Nutritional adequacy in critically ill patients : Result of PNSI study

Copyright © 2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved..

BACKGROUND & AIMS: Critically ill patients are provided with the intensive care medicine to prevent further complications, including malnutrition, disease progression, and even death. This study was intended to assess nutritional support and its' efficacy in the Intensive Care Units (ICUs) of Iran.

METHODS: This cross-sectional study assessed 50 ICU's patients out of 25 hospitals in the 10 major regions of Iran's health system and was performed using the multistage cluster sampling design. The data were collected from patient's medical records, ICU nursing sheets, patients or their relatives from 2017 to 2018. Nutritional status was investigated by modified NUTRIC score and food frequency checklist.

RESULTS: This study included 1321 ICU patients with the mean age of 54.8 ± 19.97 years, mean mNUTRIC score of 3.4 ± 2.14, and malnutrition rate of 32.6%. The mean time of first feeding was the second day and most of patients (66%) received nutrition support, mainly through enteral (57.2%) or oral (37%) route during ICU stay. The patients received 59.2 ± 37.78 percent of required calorie and 55.5 ± 30.04 percent of required protein. Adequate intake of energy and protein was provided for 16.2% and 10.7% of the patients, respectively. The result of regression analysis showed that the odds ratio of mNUTRIC score was 0.85 (95% confidence interval [CI] = 0.74-0.98) and APACHE II was 0.92 (95%CI = 0.89-0.95) for the prediction of energy deficiency. Nutrition intake was significantly different from patient's nutritional requirements both in terms of energy (p < 0.001) and protein (p < 0.001). Also, mean mNUTRIC score varied notably (p = 0.011) with changing in energy intake, defined as underfeeding, adequate feeding, and overfeeding.

CONCLUSION: The present findings shown that, provided nutritional care for ICU patients is not adequate for their requirements and nutritional status.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:40

Enthalten in:

Clinical nutrition (Edinburgh, Scotland) - 40(2021), 2 vom: 23. Feb., Seite 511-517

Sprache:

Englisch

Beteiligte Personen:

Javid, Zeinab [VerfasserIn]
Shadnoush, Mahdi [VerfasserIn]
Khadem-Rezaiyan, Majid [VerfasserIn]
Mohammad Zadeh Honarvar, Niyaz [VerfasserIn]
Sedaghat, Alireza [VerfasserIn]
Hashemian, Seyed Mohammadreza [VerfasserIn]
Ardehali, Seyed Hossein [VerfasserIn]
Nematy, Mohsen [VerfasserIn]
Pournik, Omid [VerfasserIn]
Beigmohammadi, Mohammad Taghi [VerfasserIn]
Safarian, Mohammad [VerfasserIn]
Moradi Moghaddam, Omid [VerfasserIn]
Khoshfetrat, Masoum [VerfasserIn]
Zand, Farid [VerfasserIn]
Mohammad Alizadeh, Afshin [VerfasserIn]
Kosari Monfared, Mahboube [VerfasserIn]
Mazaheri Eftekhar, Fatemeh [VerfasserIn]
Mohamadi Narab, Maryam [VerfasserIn]
Taheri, Arefe Sadat [VerfasserIn]
Babakhani, Khatereh [VerfasserIn]
Foroutan, Behnam [VerfasserIn]
Jamialahmadi, Tannaz [VerfasserIn]
Jabbarzadeh Gangeh, Bahareh [VerfasserIn]
Meshkani, Mehrnoush [VerfasserIn]
Kimiaee, Fahime [VerfasserIn]
Norouzy, Abdolreza [VerfasserIn]

Links:

Volltext

Themen:

Energy intake
Evaluation Study
Intensive care unit
Journal Article
Multicenter Study
Nutritional support
Protein deficiency
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 23.08.2021

Date Revised 23.08.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.clnu.2020.05.047

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312878877