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May 16, 1980

Nutritional Support of the Hospitalized PatientThe Team Concept

Author Affiliations

From the Hurley Medical Center, and the College of Human Medicine, Michigan State University, Flint Campus, Flint.

JAMA. 1980;243(19):1906-1908. doi:10.1001/jama.1980.03300450020013

Two groups of patients receiving total parenteral nutrition (TPN) were compared in a prospective study for a period of 24 months. The TPN in one group of 211 patients was exclusively managed by a nutrition support team. A variety of physicians managed the TPN of 164 patients in the other group. The complication rate of both groups was compared. The second group had a much higher incidence of all complications. The study concludes that a protocol strictly adhered to by knowledgeable persons is necessary for the proper administration of TPN in the hospitalized patient.

(JAMA 243:1906-1908, 1980)