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The independent risk factors of early diarrhoea in enteral nutrition for ICU patients
OBJECTIVE: To investigate the prevalence of and factors associated with diarrhoea in the early stage of enteral nutrition in critically ill patients in intensive care units (ICUs). METHODS: This prospective, multicentre, observational study enrolled consecutive patients who were newly admitted to IC...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6833384/ https://www.ncbi.nlm.nih.gov/pubmed/31507229 http://dx.doi.org/10.1177/0300060519868340 |
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author | Chen, Weiting Wang, Hehao Chen, Yingzi Yuan, Danqin Chen, Renhui |
author_facet | Chen, Weiting Wang, Hehao Chen, Yingzi Yuan, Danqin Chen, Renhui |
author_sort | Chen, Weiting |
collection | PubMed |
description | OBJECTIVE: To investigate the prevalence of and factors associated with diarrhoea in the early stage of enteral nutrition in critically ill patients in intensive care units (ICUs). METHODS: This prospective, multicentre, observational study enrolled consecutive patients who were newly admitted to ICUs and received enteral nutrition treatment. Events were observed continuously for 7 days or until patients were transferred out of the ICU after enteral nutrition. Demographic and clinical data, enteral nutrition data, diarrhoea-related data and outcomes were recorded. A multivariate logistic regression analysis was used to analyse the risk factors for diarrhoea. RESULTS: The study included 533 patients, of whom 164 (30.8%) developed diarrhoea. Diarrhoea was most commonly observed on the first to third days after starting enteral nutrition treatment. The median (interquartile range) duration of diarrhoea was 2 (1–3) days. The administration of gastrointestinal prokinetic agents, the increase in acute physiological and chronic health scores and the pyloric posterior feeding method were independent risk factors for diarrhoea. CONCLUSION: The increased severity of illness, the administration of gastrointestinal prokinetic agents and the pyloric posterior feeding method were independent risk factors for diarrhoea in critically ill ICU patients undergoing enteral nutrition treatment. |
format | Online Article Text |
id | pubmed-6833384 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-68333842019-11-13 The independent risk factors of early diarrhoea in enteral nutrition for ICU patients Chen, Weiting Wang, Hehao Chen, Yingzi Yuan, Danqin Chen, Renhui J Int Med Res Clinical Research Reports OBJECTIVE: To investigate the prevalence of and factors associated with diarrhoea in the early stage of enteral nutrition in critically ill patients in intensive care units (ICUs). METHODS: This prospective, multicentre, observational study enrolled consecutive patients who were newly admitted to ICUs and received enteral nutrition treatment. Events were observed continuously for 7 days or until patients were transferred out of the ICU after enteral nutrition. Demographic and clinical data, enteral nutrition data, diarrhoea-related data and outcomes were recorded. A multivariate logistic regression analysis was used to analyse the risk factors for diarrhoea. RESULTS: The study included 533 patients, of whom 164 (30.8%) developed diarrhoea. Diarrhoea was most commonly observed on the first to third days after starting enteral nutrition treatment. The median (interquartile range) duration of diarrhoea was 2 (1–3) days. The administration of gastrointestinal prokinetic agents, the increase in acute physiological and chronic health scores and the pyloric posterior feeding method were independent risk factors for diarrhoea. CONCLUSION: The increased severity of illness, the administration of gastrointestinal prokinetic agents and the pyloric posterior feeding method were independent risk factors for diarrhoea in critically ill ICU patients undergoing enteral nutrition treatment. SAGE Publications 2019-09-11 2019-10 /pmc/articles/PMC6833384/ /pubmed/31507229 http://dx.doi.org/10.1177/0300060519868340 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Clinical Research Reports Chen, Weiting Wang, Hehao Chen, Yingzi Yuan, Danqin Chen, Renhui The independent risk factors of early diarrhoea in enteral nutrition for ICU patients |
title | The independent risk factors of early diarrhoea in enteral nutrition for ICU patients |
title_full | The independent risk factors of early diarrhoea in enteral nutrition for ICU patients |
title_fullStr | The independent risk factors of early diarrhoea in enteral nutrition for ICU patients |
title_full_unstemmed | The independent risk factors of early diarrhoea in enteral nutrition for ICU patients |
title_short | The independent risk factors of early diarrhoea in enteral nutrition for ICU patients |
title_sort | independent risk factors of early diarrhoea in enteral nutrition for icu patients |
topic | Clinical Research Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6833384/ https://www.ncbi.nlm.nih.gov/pubmed/31507229 http://dx.doi.org/10.1177/0300060519868340 |
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