NUTRITIONAL STATUS AND ADEQUACY OF ENERGY INTAKE IN ICU PATIENTS

سال انتشار: 1397
محل انتشار: سومین کنگره بین المللی و پانزدهمین کنگره تغذیه ایران
کد COI اختصاصی: INC15_237
زبان مقاله: انگلیسی
تعداد مشاهده: 302

نویسندگان

Department of nutrition, School of Nutrition science and food Technology, The member of the Committee of the Deputy of Research and Technology of Kermanshah University of Medical Sciences, Kermanshah, Iran

Seyyed Mostafa Nachvak

Department of nutrition, School of Nutrition science and food Technology, Kermanshah University of Medical Sciences, Iran

Ali Motamedi Motlagh

Department of physiology, Babol Islamic Azad University, Babol, Iran

چکیده

Background and Aim: Malnutrition is the most consequences during hospitalization and the critical ill patients are more susceptible to it (1). This is a serious problem in ICU and if continues, can be associated with inappropriate outcomes (2,3). In this situation, if nutritional requirements won’t be supplied timely, some complication will occur (4-6). Methods: This descriptive cross sectional study was done at 15 ICUs in 10 hospitals of Mazandaran and Kermanshah. Convenience sampling was performed in available critical ill patients feeding by enteral nutrition from April to December 2015. The energy intake and requirement were compared together. We determined the malnutrition status according to SGA questionnaire (7,8).Results: In this study, the data is collected from 120 patients, 70 male and 50 female from 15 ICUs. Total of gavage solution that received by patients was 1291± 561.8 (ml) in day. Eighty patients received EN and forty of them received EN with PN. 112 patients were received handmade formula and others was received commercial formula or combination of both. The result of handmade formula analysis showed in Table1. The energy and protein intake were different with requirement significantly. Our study has shown that according to SGA 73(60.8%) patients were malnourished. Subjective global assessment (SGA) is a clinical questionnaire to assess nutritional status of patient (9).Conclusion: This study demonstrates that handmade solution is insufficient for providing the nutritional requirement of the patients. The adequacy of nutritional intake is not enough. The prevalence of malnutrition is high. Providing more desirable handmaid solutions for gavage is necessary.

کلیدواژه ها

Critical ill patients, Enteral Nutrition, Malnutrition

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