HN-00620032_Evaluation of the nutritional status in critically ill patients admitted in intensive care units in Iran: A cross-sectional study

  • سال انتشار: 1398
  • محل انتشار: سومین همایش بین المللی تغذیه بالینی ایران
  • کد COI اختصاصی: ICNC03_064
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 368
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نویسندگان

Fafiseh Shokri

چکیده

Introduction: Adequate nutrition is closely linked with clinical outcomes during critical illness. This study was undertaken to evaluate the nutritional status and determine malnutrition markers in ICU patients receiving nutritional support in Isfahan, Iran.Methods: This cross-sectional study was performed at AL-Zahra Hospital of Isfahan University of Medical Sciences, Iran. Adult critically ill patients receiving enteral nutrition and admitted for a minimum ICU duration of 7 days were eligible. Nutritional screening included APACHE score, NUTRIC score and nutritional assessment included laboratory dates, weight, energy and protein balance. The occurrence of gastro-intestinal problems was evaluated.Results: In total, 55(35 men and 20 women) patients met the inclusion criteria with median [IQR] age of 49[18-77] and median [IQR] weight of 75(55-100). Eleven percent of the patients had inadequate body weight (BMI< 18.5). During the inpatient period, median [IQR] for NUTRIC and APACHE scores were 3[2-5] and 23[18-27] respectively. The median [IQR] for weight decreased to 71 [50-96] kg. The median intake of energy and proteins for 7 days were 1840[750-2100] and 65 [25-94] respectively that seemed inadequate regarding target energy and protein requirements (1920[1200-2740] and 86[49-129] respectively). Twenty percent of subjects had nausea and vomiting, 10% obstipation, 5% diarrhea, and 20% enteral feeding intolerance (determining with GRV> 250 mL at repeated regular (6 h) measurements).Conclusions: Although nutritional adequacy is prevalent among ICU patients, evaluating the risk of malnutrition showed no critical findings. Better evaluation of structural factors that affect nutrition management and the effect of nutritional adequacy on hospital outcomes sounds necessary.

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