OBJECTIVES: Parenteral nutrition is a form of nutritional support administered via an intravenous catheter. Kabiven is a simple TPN solution that consists of a three chamber bag and the individual chambers contain glucose- and amino acid solutions, and fat emulsion, respectively. Kabiven may effect serum albumin levels for malnutrition patient and cost savings to patients receiving tradition TPN. METHODS: This was a retrospective study in a regional hospital from January 1, 2011 to December 31, 2011. We collected data on patients admitted to ward care programs who are consulted TPN group for nutrition suggest, a total 164 who are consulted TPN group than received kabiven for nutrition support during their hospitalization. Monitor serum albumin was performed before and after kabiven given were rospective criteria. RESULTS: The 164 patient included 108 male ( 65.9%) and 56 female (34.1%)GAverage length of stay was 14.3 days (10-30 days; 51.2%)GAverage age at 77.2y/o (70-79y/o,33%).The result elevated serum albumin levels 39%( +1.2 g/dl, 25%G+0.8 g/dl, 17%G+0.7 g/dl, 15%), same serum albumin level 44%, decrease serum albumin levels 17%. CONCLUSIONS: This study demonstrated that the simple TPN solutions (kabiven) may significant elevated serum albumin levels for malnutrition patient and significant cost savings to patients receiving tradition TPN.