A Nutrition Algorithm Incorporating Early Initiation of Nutrition With Higher Feeding Rates, Percentage of Gastric Residual Volume, Small-Bowel Feedings, and Compensatory Nighttime Feeds Leads to Reduced Energy Deficit in Critically Ill Patients

ICU director Pub Date : 2013-09-30 DOI:10.1177/1944451613505864

N. Martella, Thomas Bily, R. Jose, B. Zaidman, R. Barrera

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引用次数: 4

Abstract

Background/Objective. A discrepancy often emerges between nutritional goals and actual delivery. This study assesses the relationship between energy balance and length of stay (LOS) in surgical intensive care unit (SICU) patients. SICU patients are frequently catabolic and at risk of underfeeding. We set forth to identify if a nutritional algorithm will improve energy delivery and outcomes. Methods. A prospective observational study conducted in surgical critical care patients was performed. After implementation of a nutrition algorithm; demographic data, initiation of feeding, acquiring caloric goal, caloric deficit, LOS, and mortality were recorded. Cumulative energy balance was calculated as energy delivery minus daily target. Data are presented as mean ± standard deviation. Results. In all, 100 patients aged 66 ± 17 years (45% female and 55% male) admitted to the SICU were evaluated. All were nutritionally compromised, with 72% being NPO (nothing by mouth), 9% orally fed, and 9% enterally fed. SICU LO...

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一种营养算法结合了早期开始营养，更高的摄食率，胃残余体积百分比，小肠喂养和夜间补偿性喂养，可以减少危重患者的能量不足

背景/目标。营养目标和实际交付之间经常出现差异。本研究评估了外科重症监护病房(SICU)患者能量平衡与住院时间(LOS)之间的关系。SICU患者经常发生分解代谢，有进食不足的危险。我们着手确定营养算法是否会改善能量输送和结果。方法。对外科危重症患者进行了前瞻性观察研究。实现后的一种营养算法;记录人口统计数据、开始喂养、获得热量目标、热量不足、LOS和死亡率。累积能量平衡计算为能量交付减去每日目标。数据以平均值±标准差表示。结果。共纳入100例患者，年龄66±17岁，其中女性占45%，男性占55%。所有患者营养不良，其中72%为NPO(无口服)，9%为口服喂养，9%为肠内喂养。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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