Impact and outcomes of nutritional support team intervention in patients with gastrointestinal disease in the intensive care unit

Yong Eun Park, Soo Jung Park, Yehyun Park, JaeHee Cheon, Tae Il Kim, Won Ho Kim

Research output: Contribution to journalArticle

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Abstract

Nutritional support has become an important intervention for critically ill patients. Many studies have reported on the effects of nutritional support for the patients within the intensive care unit (ICU); however, no studies have specifically assessed patients with gastrointestinal diseases who may have difficulty absorbing enteral nutrition (EN) in the ICU. Sixty-two patients with gastrointestinal disease were admitted to the ICU between August 2014 and August 2016 at a single tertiary university hospital. We analyzed 2 different patient groups in a retrospective cohort study: those who received nutritional support team (NST) intervention and those who did not. Forty-four (71.0%) patients received nutritional support in ICU and 18 (29.0%) did not. Variables including male sex, high albumin or prealbumin level at the time of ICU admission, and short transition period into EN showed statistically significant association with lower mortality on the univariate analysis (all P < .05). Multivariate analysis revealed that longer length of hospital stay (P = .013; hazard ratio [HR], 0.972; 95% confidence interval [CI], 0.951-0.994), shorter transition into EN (P = .014; HR, 1.040; 95% CI, 1.008-1.072), higher prealbumin level (P = .049; HR, 0.988; 95% CI, 0.976-1.000), and NST intervention (P = .022; HR, 0.356; 95% CI, 0.147-0.862) were independent prognostic factors for lower mortality. In conclusion, NST intervention related to early initiated EN, and high prealbumin levels are beneficial to decrease mortality in the acutely ill patients with GI disease.

Original languageEnglish
Article numbere8776
JournalMedicine (United States)
Volume96
Issue number49
DOIs
Publication statusPublished - 2017 Dec 1

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Nutritional Support
Gastrointestinal Diseases
Intensive Care Units
Enteral Nutrition
Prealbumin
Confidence Intervals
Mortality
Length of Stay
Tertiary Care Centers
Critical Illness
Albumins
Cohort Studies
Multivariate Analysis
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Impact and outcomes of nutritional support team intervention in patients with gastrointestinal disease in the intensive care unit",
abstract = "Nutritional support has become an important intervention for critically ill patients. Many studies have reported on the effects of nutritional support for the patients within the intensive care unit (ICU); however, no studies have specifically assessed patients with gastrointestinal diseases who may have difficulty absorbing enteral nutrition (EN) in the ICU. Sixty-two patients with gastrointestinal disease were admitted to the ICU between August 2014 and August 2016 at a single tertiary university hospital. We analyzed 2 different patient groups in a retrospective cohort study: those who received nutritional support team (NST) intervention and those who did not. Forty-four (71.0{\%}) patients received nutritional support in ICU and 18 (29.0{\%}) did not. Variables including male sex, high albumin or prealbumin level at the time of ICU admission, and short transition period into EN showed statistically significant association with lower mortality on the univariate analysis (all P < .05). Multivariate analysis revealed that longer length of hospital stay (P = .013; hazard ratio [HR], 0.972; 95{\%} confidence interval [CI], 0.951-0.994), shorter transition into EN (P = .014; HR, 1.040; 95{\%} CI, 1.008-1.072), higher prealbumin level (P = .049; HR, 0.988; 95{\%} CI, 0.976-1.000), and NST intervention (P = .022; HR, 0.356; 95{\%} CI, 0.147-0.862) were independent prognostic factors for lower mortality. In conclusion, NST intervention related to early initiated EN, and high prealbumin levels are beneficial to decrease mortality in the acutely ill patients with GI disease.",
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Impact and outcomes of nutritional support team intervention in patients with gastrointestinal disease in the intensive care unit. / Park, Yong Eun; Park, Soo Jung; Park, Yehyun; Cheon, JaeHee; Kim, Tae Il; Kim, Won Ho.

In: Medicine (United States), Vol. 96, No. 49, e8776, 01.12.2017.

Research output: Contribution to journalArticle

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AU - Park, Soo Jung

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AU - Cheon, JaeHee

AU - Kim, Tae Il

AU - Kim, Won Ho

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