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Article: Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study.

Verghese, Prashant P / Mathai, Ashu Sara / Abraham, Valsamma / Kaur, Paramdeep

Indian journal of anaesthesia

2018  Volume 62, Issue 1, Page(s) 29–35

Abstract: 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 ... ...

Abstract 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
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,
Conclusion: Malnutrition is commonly present at admission among medical ICU patients, and is associated with higher ICU mortality.
Language English
Publishing date 2018-02-07
Publishing country India
Document type Journal Article
ZDB-ID 412570-8
ISSN 0019-5049
ISSN 0019-5049
DOI 10.4103/ija.IJA_513_17
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