Nutrition and Clinical Outcomes of Nutrition Support in Multidisciplinary Team for Critically Ill Patients
- 주제(키워드) critical illness , enteral nutrition , intensive care unit , length of stay , nutrition support , mortality , parenteral nutrition , patient care team
- 주제(기타) Nutrition & Dietetics
- 설명문(일반) [Lee, Jeong Shin; Rhie, Sandy Jeong] Ewha Womans Univ, Grad Sch Converging Clin & Publ Hlth, Seoul, South Korea; [Lee, Jeong Shin; Kim, Sun Ah; Rhie, Sandy Jeong] Ewha Womans Univ, Mokdong Hosp, Dept Pharm, Seoul, South Korea; [Kang, Ji Eun; Park, So Hyun; Rhie, Sandy Jeong] Ewha Womans Univ, Div Life & Pharmaceut Sci, Grad Sch, Seoul, South Korea; [Jin, Hye Kyung; Rhie, Sandy Jeong] Ewha Womans Univ, Coll Pharm, 52 Ewhayeodae Gil, Seoul 03760, South Korea; [Jang, Soo Min] Loma Linda Univ, Sch Pharm, Dept Pharm Practice, Loma Linda, CA 92350 USA
- 등재 SCIE, SCOPUS
- 발행기관 WILEY
- 발행년도 2018
- URI http://www.dcollection.net/handler/ewha/000000156571
- 본문언어 영어
- Published As http://dx.doi.org/10.1002/ncp.10093
초록/요약
Background: To examine the outcomes of the implementation of a multidisciplinary nutrition support team (NST) that included a pharmacist for critically ill patients in the intensive care unit (ICU). Methods: Data were retrospectively collected from electronic medical records and compared between the pre-NST group (n = 73) and post-NST group (n = 75). Patients were included if they received enteral or parenteral nutrition support for at least 72 hours in the ICU of an approximately 900-bed, top-tier university medical center. The percentage of goal kcal, the percentage of goal protein, serum albumin level, total lymphocyte count, C-reactive protein, duration of mechanical ventilation use, hospital length of stay (LOS), ICU LOS, and mortality were evaluated. Results: There were significant differences in the percentage of goal kcal (66.9% +/- 25.9% vs 86.2% +/- 27.5%; P < 0.001) and the percentage of goal protein (67.0% +/- 29.9% vs 81.7% +/- 30.7%; P < 0.05) between the pre-NST and post-NST groups. A higher percentage of goal kcal was associated with a significant decrease in the ICU LOS (P < 0.05) and hospital LOS (P < 0.05). The percentage of goal kcal was associated with mortality rate (odd ratio, 0.977; 95% confidential interval, 0.959-0.996; P = 0.016). Conclusion: Implementation of a multidisciplinary NST service for critically ill patients was associated with higher percentages of goal kcal and goal protein, as well as a shortened duration of mechanical ventilation use. Higher energy supply was associated with a reduced mortality rate.
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