Nutritional status of trauma patients hospitalized at surgical intensive care unit
https://doi.org/10.4081/ejtm.2020.8721
HTML: 26
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Malnutrition results from a decrease or increase or imbalance of energy, protein and other nutrients, leading to measurable negative effects on body tissue, body shape, organ function and clinical status. Research shows that nutritional support is one of the necessary processes for survival of traumatic patient hospitalized at surgical intensive care unit. The purpose of this study is to evaluate the nutritional status of trauma patients hospitalized at surgical intensive care unit of Kowsar Hospital in Semnan, Iran. This cross-sectional descriptive study was performed on patients older than 18 years with head, neck and femur injuries. Initial data were collected using a checklist containing demographic information questions, designed from the Ministry of Health and Medical Education's Nutrition Screening Form, which was available in the Nutrition Assessment Forms and Guidelines for Hospitalized Patients Approved in 2013. The data were analyzed using Chi-square or Fisher's exact tests, paired t-test and Pearson coefficient. The confidence level was 95% and significance level was less than 0.05 in all tests. The amount of energy determined by the intensive care unit for the patients, with a significantly lower relationship than the amount of energy required by the patients for 24 hours, based on the Harris Benedict formula was (918.20±474.80 calories vs. 1535.76±243.73 calories, respectively and P-value˂0.001). The amount of protein determined by the intensive care unit for the patients for 24 hours, with a significantly relationship lower than the protein required for the patients for 24 hours, was (51.68±34.39 vs. 106.57±13.67, respectively, and P-value˂ 0.001). There was a statistically significant relationship between the age of the patients and energy (P˂0.001) and protein (P˂0.001) determined by the intensive care unit for the patients for 24 hours and energy (P˂0.001) and protein (P˂0.001) required for the patients for 24 hours. The results of this study showed that both the amount of energy and the amount of protein determined by the intensive care unit for trauma patients for less than 24 hours were lower than the required level; therefore, dietary modification for these patients is recommended.
Mardani M, Seifi F, Ebrahimzadeh F. Nutritional Assessment of patients at admitted and discharge in orthopedic section of Khorramabad Shohada Ashaier hospital. Yafteh. 2014; 15(1): 5-12.
Raslan M, Gonzalez MC, Dias MCG, Nascimento M, Castro M, Marques P. Comparison of nutritional risk screening tools for predicting clinical outcomes in hospitalized patients. Nutrition. 2010; 26(7): 721-6. DOI: https://doi.org/10.1016/j.nut.2009.07.010
Aguilar-Nascimento JE, Kudsk KA. Early nutritional therapy: the role of enteral and parenteral routes. Curr Opin Clin Nutr Metab Care. 2008; 11(3): 255-60. DOI: https://doi.org/10.1097/MCO.0b013e3282fba5c6
Dvir D, Cohen J, Singer P. Computerized energy balance and complications in critically ill patients: an observational study. Clin Nutr. 2006; 25(1): 37-44. DOI: https://doi.org/10.1016/j.clnu.2005.10.010
Sungurtekin H, Sungurtekin U, Oner O , Okke D. Nutrition Assessment in Critically Ill Patients. Nutrition Clinical Practice. 2008; 23(6): 635-41. DOI: https://doi.org/10.1177/0884533608326137
Martins JR, Shiroma GM, Horie LM, Logullo L, Silva Mde L, Waitzberg DL. Factors leading to discrepancies between prescription and intake of enteral nutrition therapy in hospitalized patients. Nutrition. 2012; 28(9): 864-7. DOI: https://doi.org/10.1016/j.nut.2011.07.025
Giner M, Laviano A, Meguid MM, Gleason JR. In 1995 a correlation between malnutrition and poor outcome in critically ill patients still exists. Nutrition. 1996; 12(1): 23-9. DOI: https://doi.org/10.1016/0899-9007(95)00015-1
Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med. 2001; 29(12): 2264-70. DOI: https://doi.org/10.1097/00003246-200112000-00005
Parrish CR, McCray SF. Nutrition support for the mechanically ventilated patient. Crit Care Nurse. 2003; 23(1): 77-80. DOI: https://doi.org/10.4037/ccn2003.23.1.77
Kruizenga HM, Van Tulder MW, Seidell JC, Thijs A, Ader HJ, Van Bokhorst-de van der Schueren MA. Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. Am J Clin Nutr. 2005; 82(5): 1082-9. DOI: https://doi.org/10.1093/ajcn/82.5.1082
Payne- James J, Grimble G, Silk D. artificial nutrition support in clinical practice,2nd ed. London: MPG Book; 2001.P.325-329.
Krishnan JA, Parce PB, Martinez A, Diette GB, Brower RGCaloric intake in medical ICU patients: consistency of care with guidelines and relationship to clinical outcomes. Chest. 2003; 124(1): 297-305. DOI: https://doi.org/10.1378/chest.124.1.297
Wyszynski DF, Perman MAC. Prevalence of hospital malnutrition in Argentina: preliminary results of a population-based study. Nutrition. 2003; 19(2): 115-9. DOI: https://doi.org/10.1016/S0899-9007(02)00925-5
Sheean PM, Peterson SJ, Gurka DP. Nutrition assessment: the reproducibility of subjective global assessment in patients requiring mechanical ventilation. EJCN. 2010 1; 64(11): 1358-64. DOI: https://doi.org/10.1038/ejcn.2010.154
Fruchtenicht AV, Poziomyck AK, Kabke GB, Loss SH, Antoniazzi JL, Steemburgo T. Nutritional risk assessment in critically ill cancer patients: systematic review. Rev Bras Ter 2015; 27(3): 274-83. DOI: https://doi.org/10.5935/0103-507X.20150032
Wei X, Day AG, Ouellette-Kuntz H, Heyland DK. The Association Between Nutritional Adequacy and Long-Term Outcomes in Critically Ill Patients Requiring Prolonged Mechanical Ventilation: A Multicenter Cohort Study. Crit Care Med. 2015; 43(8): 1569-79. DOI: https://doi.org/10.1097/CCM.0000000000001000
Alberda C, Gramlich L, Jones N, Jeejeebhoy K, Day AG, Dhaliwal R, Heyland DK. The relationship between nutritional intake and clinical outcomes in critically ill patients: results of an international multicenter observational study. Intensive Care Med. 2009; 35(10): 1728-37. DOI: https://doi.org/10.1007/s00134-009-1567-4
O'Flynn J, Peake H, Hickson M, Foster D, Frost G. The prevalence of malnutrition in hospitals can be reduced: results from three consecutive cross-sectional studies. Clin Nutr. 2005; 24(6): 1078-88. DOI: https://doi.org/10.1016/j.clnu.2005.08.012
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
