在之前的重症监护室住院后,在病房提供更多的营养支持:对136667名患者进行营养日分析
Arabella Fischer1, Cecilia Veraar1, Isabella Worf2,3
1Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Division of Cardiac, Thoracic, Vascular Anaesthesia and Intensive Care, Medical University of Vienna, 1090 Vienna, Austria.
Nutrients
|August 26, 2023
概括
以前在重症监护室 (ICU) 住过的患者和没有住过的患者往往营养不够. 饮食不足应促使所有病房患者,包括ICU后患者进行营养治疗.
科学领域:
- 临床营养学 临床营养学
- 医院 医院 医疗 医疗 医疗 医疗
- 患者的治疗结果.
背景情况:
- 重症监护室 (ICU) 的患者面临营养风险,如吞困难和延迟胃排空.
- 以前的ICU住宿可能会影响病房转移时的营养支持.
- 了解ICU后和非ICU病房患者之间的营养支持差异至关重要.
研究的目的:
- 研究病房患者使用肠道营养 (EN),肠外营养 (PN) 和口服营养补充剂 (ONS) 的利用情况.
- 为了比较病房患者的营养支持,有或没有先前的ICU住院 (ICU后和非ICU患者).
主要方法:
- 从营养日审计 (2010-2019) 中对136,667名成年患者的分析.
- 术后ICU患者的定义是指在营养日之前的当前住院期间入住ICU的患者.
- 使用多变量模型来比较营养支持,调整各种临床和人口因素.
主要成果:
- 大约10%的患者被确定为ICU后患者.
- 无论是ICU后的患者还是非ICU的患者都经常营养不良,大约三分之二的那些吃不到一半的饭菜的人没有接受EN,PN或ONS.
- 与非ICU患者相比,ICU后的患者接受EN,PN或ONS的可能性是1.3至2.0倍.
结论:
- 无论是ICU后患者还是非ICU病房患者,都面临营养摄入不足的风险.
- 在所有病房患者中,不足的食物消耗应该是启动营养治疗的触发因素.
- 医疗保健提供者必须确保对非ICU患者提供一致的营养支持,不要忽视他们的需求.
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