The Outcomes of Critically Ⅲ Patients after Following the Recommendations of the Nutritional Support Team

Kang, Ju Hee; Baek, Hyun Wook; Shin, Dong Woo; Shin, Dong Hyun; Son, Hee Jung; Chang, Simyung; Seo, Ye Sook; Min, Jo Young; Lee, Young Ah; Mo, Yeon Hwa; Kim, Min Young

doi:10.15747/jcn.2010.3.1.40

J Clin Nutr

2010

DOI: 10.15747/jcn.2010.3.1.40

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The Outcomes of Critically Ⅲ Patients after Following the Recommendations of the Nutritional Support Team

Ju Hee Kang

Hyun Wook Baek

Dong Woo Shin

et al.

Abstract: Purpose: Several studies that focused on hospital malnutrition have reported that more than 40% of hospitalized patients have nutritional risk factors, and there is a high prevalence of hospital malnutrition. People with a more severe malnutrition status had a longer length of hospital stay and higher hospital costs. Therefore, the net result from early nutritional support may be improved organ function, decreased infection, reduced morbidity and mortality and decrease the hospital stay and cost. Methods: We i… Show more

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Nurses' Perception on Clinical Nutrition Services by Types of Medical Institution and Area

Lee

Lee²,

Park³

et al. 2014

Journal of the Korean Dietetic Association

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The purpose of this study was to evaluate nurses' perception of clinical nutrition services. A cross-sectional survey design was performed. The research was accomplished by using questionnaires developed for this study and administered from September 12 to December 31, 2013 to 343 nurses at 43 tertiary hospitals and 20 general hospitals. The percentage of nurses who recognized clinical nutrition certificate as issued from nation was 27.8%. The mean scores of perceived usefulness on clinical nutrition services was 4.23/5.00, whereas that of perceived implementation was 3.76/5.00. The mean scores of necessity of disease-specialized clinical dietitian at capital hospitals were significantly higher for obesity (P＜0.01), cancer (P＜0.05), and infant & childhood disease (P＜0.01) than at local hospitals. The rates of nurses' experience in group education on cancer at capital hospitals (21.7%) was significantly higher than that at local hospitals (10.3%) (P＜0.05). The mean scores of perceived importance of clinical nutrition services were 4.46/5.00 for 'group nutrition education', 4.46/5.00 for 'individual consultation', and 4.40/5.00 for 'nutrition management for enteral nutrition (EN) patients'. The most common reason why clinical nutrition services are important was 'improving malnutritional

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Nurses' Perception on Clinical Nutrition Services by Types of Medical Institution and Area

Lee

Lee²,

Park³

et al. 2014

Journal of the Korean Dietetic Association

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Nutritional Assessment of ICU Inpatients with Tube Feeding

Kim

Seo

2015

Journal of the Korean Dietetic Association

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This study investigated the general status of tube feeding for intensive care unit (ICU) inpatients and evaluated the consequent nutritional status of patients. This study was approved by the Institutional Review Board (IRB) of a general hospital located in Daegu metropolitan city. The subjects of this study were 80 adult patients who had been admitted to the ICU of a hospital, received fed tube feeding, and then been discharged. The differences in nutrition screening indicators, including percentage ideal body weight (PIBW), serum albumin, hemoglobin, total lymphocyte count, and total cholesterol, before and after tube feeding according to body mass index (BMI) or nutrient feeding levels were investigated. The ratios of actually provided amounts to calorie and protein requirements of patients were 72.8±15.8% and 72.6±19.8%, respectively. The change in PIBW before and after tube feeding was significantly different among the BMI groups (P＜0.01). The change in hemoglobin concentration before and after tube feeding was also significantly different among the BMI groups (P＜0.01). When subjects were divided into three groups (＜60%, 60∼79%, ≥80%) according to the ratio of actually provided calories to required calories, there was no significant difference in nutrition screening indicators before and after tube feeding. When the subjects were divided into three groups (＜60%, 60∼ 79%, ≥80%) according to the ratio of actually provided protein to required protein, serum albumin concentration showed a significant difference among the groups before and after tube feeding (P＜0.05). Therefore, an intensive nutrition intervention program would be needed for the nutritional improvement of ICU inpatients receiving tube feeding.

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The Effects of Early Enteral Nutrition in Patients: A Role of Nutrition Support Team

Park¹,

Son²,

Kim³

et al. 2016

J Clin Nutr

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Purpose:The study examined the effects of early enteral nutrition on the patients' length of stay in an intensive care unit (ICU), length of stay and mortality rate. Methods: A retrospective design was employed with a total of 461 patients (mean age=69.9±15.6 years; 253 males; 208 females). They were divided into two groups according to when they received enteral feeding: an "early enteral nutrition" (EEN) group of 148 patients (32.1%) who received enteral feeding within 48 hours of their arrival at the hospital and a "delayed enteral nutrition" (DEN) group of 313 patients (67.9%) who received enteral feeding at some point after 48 hours of their arrival at the hospital. The EEN group and control group were similar in terms of age, sex, body mass index, and underlying diseases. Results: The EEN group's total length of stay in hospital was shorter (23.29±27.19 days) than that of the control group (36.74±32.24 days); the difference was significant (P＜0.001). The EEN group also showed a shorter length of stay in the ICU (13.67±22.77 days) than the DEN group (17.46±21.02 days) and a lower mortality rate (17.6%) than the control group (18.8%), but these differences were not significant. Conclusion:The study found that early enteral nutrition treatment reduced total length of stay in hospital significantly. The findings suggest that early enteral nutrition treatment plays an important role in the patients' recovery and prognosis.

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The Outcomes of Critically Ⅲ Patients after Following the Recommendations of the Nutritional Support Team

Cited by 4 publications

References 0 publications

Nurses' Perception on Clinical Nutrition Services by Types of Medical Institution and Area

Nurses' Perception on Clinical Nutrition Services by Types of Medical Institution and Area

Nutritional Assessment of ICU Inpatients with Tube Feeding

The Effects of Early Enteral Nutrition in Patients: A Role of Nutrition Support Team

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