Nutrition in Clinical Practice最新文献_第8页

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

Validating the use of body mass index with computed tomography in a racially and ethnically diverse cohort of patients admitted with SARS-CoV-2. 在不同种族和族裔的 SARS-CoV-2 入院患者中验证体质指数与计算机断层扫描的应用。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-15 DOI: 10.1002/ncp.11164

Patricia Sheean, Paula O'Connor, Cara Joyce, Amy Wozniak, Vasilios Vasilopoulos A, Jared Seigal, Perry Formanek

{"title":"Validating the use of body mass index with computed tomography in a racially and ethnically diverse cohort of patients admitted with SARS-CoV-2.","authors":"Patricia Sheean, Paula O'Connor, Cara Joyce, Amy Wozniak, Vasilios Vasilopoulos A, Jared Seigal, Perry Formanek","doi":"10.1002/ncp.11164","DOIUrl":"10.1002/ncp.11164","url":null,"abstract":"Background: Body mass index (BMI) is criticized for being unjust and biased in relatively healthy racial and ethnic groups. Therefore, the current analysis examines if BMI predicts body composition, specifically adiposity, in a racially and ethnically diverse acutely ill patient population.Methods: Patients admitted with SARS-CoV-2 having an evaluable diagnostic chest, abdomen, and/or pelvic computed tomography (CT) study (within 5 days of admission) were included in this retrospective cohort. Cross-sectional areas (centimeters squared) of the subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), and intramuscular adipose tissue (IMAT) were quantified. Total adipose tissue (TAT) was calculated as sum of these areas. Admission height and weight were applied to calculate BMI, and self-reported race and ethnicity were used for classification. General linear regression models were conducted to estimate correlations and assess differences between groups.Results: On average, patients (n = 134) were aged 58.2 (SD = 19.1) years, 60% male, and racially and ethnically diverse (33% non-Hispanic White [NHW], 33% non-Hispanic Black [NHB], 34% Hispanic). Correlations between BMI and SAT and BMI and TAT were strongest revealing estimates of 0.707 (0.585, 0.829) and 0.633 (0.534, 0.792), respectively. When examining the various adiposity compartments across race and ethnicity, correlations were similar and significant differences were not detected for TAT with SAT, VAT, or IMAT (all P ≥ 0.05).Conclusions: These findings support the routine use of applying BMI as a proxy measure of total adiposity for acutely ill patients identifying as NHW, NHB, and Hispanic. Our results inform the validity and utility of this tool in clinical nutrition practice.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"1259-1269"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327638","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":" ","pages":"1081-1093"},"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

Use of technology in neonatal nutrition. 在新生儿营养中使用技术。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI: 10.1002/ncp.11176

Cristina Miller, Erin Plummer, Jenna Platek, Steffi Arneson

引用次数: 0

The lingering safety menace: A 10-year review of enteral misconnection adverse events and narrative review. 挥之不去的安全威胁：肠道错接不良事件 10 年回顾和叙述性回顾。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-18 DOI: 10.1002/ncp.11191

Stacie Ethington, Amanda Volpe, Peggi Guenter, Debora Simmons

引用次数: 0

Micronutrient supplementation in patients with malabsorptive conditions. 吸收不良患者的微量营养素补充。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-14 DOI: 10.1002/ncp.11190

Gabriela Gardner

引用次数: 0

Role of the neonatal registered dietitian nutritionist in Canada: A description of staffing and a comparison to practices in the United States. 加拿大新生儿注册营养师的作用：人员配备说明及与美国做法的比较。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-15 DOI: 10.1002/ncp.11182

Stephanie Merlino Barr, Rosa K Hand, Tanis R Fenton, Sharon Groh-Wargo

{"title":"Role of the neonatal registered dietitian nutritionist in Canada: A description of staffing and a comparison to practices in the United States.","authors":"Stephanie Merlino Barr, Rosa K Hand, Tanis R Fenton, Sharon Groh-Wargo","doi":"10.1002/ncp.11182","DOIUrl":"10.1002/ncp.11182","url":null,"abstract":"Background: Neonatal registered dietitian nutritionists (RDNs) are critical members of the neonatal intensive care unit (NICU) team. Ideal RDN staffing levels are unknown. Current staffing levels of neonatal RDNs in Canadian NICUs have not been recently reported. The objective of this study was to describe neonatal RDN staffing and responsibilities in Canada and contrast these findings with those of neonatal RDNs in the United States.Methods: An online cross-sectional neonatal RDN survey was performed in the Fall of 2021 to collect hospital-level and individual-RDN-level data. Descriptive statistics were performed to summarize Canadian neonatal RDN staffing levels and responsibilities and compared with US findings.Results: Canadian RDNs reported a median staffing ratio of 25.3 NICU beds per RDN full-time equivalent, with neonatal RDNs reporting a desired 31% increase in staffing. The majority of Canadian NICUs (n = 20/24) reported having a dedicated space to prepare infant feeds away from bedside. Canadian neonatal RDNs reported wanting to expand their responsibilities in research, administration, and education. Canadian neonatal RDNs reported a higher rate of order writing privileges as compared with that of US neonatal RDNs.Conclusion: Canadian neonatal RDNs reported a desired increase in their staffing levels. Neonatal RDNs have the potential to expand their professional role but require additional staffing, dedicated time, and compensation to support this. Further research determining the optimal neonatal RDN staffing ratio to maximize patient outcomes is required.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"1212-1226"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620549","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

ASPEN survey of parenteral nutrition access issues: How the system fails the patient. ASPEN 关于肠外营养获取问题的调查：系统如何辜负了患者。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-18 DOI: 10.1002/ncp.11187

Jay M Mirtallo, Penny Allen, Wendy M Book, Kathryn Hennessy, Bettiemarie Bond, Beth Gore

{"title":"ASPEN survey of parenteral nutrition access issues: How the system fails the patient.","authors":"Jay M Mirtallo, Penny Allen, Wendy M Book, Kathryn Hennessy, Bettiemarie Bond, Beth Gore","doi":"10.1002/ncp.11187","DOIUrl":"10.1002/ncp.11187","url":null,"abstract":"Background: Product shortages and a lack of qualified providers to manage care may impact the safety and efficacy of parenteral nutrition (PN). This survey assessed the frequency and extent to which limitations to PN-related access affects patients.Methods: Outpatient/patients receiving home PN were surveyed. Questions were developed to characterize the population and determine the extent and severity of PN access issues with components, devices, healthcare professionals, and transfers of care. Reimbursement issues surveyed included insurance coverage, contribution of healthcare costs to annual income, and the extent to which adjunctive therapy was reimbursed. Burdens surveyed included impact on disease symptoms and medical outcomes as well as the types and frequency of medical or system errors experienced, adverse events, or resultant nutrition problems.Results: Respondents (N = 170) were well educated, rented or owned their own home, and were either employed or retired. All age populations were represented. Patients made frequent contact with care providers. Most were able to manage PN costs but feared losing insurance or changes to insurance. Patients used additional prescribed therapies that are poorly covered by insurance. Patients reported symptoms or exacerbation of disease, development or worsening of malnutrition, and episodes of nutrient deficiency. Patients noted errors occur, especially during periods of transitions of care, when they also often encounter clinicians with little understanding of PN. These are high-acuity patients who have difficulty finding providers for their care.Conclusion: This patient survey provides evidence that access issues can result in the \"failure of the PN system\" to assure care is consistently safe and effective.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"1164-1181"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634124","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

Prevention of complications for hospitalized patients receiving parenteral nutrition: A narrative review. 预防接受肠外营养的住院病人出现并发症：综述。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-08-16 DOI: 10.1002/ncp.11201

Dina Al-Zubeidi, Mary Beth Davis, Riad Rahhal

引用次数: 0

Enhancing nutritional formula expiry monitoring: A quality improvement project in a tertiary-level hospital in Riyadh, Saudi Arabia. 加强营养配方奶过期监测：沙特阿拉伯利雅得一家三级医院的质量改进项目。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 10.1002/ncp.11172

Sawsan Albalawi, Rania AlObari, Eyad AlMidani, Rafat Malkawi, Dima Abosaleh, Sozan Qarni, Sasikalan Subrayan, Saif Almuteiry, Leodevina Abel-Reyes, Bader Alhazaa, Raghad Alhuthil

{"title":"Enhancing nutritional formula expiry monitoring: A quality improvement project in a tertiary-level hospital in Riyadh, Saudi Arabia.","authors":"Sawsan Albalawi, Rania AlObari, Eyad AlMidani, Rafat Malkawi, Dima Abosaleh, Sozan Qarni, Sasikalan Subrayan, Saif Almuteiry, Leodevina Abel-Reyes, Bader Alhazaa, Raghad Alhuthil","doi":"10.1002/ncp.11172","DOIUrl":"10.1002/ncp.11172","url":null,"abstract":"Background: Nutrition is a vital part of any treatment plan. This may include providing nutritional formulas during hospitalization and afterward. However, reported incidents showed that we had issues with nutritional formula expiry monitoring at our hospital with low compliance to Joint Commission International Standards (MMU.3.1): \"There is a process for storage of medications and nutritional products that require special consideration.\" Therefore, a \"Nutritional Formula Expiry Monitoring\" project was created to decrease hospital safety incidents related to expired nutritional formulas from an average of 28 in 2015 to zero by 2018.Materials and methods: A quality improvement model was developed to map the existing formula processes. Several proposed ideas were tested including performing a hospital-wide audit to examine possible risks and practices, developing a hospital policy, flow charts, forms, and audit tools, and providing educational presentations.Results: A total of 40 units in the hospital were included in the implementation. After implementing all the change ideas, the system for monitoring the expiry of the nutritional formula was standardized, and the number of reported incidents related to the nutritional formula decreased from 28 in the third quarter of 2015 to one in the first quarter of 2018.Conclusion: This project provided step-by-step instructions for improving storing, delivering, and monitoring of nutritional formula. Consequently, the incidences of expired formula and cost wasting were successfully decreased, which increased safe administration and prevented patients from receiving expired nutritional formula. This project can be implemented in various healthcare settings.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"1227-1238"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141420094","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