Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals
Abstract Background There is a lack of large-scale epidemiological data on the clinical practice of enteral nutrition (EN) feeding in China. This study aimed to provide such data on Chinese hospitals and to investigate factors associated with EN delivery. Methods This cross-sectional study was launc...
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-09-01
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| Series: | Critical Care |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13054-018-2159-x |
| _version_ | 1819170930525470720 |
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| author | Juan Xing Zhongheng Zhang Lu Ke Jing Zhou Bingyu Qin Hongkai Liang Xiaomei Chen Wenming Liu Zhongmin Liu Yuhang Ai Difeng Wang Qiuhui Wang Qingshan Zhou Fusen Zhang Kejian Qian Dongpo Jiang Bin Zang Yimin Li Xiaobo Huang Yan Qu Yinguang Xie Donglin Xu Zhiqiang Zou Xiangde Zheng Jianbo Liu Feng Guo Yafeng Liang Qiang Sun Hongmei Gao Yang Liu Ping Chang Aibin Ceng Rongli Yang Gaiqi Yao Yun Sun Xiaorong Wang Yi Zhang Yichao Wen Jian Yu Rongqing Sun Zhiwei Li Shiying Yuan Yunlin Song Peiyang Gao Haiyan Liu Zhaohui Zhang Yunfu Wu Biao Ma Qiang Guo Feng Shan Mingshi Yang Hailing Li Yuanfei Li Weihua Lu Lei Wang Chuangyun Qian Zhiyong Wang Jiandong Lin Rumin Zhang Peng Wan Zhiyong Peng Yuqiang Gong Linxi Huang Guobao Wu Jie Sun Yijun Deng Dongwu Shi Lixin Zhou Fachun Zhou Qindong Shi Xiaodong Guo Xueyan Liu Weidong Wu Xiangzhong Meng Liandi Li Weiwei Chen Shusheng Li Xianyao Wan Zhixin Chao An Zhang Liming Gu Wei Chen Jinglan Wu Lihua Zhou Zhenhuan Zhang Yibing Weng Yongshun Feng Chunli Yang Yongjian Feng Sumin Zhao Fei Tong Dong Hao Hui Han Baocai Fu Chuanyong Gong Zhiping Li Kunlin Hu Qiuye Kou Han Zhang Jie Liu Chuming Fan Xin Zhou Xiumei Chen Junli Sun Xuejun Zhou Bin Song Cheng Sun Liyun Zhao Xinglu Dong Linlin Zhang Dafei Tong Zhiguo Pan Chuangjie Cai Donghao Wang Yingjun Dong Yuanqi Gong Zhisong Wu Xinke Meng Ping Wang Weiqin Li |
| author_facet | Juan Xing Zhongheng Zhang Lu Ke Jing Zhou Bingyu Qin Hongkai Liang Xiaomei Chen Wenming Liu Zhongmin Liu Yuhang Ai Difeng Wang Qiuhui Wang Qingshan Zhou Fusen Zhang Kejian Qian Dongpo Jiang Bin Zang Yimin Li Xiaobo Huang Yan Qu Yinguang Xie Donglin Xu Zhiqiang Zou Xiangde Zheng Jianbo Liu Feng Guo Yafeng Liang Qiang Sun Hongmei Gao Yang Liu Ping Chang Aibin Ceng Rongli Yang Gaiqi Yao Yun Sun Xiaorong Wang Yi Zhang Yichao Wen Jian Yu Rongqing Sun Zhiwei Li Shiying Yuan Yunlin Song Peiyang Gao Haiyan Liu Zhaohui Zhang Yunfu Wu Biao Ma Qiang Guo Feng Shan Mingshi Yang Hailing Li Yuanfei Li Weihua Lu Lei Wang Chuangyun Qian Zhiyong Wang Jiandong Lin Rumin Zhang Peng Wan Zhiyong Peng Yuqiang Gong Linxi Huang Guobao Wu Jie Sun Yijun Deng Dongwu Shi Lixin Zhou Fachun Zhou Qindong Shi Xiaodong Guo Xueyan Liu Weidong Wu Xiangzhong Meng Liandi Li Weiwei Chen Shusheng Li Xianyao Wan Zhixin Chao An Zhang Liming Gu Wei Chen Jinglan Wu Lihua Zhou Zhenhuan Zhang Yibing Weng Yongshun Feng Chunli Yang Yongjian Feng Sumin Zhao Fei Tong Dong Hao Hui Han Baocai Fu Chuanyong Gong Zhiping Li Kunlin Hu Qiuye Kou Han Zhang Jie Liu Chuming Fan Xin Zhou Xiumei Chen Junli Sun Xuejun Zhou Bin Song Cheng Sun Liyun Zhao Xinglu Dong Linlin Zhang Dafei Tong Zhiguo Pan Chuangjie Cai Donghao Wang Yingjun Dong Yuanqi Gong Zhisong Wu Xinke Meng Ping Wang Weiqin Li |
| author_sort | Juan Xing |
| collection | DOAJ |
| description | Abstract Background There is a lack of large-scale epidemiological data on the clinical practice of enteral nutrition (EN) feeding in China. This study aimed to provide such data on Chinese hospitals and to investigate factors associated with EN delivery. Methods This cross-sectional study was launched in 118 intensive care units (ICUs) of 116 mainland hospitals and conducted on April 26, 2017. At 00:00 on April 26, all patients in these ICUs were included. Demographic and clinical variables of patients on April 25 were obtained. The dates of hospitalization, ICU admission and nutrition initiation were reviewed. The outcome status 28 days after the day of investigation was obtained. Results A total of 1953 patients were included for analysis, including 1483 survivors and 312 nonsurvivors. The median study day was day 7 (IQR 2–19 days) after ICU entry. The proportions of subjects starting EN within 24, 48 and 72 h after ICU entry was 24.8% (84/352), 32.7% (150/459) and 40.0% (200/541), respectively. The proportion of subjects receiving > 80% estimated energy target within 24, 48, 72 h and 7 days after ICU entry was 10.5% (37/352), 10.9% (50/459), 11.8% (64/541) and 17.8% (162/910), respectively. Using acute gastrointestinal injury (AGI) 1 as the reference in a Cox model, patients with AGI 2–3 were associated with reduced likelihood of EN initiation (HR 0.46, 95% CI 0.353–0.599; p < 0.001). AGI 4 was significantly associated with lower hazard of EN administration (HR 0.056; 95% CI 0.008–0.398; p = 0.004). In a linear regression model, greater Sequential Organ Failure Assessment scores (coefficient – 0.002, 95% CI – 0.008 to − 0.001; p = 0.024) and male gender (coefficient – 0.144, 95% CI – 0.203 to − 0.085; p < 0.001) were found to be associated with lower EN proportion. As compared with AGI 1, AGI 2–3 was associated with lower EN proportion (coefficient – 0.206, 95% CI – 0.273 to − 0.139; p < 0.001). Conclusions The study showed that EN delivery was suboptimal in Chinese ICUs. More attention should be paid to EN use in the early days after ICU admission. |
| first_indexed | 2024-12-22T19:43:13Z |
| format | Article |
| id | doaj.art-39001d6458d54ed38893d280cef9c925 |
| institution | Directory Open Access Journal |
| issn | 1364-8535 |
| language | English |
| last_indexed | 2024-12-22T19:43:13Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Critical Care |
| spelling | doaj.art-39001d6458d54ed38893d280cef9c9252022-12-21T18:14:45ZengBMCCritical Care1364-85352018-09-0122111110.1186/s13054-018-2159-xEnteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitalsJuan Xing0Zhongheng Zhang1Lu Ke2Jing Zhou3Bingyu Qin4Hongkai Liang5Xiaomei Chen6Wenming Liu7Zhongmin Liu8Yuhang Ai9Difeng Wang10Qiuhui Wang11Qingshan Zhou12Fusen Zhang13Kejian Qian14Dongpo Jiang15Bin Zang16Yimin Li17Xiaobo Huang18Yan Qu19Yinguang Xie20Donglin Xu21Zhiqiang Zou22Xiangde Zheng23Jianbo Liu24Feng Guo25Yafeng Liang26Qiang Sun27Hongmei Gao28Yang Liu29Ping Chang30Aibin Ceng31Rongli Yang32Gaiqi Yao33Yun Sun34Xiaorong Wang35Yi Zhang36Yichao Wen37Jian Yu38Rongqing Sun39Zhiwei Li40Shiying Yuan41Yunlin Song42Peiyang Gao43Haiyan Liu44Zhaohui Zhang45Yunfu Wu46Biao Ma47Qiang Guo48Feng Shan49Mingshi Yang50Hailing Li51Yuanfei Li52Weihua Lu53Lei Wang54Chuangyun Qian55Zhiyong Wang56Jiandong Lin57Rumin Zhang58Peng Wan59Zhiyong Peng60Yuqiang Gong61Linxi Huang62Guobao Wu63Jie Sun64Yijun Deng65Dongwu Shi66Lixin Zhou67Fachun Zhou68Qindong Shi69Xiaodong Guo70Xueyan Liu71Weidong Wu72Xiangzhong Meng73Liandi Li74Weiwei Chen75Shusheng Li76Xianyao Wan77Zhixin Chao78An Zhang79Liming Gu80Wei Chen81Jinglan Wu82Lihua Zhou83Zhenhuan Zhang84Yibing Weng85Yongshun Feng86Chunli Yang87Yongjian Feng88Sumin Zhao89Fei Tong90Dong Hao91Hui Han92Baocai Fu93Chuanyong Gong94Zhiping Li95Kunlin Hu96Qiuye Kou97Han Zhang98Jie Liu99Chuming Fan100Xin Zhou101Xiumei Chen102Junli Sun103Xuejun Zhou104Bin Song105Cheng Sun106Liyun Zhao107Xinglu Dong108Linlin Zhang109Dafei Tong110Zhiguo Pan111Chuangjie Cai112Donghao Wang113Yingjun Dong114Yuanqi Gong115Zhisong Wu116Xinke Meng117Ping Wang118Weiqin Li119Nanjing General Hospital of Nanjing Military CommandDepartment of emergency medicine, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineNanjing General Hospital of Nanjing Military CommandNanjing General Hospital of Nanjing Military CommandHenan Provincial People’s HospitalZhongshan People’s HospitalShandong University Qilu HospitalChangzhou No.2 People’s Hospital affiliated to Nanjing Medical UniversityJilin University First HospitalXiangya Hospital Central South UniversityGuizhou Medical University affiliated hospitalWuxi People’s HospitalHubei Provincial People’s HospitalTai’an Central HospitalFirst Affiliated Hospital of Nanchang UniversityThird Military Medical University Daping HospitalChina Medical University Second Affiliated HospitalGuangzhou Medical University First Affiliated HospitalSichuan Provincial People’s HospitalQingdao Municipal Hospital GroupJining First People’s HospitalGuangzhou First Municipal People’s HospitalXiehe Affiliated Hospital of Fujian Medical UniversityDazhou Central HospitalInner Mongolia People’s HospitalZhejiang University School of Medicine Sir Run Run Shaw HospitalQindao University Medical College Affiliated Yantai Yuhuangding HospitalTianjing People’s HospitalTianjing First Central HospitalTangshan Gongren HospitalSouthern Medical University Zhujiang HospitalNorth China University of Science and Technology Affiliated HospitalDalian Central HospitalPeking University Third HospitalAnhui Medical University Second Affiliated HospitalWenzhou Medical University First Affiliated HospitalShanxi Provincial People’s HospitalGuangzhou Medical University Second Affiliated HospitalSecond Affiliated Hospital of Dalian Medical UniversityZhengzhou University First Affiliated HospitalFirst People’s Hospital of KunmingUnion Hospital Affiliated to Tongji Medical College of Huanzhong University of Science and TechnologyXinjiang Medical University Affiliated First HospitalChengdu University of Traditional Chinese Medicine Affiliated HospitalFirst Affiliated Hospital of Anhui Medical UniversityYichang Central People’s HospitalSuzhou Municipal HospitalJining Medical College Affiliated HospitalFirst Affiliated Hospital of Soochow UniversityQindao University Medical College Affiliated HospitalCentral South University Third Xiangya Hospital401 Military Hospital of ChinaChangsha Central HospitalYijishan Hospital of Wannan Medical CollegeShanxi Medical University First Affiliated HospitalKuming Medical University First Affiliated HospitalHebei Medical University Third Affiliated HospitalFirst Affiliated Hospital of Fujian Medical UniversityZibo Central HospitalFirst People’s Hospital of YichangWuhan University Zhongnan HospitalWenzhou Medical University Second Affiliated HospitalShantou University Medical College First Affiliated HospitalZhongnan University Xiangya Second HospitalYunnan Second People’s HospitalYancheng First People’s HospitalShanxi Provincial People’s HospitalFirst People’s Hospital of FoshanChongqing Medical University First Affiliated HospitalXi’an Jiao Tong University First Affiliated HospitalBeijing Wujing General HospitalShenzhen People’s HospitalShanxi Dayi Hospital of Shanxi Academy of Medical Science254 Military Hospital of ChinaQingdao University Affiliated HospitalLinhai First People’s HospitalTongji Hospital of Tongji Medical College of Huazhong University of Science and TechnologyFirst Affiliated Hospital of Dalian Medical UniversityBeijing Chaoyang HospitalChongqing Medical University Second Affiliated HospitalPeople’s Hospital of Yuxi CityShijitan Hospital of Capital Medical UniversityShenzhen Nanshan People’s HospitalAffiliated Hospital of Inner Mongolia Medical CollegeBenq HospitalLuhe HospitalBeijing Jingmei Group General HospitalJiangxi Provincial People’s HospitalJinan University First Affiliated HospitalGeneral Hospital of Rocket ArmyHebei Medical University Second Affiliated HospitalBinzhou Medical College Affiliated HospitalChinese PLA General HospitalYantai Mountain HospitalTianjing Hospital of ITCWM Nankai HospitalHunan Provincial People’s HospitalPeople’s Hospital of Guangxi Zhuang Autonomous RegionSun Yat-sen University Sixth Affiliated HospitalChina Academy of Chinese Medical Sciences Xiyuan HospitalWuhan General Hospital of Guangzhou Military RegionFirst People’s Hospital of YunnanXinjiang Military General HospitalMiyun Hospital of BeijingLuoyang Central HospitalHuairou First Hospital of BeijingMilitary General Hospital of Beijing PLAGuangdong Provincial People’s HospitalGuangdong Second TCM HospitalBeijing Hospital of TCMAnhui Provincial HospitalShenyang First People’s HospitalGuangzhou Military General HospitalSun Yat-sen University First Affiliated HospitalTianjing Cancer HospitalShanxi Cancer HospitalNanchang University Second Affiliated HospitalBeijing University of Chinese Medicine Affiliated Dongfang HospitalShenzhen Second People’s HospitalChendu Fifth People’s HospitalNanjing General Hospital of Nanjing Military CommandAbstract Background There is a lack of large-scale epidemiological data on the clinical practice of enteral nutrition (EN) feeding in China. This study aimed to provide such data on Chinese hospitals and to investigate factors associated with EN delivery. Methods This cross-sectional study was launched in 118 intensive care units (ICUs) of 116 mainland hospitals and conducted on April 26, 2017. At 00:00 on April 26, all patients in these ICUs were included. Demographic and clinical variables of patients on April 25 were obtained. The dates of hospitalization, ICU admission and nutrition initiation were reviewed. The outcome status 28 days after the day of investigation was obtained. Results A total of 1953 patients were included for analysis, including 1483 survivors and 312 nonsurvivors. The median study day was day 7 (IQR 2–19 days) after ICU entry. The proportions of subjects starting EN within 24, 48 and 72 h after ICU entry was 24.8% (84/352), 32.7% (150/459) and 40.0% (200/541), respectively. The proportion of subjects receiving > 80% estimated energy target within 24, 48, 72 h and 7 days after ICU entry was 10.5% (37/352), 10.9% (50/459), 11.8% (64/541) and 17.8% (162/910), respectively. Using acute gastrointestinal injury (AGI) 1 as the reference in a Cox model, patients with AGI 2–3 were associated with reduced likelihood of EN initiation (HR 0.46, 95% CI 0.353–0.599; p < 0.001). AGI 4 was significantly associated with lower hazard of EN administration (HR 0.056; 95% CI 0.008–0.398; p = 0.004). In a linear regression model, greater Sequential Organ Failure Assessment scores (coefficient – 0.002, 95% CI – 0.008 to − 0.001; p = 0.024) and male gender (coefficient – 0.144, 95% CI – 0.203 to − 0.085; p < 0.001) were found to be associated with lower EN proportion. As compared with AGI 1, AGI 2–3 was associated with lower EN proportion (coefficient – 0.206, 95% CI – 0.273 to − 0.139; p < 0.001). Conclusions The study showed that EN delivery was suboptimal in Chinese ICUs. More attention should be paid to EN use in the early days after ICU admission.http://link.springer.com/article/10.1186/s13054-018-2159-xEnteral feedingIntensive care unitsCross-sectional study |
| spellingShingle | Juan Xing Zhongheng Zhang Lu Ke Jing Zhou Bingyu Qin Hongkai Liang Xiaomei Chen Wenming Liu Zhongmin Liu Yuhang Ai Difeng Wang Qiuhui Wang Qingshan Zhou Fusen Zhang Kejian Qian Dongpo Jiang Bin Zang Yimin Li Xiaobo Huang Yan Qu Yinguang Xie Donglin Xu Zhiqiang Zou Xiangde Zheng Jianbo Liu Feng Guo Yafeng Liang Qiang Sun Hongmei Gao Yang Liu Ping Chang Aibin Ceng Rongli Yang Gaiqi Yao Yun Sun Xiaorong Wang Yi Zhang Yichao Wen Jian Yu Rongqing Sun Zhiwei Li Shiying Yuan Yunlin Song Peiyang Gao Haiyan Liu Zhaohui Zhang Yunfu Wu Biao Ma Qiang Guo Feng Shan Mingshi Yang Hailing Li Yuanfei Li Weihua Lu Lei Wang Chuangyun Qian Zhiyong Wang Jiandong Lin Rumin Zhang Peng Wan Zhiyong Peng Yuqiang Gong Linxi Huang Guobao Wu Jie Sun Yijun Deng Dongwu Shi Lixin Zhou Fachun Zhou Qindong Shi Xiaodong Guo Xueyan Liu Weidong Wu Xiangzhong Meng Liandi Li Weiwei Chen Shusheng Li Xianyao Wan Zhixin Chao An Zhang Liming Gu Wei Chen Jinglan Wu Lihua Zhou Zhenhuan Zhang Yibing Weng Yongshun Feng Chunli Yang Yongjian Feng Sumin Zhao Fei Tong Dong Hao Hui Han Baocai Fu Chuanyong Gong Zhiping Li Kunlin Hu Qiuye Kou Han Zhang Jie Liu Chuming Fan Xin Zhou Xiumei Chen Junli Sun Xuejun Zhou Bin Song Cheng Sun Liyun Zhao Xinglu Dong Linlin Zhang Dafei Tong Zhiguo Pan Chuangjie Cai Donghao Wang Yingjun Dong Yuanqi Gong Zhisong Wu Xinke Meng Ping Wang Weiqin Li Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals Critical Care Enteral feeding Intensive care units Cross-sectional study |
| title | Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals |
| title_full | Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals |
| title_fullStr | Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals |
| title_full_unstemmed | Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals |
| title_short | Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals |
| title_sort | enteral nutrition feeding in chinese intensive care units a cross sectional study involving 116 hospitals |
| topic | Enteral feeding Intensive care units Cross-sectional study |
| url | http://link.springer.com/article/10.1186/s13054-018-2159-x |
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