4% calories of the recommended target calories. The in-hospital mortality of enrolled patients was 26.1%.
Conclusion
We conclude that commercial PN is the most common form of PN administered to hospitalized adult cancer patients and the overall in-hospital mortality in the patients using PN is higher in South Korea compared to other countries.

Keyword

Parenteral nutrition; Cancer; Inpatient; Adult