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Volume-based Feeds: A Quality Improvement Project for Better Nutrition
Puja Jagasia1, Olatundun Ladele2, Hanna Slutsky3
1School of Medicine, Vanderbilt University, Nashville, TN 37232, USA.
Summary
This study improved nutrition delivery for burn patients with large surface area burns. Interventions increased the proportion of prescribed tube feeds from 43% to 78%, aiding wound healing.
Area of Science:
- Medical Research
- Quality Improvement
- Burn Care
Background:
- Adequate nutrition is crucial for wound healing in burn patients.
- Patients with burns greater than 20% total body surface area (TBSA) often require nutritional support via tube feeds.
- Optimizing the delivery of prescribed tube feeds is essential for patient recovery.
Purpose of the Study:
- To enhance the delivery of prescribed tube feeds to adult burn patients with >20% TBSA.
- To evaluate the impact of quality improvement interventions on nutritional support in this population.
Main Methods:
- Retrospective chart review of adult burn patients (>20% TBSA) from January 2018 to July 2022.
- Prospective data collection from August 2022 to July 2023 following intervention implementation.
- Multidisciplinary team implemented 8 interventions to improve tube feed delivery.
Main Results:
- The mean proportion of prescribed tube feeds delivered increased significantly from 43% to 78%.
- This improvement demonstrates enhanced nutritional support for critically ill burn patients.
- Further analysis compared length of stay and weight change between cohorts.
Conclusions:
- A multidisciplinary quality improvement project successfully increased the delivery of tube feeds in severe burn patients.
- Improved nutritional delivery is critical for promoting wound healing and recovery in the burn population.
- The implemented interventions offer a scalable model for enhancing patient care in specialized burn units.
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