Medication Administration Through Feeding Tubes in a Tertiary Hospital: A Retrospective Observational Study.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-02-01 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S500557

Yuanchao Zhu, Bolin Zhu, Pengfei Jin

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引用次数: 0

Abstract

Aim: This study aimed to investigate the prevalence and types of errors associated with oral medication administration via feeding tubes (FTs) in a tertiary hospital in Beijing.

Methods: A retrospective observational study was conducted at Beijing Hospital between January 2018 and December 2022. All inpatients aged of 18 and above who received at least one oral medication via FTs were included. Medical records were meticulously collected and analyzed.

Results: A total of 7,243 patients were identified as part of the tube feeding group, representing a prevalence rate of 6.26% among hospitalized patients receiving oral medication. Compared to the general hospitalized population, patients in the tube feeding group exhibited a higher proportion of male patients (59.74% vs 48.91%), older age [(68.00±14.99) vs (59.75±16.38)], lower weight [(65.75±13.32) vs (67.82±12.72)], increased rates of being bedridden (18.06% vs 5.38%), longer hospital stay [(21.56±28.12) vs (8.88±10.38)], and a greater number of prescribed medication types [(51.21±19.37) vs (23.35±15.04)]. On average, patients in the tube feeding group were administered 8.92±6.78 types of oral medications. A significant percentage of patients in the tube feeding group experienced inappropriate medication administration, reaching 65.43%. Among these cases, the rate of inappropriate medication administration for patients receiving nasogastric tube and nasojejunal tube were 64.06% (4186/6535) and 78.11% (553/708), respectively. In total, there were 10,164 instances of inappropriate medication administration, averaging 1.40 times per patient in the tube feeding group. Inappropriate medications included enteric-coated drugs, modified-released, soft capsules, and other non-crushable drugs.

Conclusion: Our results Our findings highlight a significant issue of inappropriate medication administration via FTs. Ensuring the accurate administration of orally prescribed medications to patients with FTs is a complex task that requires immediate attention.

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某三级医院通过饲管给药的回顾性观察研究

目的：了解北京市某三级医院经饲管给药的错误发生率及类型。方法：2018年1月至2022年12月在北京医院进行回顾性观察研究。所有年龄在18岁及以上并通过FTs接受至少一种口服药物治疗的住院患者均被纳入研究。仔细收集和分析了医疗记录。结果：共有7243例患者属于管饲组，在接受口服药物治疗的住院患者中患病率为6.26%。与普通住院人群相比，管饲组患者男性比例（59.74%比48.91%）、年龄（68.00±14.99）比（59.75±16.38）、体重（65.75±13.32）比（67.82±12.72）、卧床率（18.06%比5.38%）、住院时间（21.56±28.12）比（8.88±10.38）、处方药物种类较多（51.21±19.37）比（23.35±15.04）。管饲组患者平均口服药物8.92±6.78种。管饲组患者用药不当的比例显著，达65.43%。其中鼻胃管和鼻空肠管患者用药不当率分别为64.06%（4186/6535）和78.11%（553/708）。总共有10164例用药不当，管饲组平均每例1.40次。不适当的药物包括肠溶包衣药物、改性释放药物、软胶囊和其他非粉碎药物。结论：我们的研究结果强调了通过FTs给药不当的重要问题。确保对FTs患者口服处方药的准确使用是一项复杂的任务，需要立即予以关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.