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Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study
BACKGROUND AND AIMS: Early identification of malnutrition among hospitalised patients is essential to institute appropriate patient-specific nutritional strategies. This study was conducted to evaluate the nutritional status of medical patients at admission to the adult intensive care unit (ICU) and...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787887/ https://www.ncbi.nlm.nih.gov/pubmed/29416148 http://dx.doi.org/10.4103/ija.IJA_513_17 |
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author | Verghese, Prashant P Mathai, Ashu Sara Abraham, Valsamma Kaur, Paramdeep |
author_facet | Verghese, Prashant P Mathai, Ashu Sara Abraham, Valsamma Kaur, Paramdeep |
author_sort | Verghese, Prashant P |
collection | PubMed |
description | BACKGROUND AND AIMS: Early identification of malnutrition among hospitalised patients is essential to institute appropriate patient-specific nutritional strategies. This study was conducted to evaluate the nutritional status of medical patients at admission to the adult intensive care unit (ICU) and to identify factors which prevent attainment of daily feeding goals in them. METHODS: This was a 1 year prospective, observational study on 200 medical adult ICU patients. The study was carried out based on daily documentation. The primary outcome was the nutritional status of medical Patients at admission to the adult ICU. The tests for statistical analysis used were independent t test, Chi-square test, Fisher's exact test and multivariate logistic regression analysis. RESULTS: Out of the 200 patients in our study, 45%, 48.5% and 9% of patients had mild, moderate and severe malnutrition, respectively, corresponding to subjective global assessment (SGA) rating A,B and C, respectively. The most common reasons for non-attainment of daily feeding goals were delayed feed procurement (17.57%), and feeds being held for procedures (16.36%). The overall mean length of ICU stay was 8.63 ± 7.26 days, and the ICU mortality rate was 47.5% (95/200). Patients with SGA rating B and C at admission had higher risk of mortality in the ICU, with an adjusted odds ratio of 3.54 (95% confidence interval [CI]- 1.71–7.33, P = 0.001) and 11.11 (95% CI-2.26–54.66, P = 0.003), respectively. CONCLUSION: Malnutrition is commonly present at admission among medical ICU patients, and is associated with higher ICU mortality. |
format | Online Article Text |
id | pubmed-5787887 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-57878872018-02-07 Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study Verghese, Prashant P Mathai, Ashu Sara Abraham, Valsamma Kaur, Paramdeep Indian J Anaesth Original Article BACKGROUND AND AIMS: Early identification of malnutrition among hospitalised patients is essential to institute appropriate patient-specific nutritional strategies. This study was conducted to evaluate the nutritional status of medical patients at admission to the adult intensive care unit (ICU) and to identify factors which prevent attainment of daily feeding goals in them. METHODS: This was a 1 year prospective, observational study on 200 medical adult ICU patients. The study was carried out based on daily documentation. The primary outcome was the nutritional status of medical Patients at admission to the adult ICU. The tests for statistical analysis used were independent t test, Chi-square test, Fisher's exact test and multivariate logistic regression analysis. RESULTS: Out of the 200 patients in our study, 45%, 48.5% and 9% of patients had mild, moderate and severe malnutrition, respectively, corresponding to subjective global assessment (SGA) rating A,B and C, respectively. The most common reasons for non-attainment of daily feeding goals were delayed feed procurement (17.57%), and feeds being held for procedures (16.36%). The overall mean length of ICU stay was 8.63 ± 7.26 days, and the ICU mortality rate was 47.5% (95/200). Patients with SGA rating B and C at admission had higher risk of mortality in the ICU, with an adjusted odds ratio of 3.54 (95% confidence interval [CI]- 1.71–7.33, P = 0.001) and 11.11 (95% CI-2.26–54.66, P = 0.003), respectively. CONCLUSION: Malnutrition is commonly present at admission among medical ICU patients, and is associated with higher ICU mortality. Medknow Publications & Media Pvt Ltd 2018-01 /pmc/articles/PMC5787887/ /pubmed/29416148 http://dx.doi.org/10.4103/ija.IJA_513_17 Text en Copyright: © 2018 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Verghese, Prashant P Mathai, Ashu Sara Abraham, Valsamma Kaur, Paramdeep Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
title | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
title_full | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
title_fullStr | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
title_full_unstemmed | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
title_short | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
title_sort | assessment of malnutrition and enteral feeding practices in the critically ill: a single-centre observational study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787887/ https://www.ncbi.nlm.nih.gov/pubmed/29416148 http://dx.doi.org/10.4103/ija.IJA_513_17 |
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