Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

Pearcy, Joshua; Agarwal, Ekta; Isenring, Elisabeth; Somani, Ananya; Wright, Charlene; Shankar, Bhuvaneshwari

doi:10.1016/j.clnesp.2020.10.022

Cited by 4 publications

(8 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While parenteral nutrition is reserved for patients unable to receive nutrition orally or through enteral means, being a less frequent supplementary route [55], only 3.5% of the patients in our study received this type of nutritional support. It was also observed that the type of intervention was associated with the MUST risk identified, which may explain why 48.1% of the high-risk patients in our sample received enteral support.…”

Section: Morbidity Gastrointestinal Symptoms and Nutritional Support ...mentioning

confidence: 85%

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Díaz Chavarro,

Molina-Recio,

Assis Reveiz

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose: To identify factors linked with nutritional risk via the Malnutrition Universal Screening Tool scale assessment among critically ill patients from a hospital in Cali (Colombia). Materials and methods: A retrospective, analytical observational study was conducted with patients admitted to an intensive care unit (ICU). Sociodemographic, clinical, hematological, and biochemical parameters were analyzed, as well as their association with nutritional risk and patient mortality. Binary logistic regression was applied to outline nutritional risk. Results: Overall, 28.4% prevalence of elevated nutritional risk was observed. An association was found between nutritional risk and hemoglobin and hematocrit values, primary diseases accounting for ICU admission, gastrointestinal symptoms, and nutritional support route (p < 0.05). Mortality was 11.6% and it was correlated with nutritional risk, hemoglobin, and blood urea nitrogen. Conclusions: Gastrointestinal symptoms and the type of nutritional support received during hospitalization may increase nutritional risk, whereas polycythemia was a protective factor. We found an associative model to determine nutritional risk with high specificity and an adequate diagnostic validity index.

show abstract

Section: Morbidity Gastrointestinal Symptoms and Nutritional Support ...mentioning

confidence: 85%

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Díaz Chavarro,

Molina-Recio,

Assis Reveiz

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Regarding gastrointestinal symptoms such as hyporexia, bloating, abdominal pain, diarrhea, swallowing difficulties, emesis, and their association with nutritional risk identified in this study, Pearcy et al have indicated that critical illness includes these types of symptoms, with increased catabolism due to the inflammatory response and a frequent inability to ingest food orally, thus raising the patient’s nutritional needs. Consequently, feeding protocols that address factors that delay the use of enteral nutritional support, including gastrointestinal dysfunction, increase the provision of nutritional therapy and ensure greater nutrient delivery, decreasing nutritional risk [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…While parenteral nutrition is reserved for patients unable to receive nutrition orally or through enteral means, being a less frequent supplementary route [ 23 ], only 3.5% of the patients in our study received this type of nutritional support. It was also observed that the type of intervention was associated with the MUST risk identified, which may explain why 48.1% of the high-risk patients in our sample received enteral support.…”

Section: Discussionmentioning

confidence: 99%

“…According to the guidelines of the European Society for Clinical Nutrition and Metabolism (ESPEN), the Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN) [ 21 , 23 ], enteral nutritional support should be performed early in critically ill patients without oral intake [ 21 ] with the aim of preventing further nutritional deterioration associated with the disease or treatment [ 57 ], thereby lowering mortality risks. As evidenced in the population of Cali, Colombia, patients with higher nutritional risk presented higher mortality at discharge.…”

Section: Discussionmentioning

confidence: 99%

“…A literature review shows that compliance with the guidelines for the nutritional management of critically ill patients is poor [ 23 ]. There is a lack of clinical records on nutritional variables.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors Associated with Nutritional Risk Assessment in Critically Ill Patients Using the Malnutrition Universal Screening Tool (MUST)

Díaz Chavarro,

Molina-Recio,

Assis Reveiz

et al. 2024

JCM

View full text Add to dashboard Cite

Background: Malnutrition is an underdiagnosed condition that negatively affects the clinical outcomes of patients, being associated with an increased risk of adverse events, increased hospital stay, and higher mortality. Therefore, nutritional assessment is a required and necessary process in patient care. The objective of this study was to identify the factors associated with nutritional risk by applying the Malnutrition Universal Screening Tool (MUST) scale in a population of critically ill patients. Methods: This was an observational, analytical, and retrospective study. Sociodemographic, clinical, hematological, and biochemical variables and their relationship with nutritional risk and mortality were analyzed. Results: Of 630 patients, the leading cause of admission was pathologies of the circulatory and respiratory system (50%); 28.4% were at high nutritional risk; and mortality was 11.6% and associated with nutritional risk, hemoglobin, and plasma urea nitrogen. Conclusions: The presence of gastrointestinal symptoms and the type of nutritional support received during hospitalization could increase the likelihood of presenting a medium/high nutritional risk, while polycythemia reduced this probability. An associative model was found to determine nutritional risk with an adequate specificity and diagnostic validity index.

show abstract

Malnutrition in older adults

et al. 2023

View full text Add to dashboard Cite

Ward-based nutrition care practices and a snapshot of patient care: Results from nutritionDay in the ICU

Cited by 4 publications

References 35 publications

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Factors Associated with Nutritional Risk Assessment in Critically Ill Patients Using the Malnutrition Universal Screening Tool (MUST)

Malnutrition in older adults

Contact Info

Product

Resources

About