poreal life support (ECLS), there is no standard policy regarding prophylactic antibiotics for patients on ECLS, including ECPR, because of the lack of studies on infectious complications during ECPR. 12 Therefore, we hypothesized that initiation of ECPR is a risk factor for infectious complications. To address this hypothesis, this observational study examined the association between initiation of ECPR and the incidence of infectious complications, such as pneumonia, sepsis, and bacteremia, in patients with OHCA who received TTM, and also assessed infection management during ECPR. Methods Patients This retrospective study used data from hospital medical records of patients with OHCA treated with TTM who E xtracorporeal cardiopulmonary resuscitation (ECPR) followed by targeted temperature management (TTM) has demonstrated significantly better outcome in patients with out-of-hospital cardiac arrest (OHCA). 1-4 Despite this surprising outcome, however, critical complications, such as infection, hemorrhage, and ischemia, sometimes occur during ECPR management in the intensive care unit (ICU). 5-7 Although a few observational studies did not note a significant association between infection complications and mortality in patients with OHCA or those managed with extracorporeal membrane oxygenation (ECMO), 8,9 and several observational studies examining infection have been conducted in patients with ECPR, 2,5,10,11 the details of infectious complications during ECPR have not been fully examined. According to the Extracorporeal Life Support Organization (ELSO) general guidelines for all extracor
Background and Aims: This study aimed to determine how nutritional endpoints affected nutritional risk assessment. We conducted nutritional screening using 3 different tools, namely, the modified SGA (mSGA), MUST, and Mini Nutritional Assessment® Short-Form (MNA®-SF). We compared the results of these nutritional evaluation tools and compared the parameters evaluated.Methods: This retrospective study comprised 1253 patients (mean age 71.0 ± 15.1 years) who had been admitted to the IMS Fujimi General Hospital from October to December 2017 (excluding pediatric admissions). Based on patient electronic medical records, nutritional status was determined using the abovementioned assessment tools. Additionally, we considered the parameters used in each evaluation tool and examined their use in determining nutritional status.
Results:The mSGA, MUST, and MNA®-SF tools indicated that 15.1%, 31.4%, and 24.2% of patients were malnourished, respectively. Among the parameters affecting screening outcomes, assessing BMI was used in all tools. Moreover, pressure injury and mobility were found to be frequently used as evaluation parameters in the mSGA and the MNA®-SF, respectively. Compared with the mSGA, the MUST and the MNA®-SF evaluated the presence of malnutrition more frequently.Conclusions: BMI assessment affects the nutritional status of a patient and was an essential factor in nutritional assessment, based on the 3 tools employed in our study. The MNA®-SF appeared more readily usable for nutritional risk assessment because of smaller evaluation parameter numbers and being easier to apply than the mSGA. The MNA®-SF also included walking unaided as an evaluation parameter for nutritional status alongside diet and weight loss.
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