The Nutritional Status of Elderly Bed-ridden Patients Receiving Tube Feeding.

Okada, Kazuko; Yamagami, Hisashi; Sawada, Seizo; Nakanishi, Miwako; Tamaki, Masaharu; Ohnaka, Masaharu; Sakamoto, Sadaichi; Niwa, Yasuharu; Nakaya, Yutaka

doi:10.3177/jnsv.47.236

Cited by 19 publications

(7 citation statements)

References 16 publications

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“…Some have linked poor nutrition to mortality (Hirdes, Frijters, & Teare, 2003;Volpato et al, 2004) or focused on tube feedings and end stage dementia in nursing home patients (Gessert & Calkins, 2001;Mitchell, Kiely, & Gillick, 2003;Murray, 2000;Okada et al, 2001;Sheiman & Pomerantz, 1998;Silver, Wellman, Arnold, Livingstone, & Byers, 2004). The following hypotheses are proposed:…”

Section: Hypothesesmentioning

confidence: 99%

Nutritional status and delirium in long-term care elderly individuals

Culp

Cacchione

2008

Applied Nursing Research

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Section: Hypothesesmentioning

confidence: 99%

Nutritional status and delirium in long-term care elderly individuals

Culp

Cacchione

2008

Applied Nursing Research

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“…This condition could be a proxy of different neurological, nutritional and/or immunological disarrangements. It has been demonstrated that these patients have higher prevalence rates of hypoalbuminemia and undernutrition and markedly altered or abolished swallowing and cough reflexes 20,21 . The absence of cough, the possibility of a diminished febrile response by sarcopenia and communication problems with caregivers could delay medical consultation and worsen prognosis.…”

Section: Discussionmentioning

confidence: 99%

Host characteristics predict outcome among adult patients admitted by severe acute respiratory infection

et al. 2019

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Background: Except for influenza pandemics, different observational studies have failed to demonstrate differences in mortality between various etiologies in adult patients hospitalized for respiratory infections. Aim: To compare clinical and mortality differences between different viral pathogens associated with severe acute respiratory infections (SARI) in hospitalized adults. Material and Methods: One-year prospective study in a sentinel center. We included 132 patients with SARI hospitalized for any of the nine viruses under study by PCR. Clinical variables were compared, excluding cases of coinfection. Results: A viral coinfection was identified in 12% and influenza infection in 56% of cases. Eighty percent of patients were aged ≥ 65 years, with a high frequency of comorbidities, 27% were bedridden. Twenty four percent were admitted to critical care units, 20% required ventilatory assistance and 16% died. Cases occurred throughout the year, with an expected seasonal peak between autumn and spring and a predominance of infections not associated with influenza during summer months. In the multivariate analysis, only being bedridden was significantly associated with mortality at discharge (Odds ratio 23.46; 95% confidence intervals 3.33-165.12, p < 0.01), without association with age, comorbidity, viral pathogen involved, laboratory parameters, clinical presentation or CURB65 score. No major clinical dissimilarities were found between different viral pathogens. Conclusions: In our series of patients, mostly elderly, only bedridden status was significantly associated with mortality at discharge in patients hospitalized for SARI. Viral pathogens were not relevant.

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“…In general, the total energy, level of nutrients (such as protein), and volume are determined according to the patient's stature, body weight, presence of organ failure, gastrointestinal function, and comorbid conditions. However, previous reports demonstrate that nutritional status can rarely be improved, even if an adequate amount of nutrients is supplied [15,16]. Because malnutrition results in the attenuation of immune function and a concomitant increase in infectious diseases [17][18][19][20], the addition of immunonutrients may be beneficial to such patients.…”

Section: Introductionmentioning

confidence: 93%

“…Bedridden, long-term tube-fed patients become malnourished over time [15,16]. In general, the total energy, level of nutrients (such as protein), and volume are determined according to the patient's stature, body weight, presence of organ failure, gastrointestinal function, and comorbid conditions.…”

Section: Introductionmentioning

confidence: 99%