Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study
Background and Aims: Early identification of malnutrition among hospitalised patients is essential to institute appropriate patient-specific nutritional strategies. This study was conducted to evaluate the nutritional status of medical patients at admission to the adult intensive care unit (ICU) and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=1;spage=29;epage=35;aulast=Verghese |
| _version_ | 1818386892817694720 |
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| author | Prashant Paul Verghese Ashu Sara Mathai Valsamma Abraham Paramdeep Kaur |
| author_facet | Prashant Paul Verghese Ashu Sara Mathai Valsamma Abraham Paramdeep Kaur |
| author_sort | Prashant Paul Verghese |
| collection | DOAJ |
| description | Background and Aims: Early identification of malnutrition among hospitalised patients is essential to institute appropriate patient-specific nutritional strategies. This study was conducted to evaluate the nutritional status of medical patients at admission to the adult intensive care unit (ICU) and to identify factors which prevent attainment of daily feeding goals in them. Methods: This was a 1 year prospective, observational study on 200 medical adult ICU patients. The study was carried out based on daily documentation. The primary outcome was the nutritional status of medical Patients at admission to the adult ICU. The tests for statistical analysis used were independent t test, Chi-square test, Fisher's exact test and multivariate logistic regression analysis. Results: Out of the 200 patients in our study, 45%, 48.5% and 9% of patients had mild, moderate and severe malnutrition, respectively, corresponding to subjective global assessment (SGA) rating A,B and C, respectively. The most common reasons for non-attainment of daily feeding goals were delayed feed procurement (17.57%), and feeds being held for procedures (16.36%). The overall mean length of ICU stay was 8.63 ± 7.26 days, and the ICU mortality rate was 47.5% (95/200). Patients with SGA rating B and C at admission had higher risk of mortality in the ICU, with an adjusted odds ratio of 3.54 (95% confidence interval [CI]- 1.71–7.33, P = 0.001) and 11.11 (95% CI-2.26–54.66, P = 0.003), respectively. Conclusion: Malnutrition is commonly present at admission among medical ICU patients, and is associated with higher ICU mortality. |
| first_indexed | 2024-12-14T04:01:16Z |
| format | Article |
| id | doaj.art-12c8c9e2cc704ce2ba9533ddcd822c80 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-12-14T04:01:16Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-12c8c9e2cc704ce2ba9533ddcd822c802022-12-21T23:17:56ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172018-01-01621293510.4103/ija.IJA_513_17Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational studyPrashant Paul VergheseAshu Sara MathaiValsamma AbrahamParamdeep KaurBackground and Aims: Early identification of malnutrition among hospitalised patients is essential to institute appropriate patient-specific nutritional strategies. This study was conducted to evaluate the nutritional status of medical patients at admission to the adult intensive care unit (ICU) and to identify factors which prevent attainment of daily feeding goals in them. Methods: This was a 1 year prospective, observational study on 200 medical adult ICU patients. The study was carried out based on daily documentation. The primary outcome was the nutritional status of medical Patients at admission to the adult ICU. The tests for statistical analysis used were independent t test, Chi-square test, Fisher's exact test and multivariate logistic regression analysis. Results: Out of the 200 patients in our study, 45%, 48.5% and 9% of patients had mild, moderate and severe malnutrition, respectively, corresponding to subjective global assessment (SGA) rating A,B and C, respectively. The most common reasons for non-attainment of daily feeding goals were delayed feed procurement (17.57%), and feeds being held for procedures (16.36%). The overall mean length of ICU stay was 8.63 ± 7.26 days, and the ICU mortality rate was 47.5% (95/200). Patients with SGA rating B and C at admission had higher risk of mortality in the ICU, with an adjusted odds ratio of 3.54 (95% confidence interval [CI]- 1.71–7.33, P = 0.001) and 11.11 (95% CI-2.26–54.66, P = 0.003), respectively. Conclusion: Malnutrition is commonly present at admission among medical ICU patients, and is associated with higher ICU mortality.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=1;spage=29;epage=35;aulast=VergheseEnteral nutritionintensive care unitmalnutritionsubjective global assessment |
| spellingShingle | Prashant Paul Verghese Ashu Sara Mathai Valsamma Abraham Paramdeep Kaur Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study Indian Journal of Anaesthesia Enteral nutrition intensive care unit malnutrition subjective global assessment |
| title | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
| title_full | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
| title_fullStr | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
| title_full_unstemmed | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
| title_short | Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study |
| title_sort | assessment of malnutrition and enteral feeding practices in the critically ill a single centre observational study |
| topic | Enteral nutrition intensive care unit malnutrition subjective global assessment |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=1;spage=29;epage=35;aulast=Verghese |
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