Evaluation of Energy and Protein Intakes and Clinical Outcomes in Critically Ill Patients: Cross-sectional Study
- سال انتشار: 1402
- محل انتشار: فصلنامه تغذیه، روزه داری و سلامت، دوره: 11، شماره: 3
- کد COI اختصاصی: JR_JNFH-11-3_001
- زبان مقاله: انگلیسی
- تعداد مشاهده: 76
نویسندگان
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Center for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Faculty of Critical Care Medicine, Lung Disease Research Center, Mashhad University of Medical Science, Mashhad, Iran.
Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Assistant Professor of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Medical Doctor, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Anesthesiology and Critical Care, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده
Introduction: Critically ill patients admitted to the intensive care unit are often hyper-metabolic and hyper-catabolic and at risk of malnutrition. This study aimed to evaluate the amount of energy and protein intake and its correlation with the required amount in critically ill patients. Method: Seventy patients with critical conditions admitted to ICU were eligible (age ≥۱۸ years and over a ۳-day stay in ICU). Basic characteristics, medical history, and laboratory test results were extracted from the patient's medical records. Anthropometric indices and the APACHE II questionnaire were assessed. Patients' energy and protein requirements were considered ۲۵ kcal/kg/day and ۱.۲ g/kg/day, respectively. Result: Mean age in the target population was ۵۷.۶۹ ± ۲۰.۸۱ years, and ۴۸.۶% were men. The mean actual energy intake was significantly lower than the requirement (۵۳۱.۲۷ ±۳۶۵.۴۰ vs ۱۵۸۳.۷۷ ± ۳۲۹.۳۶ Kcal/day, P˂۰.۰۰۱). The mean actual protein intake was significantly lower than the requirement (۱۴.۹۴ ±۱۸.۳۳ vs ۷۴.۱۱ ± ۱۷.۸۹ gr/day, respectively, P˂۰.۰۰۱). Patients had a growing trend in providing energy and protein over time. There is a significant reverse correlation between the age of patients and total lymphocyte count (r= -۰.۳۸, P=۰.۰۰۳). Also, there is a significant reverse correlation between the Glasgow coma scale and the duration of mechanical ventilation (r=-۰.۴۹, P˂۰.۰۰۱). The lowest average energy and protein intake is in patients with poisoning. Conclusion: The amount of energy and protein intake in critically ill patients is significantly less than the recommended amount; therefore, it is necessary to perform routine nutritional assessments.کلیدواژه ها
Malnutrition, Nutritional support, Intensive Care Unit, Energy intake, Protein intakeاطلاعات بیشتر در مورد COI
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