2.50
Hdl Handle:
http://hdl.handle.net/10755/153008
Type:
Presentation
Title:
Nutritional Changes in Intensive Care Unit Patients Who are Fed Enterally
Abstract:
Nutritional Changes in Intensive Care Unit Patients Who are Fed Enterally
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Kim, Hyunjung, RN, MSN
P.I. Institution Name:University of California, San Francisco
Title:Doctoral candidate
[22nd International Nursing Research Congress - Research Presentation] Purpose:  The aims were to assess the nutritional changes in Korean ICU patients receiving enteral feeding and to understand the contribution of baseline nutritional status to the nutritional changes during the ICU stay.
Methods:  This was a prospective, cohort study of nutritional changes in 48 ICU patients receiving enteral nutrition for 7 days. Anthropometric measures (triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, body mass index, percent ideal body weight) and biochemical measures (albumin,prealbumin, transferrin, hemoglobin, total lymphocyte count) were evaluated twice, upon admission and 7 days after admission. The subjective global assessment scale was assessed upon admission. The data was analyzed with descriptive statistics and paired t-test using SPSS statistical software.
Results: A total of 75% of the patients were severely malnourished and 25% were suspected being of malnourished upon admission. Seven days after admission, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, body mass index and percent ideal body weight were significantly decreased compared to the measurements taken at admission. Prealbumin and C-reactive protein were also significantly decreased as compared to the levels at admission. The nutritional status of the patients who were severely malnourished at admission worsened significantly more than in those patients who were suspected of being malnourished. 
 Conclusion: The ICU patients in our study were severely malnourished at admission and worsened during the ICU stay although nutritional support was provided. The patients? baseline nutritional status influenced the changes in nutritional status during their ICU stay. Therefore, a study of nutritional intervention methods is urgently needed to provide adequate nutritional support for ICU patients, especially for severely malnourished patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNutritional Changes in Intensive Care Unit Patients Who are Fed Enterallyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153008-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nutritional Changes in Intensive Care Unit Patients Who are Fed Enterally</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kim, Hyunjung, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California, San Francisco</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral candidate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hyunjung.kim@ucsf.edu</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;&nbsp;The aims were to assess the nutritional changes in Korean ICU patients receiving enteral feeding and to understand the contribution of baseline nutritional status to the nutritional changes during the ICU stay. <br/>Methods:&nbsp;&nbsp;This was a prospective, cohort study of nutritional changes in 48 ICU patients receiving enteral nutrition for 7 days. Anthropometric measures (triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, body mass index, percent ideal body weight) and biochemical measures (albumin,prealbumin, transferrin, hemoglobin, total lymphocyte count) were evaluated twice, upon admission and 7 days after admission.&nbsp;The subjective global assessment scale was assessed upon admission.&nbsp;The data was analyzed with descriptive statistics and paired t-test using SPSS statistical software. <br/>Results:&nbsp;A total of 75% of the patients were severely malnourished and 25% were suspected being of malnourished upon admission. Seven days after admission, triceps skinfold thickness, mid-arm circumference, mid-arm muscle circumference, body mass index and percent ideal body weight were significantly decreased compared to the measurements taken at admission. Prealbumin and C-reactive protein were also significantly decreased as compared to the levels at admission. The nutritional status of the patients who were severely malnourished at admission worsened significantly more than in those patients who were suspected of being malnourished.&nbsp; <br/>&nbsp;Conclusion:&nbsp;The ICU patients in our study were severely malnourished at admission and worsened during the ICU stay although nutritional support was provided. The patients? baseline nutritional status influenced the changes in nutritional status during their ICU stay. Therefore, a study of nutritional intervention methods is urgently needed to provide adequate nutritional support for ICU patients,&nbsp;especially for severely malnourished patients.</td></tr></table>en_GB
dc.date.available2011-10-26T11:58:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:58:44Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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