TY - JOUR
T1 - Nutritional adequacy in critically ill patients
T2 - Result of PNSI study
AU - Javid, Zeinab
AU - Shadnoush, Mahdi
AU - Khadem-Rezaiyan, Majid
AU - Mohammad Zadeh Honarvar, Niyaz
AU - Sedaghat, Alireza
AU - Hashemian, Seyed Mohammadreza
AU - Ardehali, Seyed Hossein
AU - Nematy, Mohsen
AU - Pournik, Omid
AU - Beigmohammadi, Mohammad Taghi
AU - Safarian, Mohammad
AU - Moradi Moghaddam, Omid
AU - Khoshfetrat, Masoum
AU - Zand, Farid
AU - Mohammad Alizadeh, Afshin
AU - Kosari Monfared, Mahboube
AU - Mazaheri Eftekhar, Fatemeh
AU - Mohamadi Narab, Maryam
AU - Taheri, Arefe Sadat
AU - Babakhani, Khatereh
AU - Foroutan, Behnam
AU - Jamialahmadi, Tannaz
AU - Jabbarzadeh Gangeh, Bahareh
AU - Meshkani, Mehrnoush
AU - Kimiaee, Fahime
AU - Norouzy, Abdolreza
N1 - Publisher Copyright:
© 2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism
PY - 2021/2
Y1 - 2021/2
N2 - Background & aims: Critically ill patients are provided with the intensive care medicine to prevent further complications, including malnutrition, disease progression, and even death. This study was intended to assess nutritional support and its' efficacy in the Intensive Care Units (ICUs) of Iran. 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.
AB - Background & aims: Critically ill patients are provided with the intensive care medicine to prevent further complications, including malnutrition, disease progression, and even death. This study was intended to assess nutritional support and its' efficacy in the Intensive Care Units (ICUs) of Iran. 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.
KW - Energy intake
KW - Intensive care unit
KW - Nutritional support
KW - Protein deficiency
UR - http://www.scopus.com/inward/record.url?scp=85088293431&partnerID=8YFLogxK
U2 - 10.1016/j.clnu.2020.05.047
DO - 10.1016/j.clnu.2020.05.047
M3 - Article
C2 - 32711949
AN - SCOPUS:85088293431
SN - 0261-5614
VL - 40
SP - 511
EP - 517
JO - Clinical Nutrition
JF - Clinical Nutrition
IS - 2
ER -