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Войти в исследования Nutritional adequacy in critically ill patients: Result of PNSI study.
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Javid Zeinab, Shadnoush Mahdi, Khadem-Rezaiyan Majid, Mohammad Zadeh Honarvar Niyaz, Sedaghat Alireza, Hashemian Seyed Mohammadreza, Ardehali Seyed Hossein, Nematy Mohsen, Pournik Omid, Beigmohammadi Mohammad Taghi, Safarian Mohammad, Moradi Moghaddam Omid, Khoshfetrat Masoum, Zand Farid, Mohammad Alizadeh Afshin, Kosari Monfared Mahboube, Mazaheri Eftekhar Fatemeh, Mohamadi Narab Maryam, Taheri Arefe Sadat, Babakhani Khatereh, Foroutan Behnam, Jamialahmadi Tannaz, Jabbarzadeh Gangeh Bahareh, Meshkani Mehrnoush, Kimiaee Fahime, Norouzy Abdolreza
Аннотация
METHODS: This cross-sectional study assessed 50 ICU's patients out of 25 hospitals in the 10 major regions of Iran's health system and was performed using the multistage cluster sampling design. The data were collected from patient's medical records, ICU nursing sheets, patients or their relatives from 2017 to 2018. Nutritional status was investigated by modified NUTRIC score and food frequency checklist.
RESULTS: This study included 1321 ICU patients with the mean age of 54.8 ± 19.97 years, mean mNUTRIC score of 3.4 ± 2.14, and malnutrition rate of 32.6%. The mean time of first feeding was the second day and most of patients (66%) received nutrition support, mainly through enteral (57.2%) or oral (37%) route during ICU stay. The patients received 59.2 ± 37.78 percent of required calorie and 55.5 ± 30.04 percent of required protein. Adequate intake of energy and protein was provided for 16.2% and 10.7% of the patients, respectively. The result of regression analysis showed that the odds ratio of mNUTRIC score was 0.85 (95% confidence interval [CI] = 0.74-0.98) and APACHE II was 0.92 (95%CI = 0.89-0.95) for the prediction of energy deficiency. Nutrition intake was significantly different from patient's nutritional requirements both in terms of energy (p < 0.001) and protein (p < 0.001). Also, mean mNUTRIC score varied notably (p = 0.011) with changing in energy intake, defined as underfeeding, adequate feeding, and overfeeding.
CONCLUSION: The present findings shown that, provided nutritional care for ICU patients is not adequate for their requirements and nutritional status.