Enteral nutrition discontinuation and outcomes in general critically ill patients

Detalhes bibliográficos
Autor(a) principal: Silva, Marco Antonio
Data de Publicação: 2013
Outros Autores: Santos, Saionara da Graca Freitas dos, Tomasi, Cristiane Damiani, Luz, Gabrielle da, Paula, Marcos Marques da Silva, Pizzol, Felipe Dal, Ritter, Cristiane
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/53155
Resumo: OBJECTIVE: To determine the relationship between enteral nutrition discontinuation and outcome in general critically ill patients. MATERIALS AND METHODS: All patients admitted to a mixed intensive care unit in a tertiary care hospital from May-August 2009 were screened for an indication for enteral nutrition. Patients were followed up until leaving the intensive care unit or a maximum of 28 days. The gastrointestinal failure score was calculated daily by adding values of 0 if the enteral nutrition received was identical to the nutrition prescribed, 1 if the enteral nutrition received was at least 75% of that prescribed, 2 if the enteral nutrition received was between 50-75% of that prescribed, 3 if the enteral nutrition received was between 50-25% of that prescribed, and 4 if the enteral nutrition received was less than 25% of that prescribed. RESULTS: The mean, worst, and categorical gastrointestinal failure scores were associated with lower survival in these patients. Age, categorical gastrointestinal failure score, type of admission, need for mechanical ventilation, sequential organ failure assessment, and Acute Physiologic and Chronic Health Evaluation II scores were selected for analysis with binary regression. In both models, the categorical gastrointestinal failure score was related to mortality. CONCLUSION: The determination of the difference between prescribed and received enteral nutrition seemed to be a useful prognostic marker and is feasible to be incorporated into a gastrointestinal failure score.
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spelling Enteral nutrition discontinuation and outcomes in general critically ill patients Enteral NutritionCritically Ill PatientsMortality OBJECTIVE: To determine the relationship between enteral nutrition discontinuation and outcome in general critically ill patients. MATERIALS AND METHODS: All patients admitted to a mixed intensive care unit in a tertiary care hospital from May-August 2009 were screened for an indication for enteral nutrition. Patients were followed up until leaving the intensive care unit or a maximum of 28 days. The gastrointestinal failure score was calculated daily by adding values of 0 if the enteral nutrition received was identical to the nutrition prescribed, 1 if the enteral nutrition received was at least 75% of that prescribed, 2 if the enteral nutrition received was between 50-75% of that prescribed, 3 if the enteral nutrition received was between 50-25% of that prescribed, and 4 if the enteral nutrition received was less than 25% of that prescribed. RESULTS: The mean, worst, and categorical gastrointestinal failure scores were associated with lower survival in these patients. Age, categorical gastrointestinal failure score, type of admission, need for mechanical ventilation, sequential organ failure assessment, and Acute Physiologic and Chronic Health Evaluation II scores were selected for analysis with binary regression. In both models, the categorical gastrointestinal failure score was related to mortality. CONCLUSION: The determination of the difference between prescribed and received enteral nutrition seemed to be a useful prognostic marker and is feasible to be incorporated into a gastrointestinal failure score. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2013-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/5315510.6061/CLINICS/2013(02)OA09Clinics; Vol. 68 No. 2 (2013); 173-178 Clinics; v. 68 n. 2 (2013); 173-178 Clinics; Vol. 68 Núm. 2 (2013); 173-178 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/53155/57216Silva, Marco AntonioSantos, Saionara da Graca Freitas dosTomasi, Cristiane DamianiLuz, Gabrielle daPaula, Marcos Marques da SilvaPizzol, Felipe DalRitter, Cristianeinfo:eu-repo/semantics/openAccess2013-04-08T20:40:36Zoai:revistas.usp.br:article/53155Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2013-04-08T20:40:36Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Enteral nutrition discontinuation and outcomes in general critically ill patients
title Enteral nutrition discontinuation and outcomes in general critically ill patients
spellingShingle Enteral nutrition discontinuation and outcomes in general critically ill patients
Silva, Marco Antonio
Enteral Nutrition
Critically Ill Patients
Mortality
title_short Enteral nutrition discontinuation and outcomes in general critically ill patients
title_full Enteral nutrition discontinuation and outcomes in general critically ill patients
title_fullStr Enteral nutrition discontinuation and outcomes in general critically ill patients
title_full_unstemmed Enteral nutrition discontinuation and outcomes in general critically ill patients
title_sort Enteral nutrition discontinuation and outcomes in general critically ill patients
author Silva, Marco Antonio
author_facet Silva, Marco Antonio
Santos, Saionara da Graca Freitas dos
Tomasi, Cristiane Damiani
Luz, Gabrielle da
Paula, Marcos Marques da Silva
Pizzol, Felipe Dal
Ritter, Cristiane
author_role author
author2 Santos, Saionara da Graca Freitas dos
Tomasi, Cristiane Damiani
Luz, Gabrielle da
Paula, Marcos Marques da Silva
Pizzol, Felipe Dal
Ritter, Cristiane
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Marco Antonio
Santos, Saionara da Graca Freitas dos
Tomasi, Cristiane Damiani
Luz, Gabrielle da
Paula, Marcos Marques da Silva
Pizzol, Felipe Dal
Ritter, Cristiane
dc.subject.por.fl_str_mv Enteral Nutrition
Critically Ill Patients
Mortality
topic Enteral Nutrition
Critically Ill Patients
Mortality
description OBJECTIVE: To determine the relationship between enteral nutrition discontinuation and outcome in general critically ill patients. MATERIALS AND METHODS: All patients admitted to a mixed intensive care unit in a tertiary care hospital from May-August 2009 were screened for an indication for enteral nutrition. Patients were followed up until leaving the intensive care unit or a maximum of 28 days. The gastrointestinal failure score was calculated daily by adding values of 0 if the enteral nutrition received was identical to the nutrition prescribed, 1 if the enteral nutrition received was at least 75% of that prescribed, 2 if the enteral nutrition received was between 50-75% of that prescribed, 3 if the enteral nutrition received was between 50-25% of that prescribed, and 4 if the enteral nutrition received was less than 25% of that prescribed. RESULTS: The mean, worst, and categorical gastrointestinal failure scores were associated with lower survival in these patients. Age, categorical gastrointestinal failure score, type of admission, need for mechanical ventilation, sequential organ failure assessment, and Acute Physiologic and Chronic Health Evaluation II scores were selected for analysis with binary regression. In both models, the categorical gastrointestinal failure score was related to mortality. CONCLUSION: The determination of the difference between prescribed and received enteral nutrition seemed to be a useful prognostic marker and is feasible to be incorporated into a gastrointestinal failure score.
publishDate 2013
dc.date.none.fl_str_mv 2013-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/53155
10.6061/CLINICS/2013(02)OA09
url https://www.revistas.usp.br/clinics/article/view/53155
identifier_str_mv 10.6061/CLINICS/2013(02)OA09
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/53155/57216
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 68 No. 2 (2013); 173-178
Clinics; v. 68 n. 2 (2013); 173-178
Clinics; Vol. 68 Núm. 2 (2013); 173-178
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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