Risk of Malnutrition and Clinical Outcomes Among Mechanically Ventilated Patients in Intensive Care Units

Tamimi, Dua'a Al; Ahmad, Muayyad

doi:10.1097/dcc.0000000000000504

Cited by 9 publications

(10 citation statements)

References 22 publications

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“…Mechanical ventilator patients have a high risk of malnutrition during admission to the intensive care unit. 19 The appearance of the patient or the wound is not a reliable indicator of whether the patient receives the appropriate amount of food, and it is important to follow up the laboratory data. Albumin, prealbumin levels, lymphocyte count, and transferrin levels provide information about nutrition.…”

Section: Discussionmentioning

confidence: 99%

Skin Tears Preventable With a Gentle Approach

İlbey Koç,

Erbaş,

Yankın

2024

Dimens Crit Care Nurs

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Skin tears are a major problem for patients and the health care professionals who treat them. Although opinions on their prevalence differ, it is estimated that they are encountered more frequently than pressure sores but are overlooked. Recommendations based on strong evidence were presented for the prevention and treatment of skin tears as classified by the International Skin Tear Advisory Panel. This case series includes the clinical status of 3 patients who developed skin tears while receiving care in the hospital, and the corrective and preventive practices related to skin tears. This article will contribute to raising the awareness of health care professionals in predicting, preventing, evaluating, and treating skin tears.

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Section: Discussionmentioning

confidence: 99%

Skin Tears Preventable With a Gentle Approach

İlbey Koç,

Erbaş,

Yankın

2024

Dimens Crit Care Nurs

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“…Malnutrition is directly related to an increase in the incidence of complications and mortality in patients receiving mechanical ventilation with shock [ 24 , 25 ]. Furthermore, identifying the risk of malnutrition in mechanically ventilated patients is challenging [ 26 ]. In this regard, nutritional indices can be useful prognostic indicators in mechanically ventilated sepsis patients.…”

Section: Discussionmentioning

confidence: 99%

Association of malnutrition status with 30-day mortality in patients with sepsis using objective nutritional indices: a multicenter retrospective study

Baek,

Kwon,

Kang

et al. 2024

ACC

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Background: The Controlling Nutritional Status (CONUT) score and the prognostic nutritional index (PNI) have emerged as important nutritional indices because they provide an objective assessment based on data. We aimed to investigate how these nutritional indices relate to outcomes in patients with sepsis.Methods: Data were collected retrospectively at five hospitals for patients aged ≥18 years receiving treatment for sepsis between January 1, 2017, and December 31, 2021. Serum albumin and total cholesterol concentrations, and peripheral lymphocytes were used to calculate the CONUT score and PNI. To identify predictors correlated with 30-day mortality, analyses were conducted using univariate and multivariate Cox proportional hazards models.Results: The 30-day mortality rate among 9,763 patients was 15.8% (n=1,546). The median CONUT score was 5 (interquartile range [IQR], 3–7) and the median PNI score was 39.6 (IQR, 33.8–46.4). Higher 30-day mortality rates were associated with individuals with moderate (CONUT score: 5–8; PNI: 35–38) or severe (CONUT: 9–12; PNI: <35) malnutrition compared with those with no malnutrition (CONUT: 0–1; PNI: >38). With CONUT scores, the hazard ratio (HR) associated with moderate malnutrition was 1.52 (95% confidence interval [CI], 1.24–1.87, P<0.001); for severe, HR=2.42 (95% CI, 1.95–3.02, P<0.001). With PNI scores, the HR for moderate malnutrition was 1.29 (95% CI, 1.09–1.53, P=0.003); for severe, HR=1.88 (95% CI, 1.67–2.12, P<0.001).Conclusions: The nutritional indices CONUT score and PNI showed significant associations with mortality of sepsis patients within 30 days.

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“…It is of pivotal importance to provide nutrition support to critically ill patients since patients admitted to ICUs and requiring mechanical ventilation support are at higher risk of malnutrition [ 36 ], which increases the LOS in the ICUs [ 37 ]. Specifically, late initiation of EN is associated with prolonged hospitalization days, LOS in the PICU, and days in mechanical ventilation (DMV) [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Continuous versus Intermittent Enteral Feeding in Critically Ill Children: A Systematic Review

et al. 2023

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Administration of enteral nutrition (EN) in critically ill pediatric patients admitted to the pediatric intensive care unit (PICU) constitutes a major challenge due to the increased risk of complications, as well as the lack of well-trained healthcare professionals. EN is usually delivered via cyclic, continuous, or intermittent feeding; however, a number of potential barriers have been reported in the literature regarding different feeding regimens. The purpose of this review was to assess the effectiveness of continuous and intermittent bolus feeding on critically ill children. A systematic search was conducted in PubMed, Scopus Cochrane Central Register of Controlled Trials (CENTRAL) and a clinical trial registry up to September 2022, including randomized controlled trials (RCTs) published in the English language. Four studies met the inclusion criteria with a total population of 288 patients admitted to the PICU. Three studies were rated with a high risk of bias and one with some concerns. There was high heterogeneity between the studies in regard to the reporting of outcomes. Three studies measured the total time needed to reach prescribed caloric intake with conflicting results, while two studies evaluated the length of stay (LOS) in PICU with no difference between the two arms. One study assessed the time weaning from mechanical ventilation, favoring the bolus group. No data were provided for gastric residual volume (GRV), anthropometric measurements, and biochemical markers. Additional randomized trials with better methodology are needed to assess the efficacy of the two enteral feeding regimens in critically ill PICU patients.

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Risk of Malnutrition and Clinical Outcomes Among Mechanically Ventilated Patients in Intensive Care Units

Cited by 9 publications

References 22 publications

Skin Tears Preventable With a Gentle Approach

Skin Tears Preventable With a Gentle Approach

Association of malnutrition status with 30-day mortality in patients with sepsis using objective nutritional indices: a multicenter retrospective study

Continuous versus Intermittent Enteral Feeding in Critically Ill Children: A Systematic Review

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