Nutrition in Clinical Practice最新文献_第3页

Practice changes and infant health risks during the 2022 infant formula shortage: Results of a US healthcare provider survey. 2022 年婴儿配方奶粉短缺期间的实践变化和婴儿健康风险：美国医疗服务提供者调查结果。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-02 DOI: 10.1002/ncp.11210

Marguerite Drowica Sheehan, Diana Orenstein, Leeyu Addisu, Sujata Patil, Devon Kuehn

{"title":"Practice changes and infant health risks during the 2022 infant formula shortage: Results of a US healthcare provider survey.","authors":"Marguerite Drowica Sheehan, Diana Orenstein, Leeyu Addisu, Sujata Patil, Devon Kuehn","doi":"10.1002/ncp.11210","DOIUrl":"https://doi.org/10.1002/ncp.11210","url":null,"abstract":"Background: In February 2022, an infant formula recall and closing of a major manufacturing center exacerbated a nationwide shortage initiated by COVID-19-related supply chain disruptions. The effects were far-reaching, impacting families and healthcare providers across the US.Methods: A 19-item web survey was developed to better understand how the infant formula shortage impacted healthcare provider practices, resources needed and those already used, and patient health, including malnutrition. Subjective data on providers' experience were also collected.Results: Two hundred forty-one providers responded, primarily registered dietitians (94%) practicing in inpatient/academic hospitals in urban and metropolitan areas. Practice adjustments included increases in patient education (100%), communication with pharmacies/durable medical equipment companies (65%), and visit durations (28%). Feeding adjustments by caregivers included new infant formula (99%), toddler (55%) or homemade (23%) formula, cow's milk (46%) or milk alternatives (32%), formula dilution (41%), and early food introduction (14%). Providers indicated an increase in malnutrition (33%), related diagnoses (including failure to thrive [31%] and deceleration in z score [27%]), and associated symptoms. Of the providers who reported malnutrition and related diagnoses, 93% also reported caregiver feeding practices that are generally not recommended.Conclusion: Providers made practice adjustments to mitigate the consequences associated with formula unavailability and misuse yet saw an increase in malnutrition and related diagnoses or symptoms. Subjectively, providers reported frustration that greater workloads did not result in improved outcomes, contributing to burnout. These data underscore the essentiality of supporting healthcare providers as they guide families in safe infant feeding practices.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The use of parenteral nutrition in patients with inflammatory bowel disease: A detailed guide on the indications, risks, and benefits. 炎症性肠病患者肠外营养的使用：关于适应症、风险和益处的详细指南。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-23 DOI: 10.1002/ncp.11178

David Kohler, Hannah Freid, Jennifer Cholewka, Megan Miller, Stephanie L Gold

引用次数: 0

Utility of SARC-F for screening for sarcopenia in ulcerative colitis. SARC-F 在筛查溃疡性结肠炎患者肌少症方面的实用性。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-30 DOI: 10.1002/ncp.11185

Pardhu B Neelam, Vishal Sharma

引用次数: 0

When parenteral nutrition is the answer: The case of pediatric intestinal rehabilitation. 当肠外营养成为答案时：小儿肠道康复案例。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-03 DOI: 10.1002/ncp.11179

Tanyaporn K Kaenkumchorn, Olivia Lampone, Kayla Huebner, Jesse Cramer, Catherine Karls

引用次数: 0

Role of artificial intelligence in critical care nutrition support and research. 人工智能在重症监护营养支持和研究中的作用。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-28 DOI: 10.1002/ncp.11194

Hannah D Kittrell, Ahmed Shaikh, Peter A Adintori, Paul McCarthy, Roopa Kohli-Seth, Girish N Nadkarni, Ankit Sakhuja

{"title":"Role of artificial intelligence in critical care nutrition support and research.","authors":"Hannah D Kittrell, Ahmed Shaikh, Peter A Adintori, Paul McCarthy, Roopa Kohli-Seth, Girish N Nadkarni, Ankit Sakhuja","doi":"10.1002/ncp.11194","DOIUrl":"10.1002/ncp.11194","url":null,"abstract":"Nutrition plays a key role in the comprehensive care of critically ill patients. Determining optimal nutrition strategy, however, remains a subject of intense debate. Artificial intelligence (AI) applications are becoming increasingly common in medicine, and specifically in critical care, driven by the data-rich environment of intensive care units. In this review, we will examine the evidence regarding the application of AI in critical care nutrition. As of now, the use of AI in critical care nutrition is relatively limited, with its primary emphasis on malnutrition screening and tolerance of enteral nutrition. Despite the current scarcity of evidence, the potential for AI for more personalized nutrition management for critically ill patients is substantial. This stems from the ability of AI to integrate multiple data streams reflecting patients' changing needs while addressing inherent heterogeneity. The application of AI in critical care nutrition holds promise for optimizing patient outcomes through tailored and adaptive nutrition interventions. A successful implementation of AI, however, necessitates a multidisciplinary approach, coupled with careful consideration of challenges related to data management, financial aspects, and patient privacy.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gut instinct: Navigating the landscape of parenteral support in short bowel syndrome. 肠道直觉：短肠综合征肠外支持的导航。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-05-08 DOI: 10.1002/ncp.11157

Jamie Bering, Sherry Tarleton, John K DiBaise

引用次数: 0

Intestinal failure-associated liver disease: Current challenges in screening, diagnosis, and parenteral nutrition considerations. 肠功能衰竭相关肝病：当前在筛查、诊断和肠外营养方面面临的挑战。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-01-21 DOI: 10.1002/ncp.11116

Trevor Tabone, Peter Mooney, Clare Donnellan

{"title":"Intestinal failure-associated liver disease: Current challenges in screening, diagnosis, and parenteral nutrition considerations.","authors":"Trevor Tabone, Peter Mooney, Clare Donnellan","doi":"10.1002/ncp.11116","DOIUrl":"10.1002/ncp.11116","url":null,"abstract":"Intestinal failure-associated liver disease (IFALD) is a serious life-limiting complication that can occur throughout the clinical course of intestinal failure and its management by parenteral nutrition (PN). Despite this, there is a lack of a standardized definition for IFALD, which makes this insidious condition increasingly difficult to screen and diagnose in clinical practice. Attenuating the progression of liver disease before the onset of liver failure is key to improving morbidity and mortality in these patients. This requires timely detection and promptly addressing reversible factors. Although there are various noninvasive tools available to the clinician to detect early fibrosis or cirrhosis in various chronic liver disease states, these have not been validated in the patient population with IFALD. Such tools include biochemical composite scoring systems for fibrosis, transient elastography, and dynamic liver function tests. This review article aims to highlight the existing real need for an accurate, reproducible method to detect IFALD in its early stages. In addition, we also explore the role PN plays in the pathogenesis of this complex multifactorial condition. Various aspects of PN administration have been implicated in the etiology of IFALD, including the composition of the lipid component, nutrient excess and deficiency, and infusion timing. We aim to highlight the clinical relevance of these PN-associated factors in the development of IFALD and how these can be managed to mitigate the progression of IFALD.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139512877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reducing extrauterine growth restriction in very preterm neonates: A before-after intervention study. 减少极早产新生儿宫外生长受限：干预前后对比研究

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-04 DOI: 10.1002/ncp.11165

Ketaki Nawlakhe Shrikant, Nithya Babu Gracy, Femitha Pournami, Ajai Kumar Prithvi, Anila V Panackal, Jyothi Prabhakar, Naveen Jain

{"title":"Reducing extrauterine growth restriction in very preterm neonates: A before-after intervention study.","authors":"Ketaki Nawlakhe Shrikant, Nithya Babu Gracy, Femitha Pournami, Ajai Kumar Prithvi, Anila V Panackal, Jyothi Prabhakar, Naveen Jain","doi":"10.1002/ncp.11165","DOIUrl":"10.1002/ncp.11165","url":null,"abstract":"Background: Focus on preterm nutrition strategies is imperative. Extrauterine growth restriction (EUGR) is a clinically relevant, but seemingly elusive consequence, often used to benchmark and compare outcomes.Methods: This before-after observational study was designed to study the effect of a multipronged updated \"nutrition care bundle\" in very preterm infants on rate of EUGR compared with a cohort from a previous period. Eligible participants were neonates born at <32 weeks' gestation who completed care in the unit; a retrospective group from a previous period and a prospective cohort after implementation of the bundle were included. The bundle constituted of three key areas: (1) aggressive parenteral nutrition with high-dose amino acids and lipids from day 1, (2) \"rapid-escalation\" enteral feed regimens including earlier introduction of human milk fortifier (at 40-ml/kg/day feeds), and (3) colostrum mouth paint and structured oromotor stimulation to promote oral feeding. EUGR was defined as a z score difference of >-1 in weight for postmenstrual age (PMA) at discharge and at birth.Results: Data of 116 infants were retrieved for the retrospective group; 103 infants were included in the prospective group. EUGR was reduced from 71% to 58% (P = 0.039) after implementation of the bundle. Infants in the prospective group achieved full oral feeds at earlier PMA (P < 0.001) and were discharged at earlier PMA (P = 0.002).Conclusions: The proportion of neonates with EUGR was reduced significantly after implementation of the revised nutrition care bundle. Achievement of full oral feeds and discharge readiness were earlier in the prospective group.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utility of mid-upper arm circumference in pediatric malnutrition: An Australasian Society of Parenteral and Enteral Nutrition consensus statement using the Delphi method. 中上臂围在小儿营养不良中的实用性：澳大利亚肠外和肠内营养学会采用德尔菲法达成的共识声明。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 DOI: 10.1002/ncp.11205

Caitlin Miles, Julia Fox, Kimberly Davis, Angela Harris, Christine Kwa, Bridget Little, Arabella Thomas, Boutaina Zemrani

{"title":"Utility of mid-upper arm circumference in pediatric malnutrition: An Australasian Society of Parenteral and Enteral Nutrition consensus statement using the Delphi method.","authors":"Caitlin Miles, Julia Fox, Kimberly Davis, Angela Harris, Christine Kwa, Bridget Little, Arabella Thomas, Boutaina Zemrani","doi":"10.1002/ncp.11205","DOIUrl":"10.1002/ncp.11205","url":null,"abstract":"Background: Mid-upper arm circumference (MUAC) is a simple anthropometric tool used to screen for childhood undernutrition in humanitarian settings or low-income and middle-income countries. However, there is conflicting evidence and a lack of consensus with regard to its diagnostic use in clinical settings or population groups beyond this context. In 2023, a project officer was appointed by the Australasian Society of Parenteral and Enteral Nutrition (AuSPEN) to lead the development of a consensus review into the use of MUAC in the pediatric clinical setting.Methods: An AuSPEN appointed multidisciplinary group of informed clinicians used the Delphi method to critically appraise the evidence and develop a series of consensus statements. Delphi surveys were anonymous and distributed electronically. Members were asked to rate their level of agreement with each consensus statement using a 5-point Likert scale. A priori definition of consensus was established as ≥80% responses \"agree\" or \"strongly agree.\"Results: Three Delphi rounds were required to reach consensus. A total of 18 consensus statements, including rationale, were developed across the topics 'assessment and diagnosis', 'screening and monitoring' and 'clinical settings'.Conclusion: An evidence-based, region-specific consensus approach to the use of MUAC in pediatric malnutrition is a valuable tool for clinicians. MUAC is a straightforward, non-invasive and cost-effective tool, and may provide an advantage over traditional anthropometric tools in some clinical settings. There are limitations to the utility of MUAC and this consensus paper provides an empirical summary of advantages and limitations as they apply to the screening, assessment, diagnosis, and monitoring of pediatric malnutrition.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep and home parenteral nutrition in adults: A narrative review. 成人睡眠与家庭肠外营养：叙述性综述。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-27 DOI: 10.1002/ncp.11181

Hassan S Dashti

{"title":"Sleep and home parenteral nutrition in adults: A narrative review.","authors":"Hassan S Dashti","doi":"10.1002/ncp.11181","DOIUrl":"10.1002/ncp.11181","url":null,"abstract":"Infusions of home parenteral nutrition (HPN) are often cycled at night coinciding with sleep episodes. Adult consumers of HPN are known to experience poor sleep attributed to frequent awakenings and long durations of wakefulness after falling asleep. Consequently, most consumers do not meet recommendations for sleep duration and quality or daytime napping. The primary underlying pathophysiology resulting in sleep problems is nocturia; however, other factors also exist, including disruptions caused by medical equipment (ie, pump alarms), comorbid conditions, dysglycemia, and medication use. Early guidance on sleep is imperative because of the central role of sleep in physical health and wellbeing, including mitigating complications, such as infection risk, gastrointestinal problems, pain sensitivity, and fatigue. Clinicians should routinely inquire about the sleep of their patients and address factors known to perturb sleep. Nonpharmacologic opportunities to mitigate sleep problems include education on healthy sleep practices (ie, sleep hygiene); changes in infusion schedules, volumes, rates, and equipment; and, possibly, behavioral interventions, which have yet to be examined in this population. Addressing comorbid conditions, such as mood disorders, and nutrition deficiencies may also help. Pharmacologic interventions and technological advancement in HPN delivery are also needed. Research on sleep in this population is considered a priority, yet it remains limited at this time.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141458374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0