Disease‐Related Malnutrition and Enteral Nutrition Therapy

,

doi:10.1177/0884533610378524

Cited by 76 publications

(6 citation statements)

References 46 publications

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“…Because of the influences of inflammation on nutrition risk and the response to nutrition intervention and clinical outcomes [ 28 – 30 ], the failure of taking inflammation into consideration was a limitation of current screening tools, which should be improved in the future tool design. The 2012 consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition [ 31 ] recognizes the role of inflammation in the etiology of adult malnutrition, and recommends that practitioners incorporate measures of the inflammatory response and use etiology-based diagnostic terms to improve validity of estimates of the prevalence of malnutrition in adults.…”

Section: Discussionmentioning

confidence: 99%

Nutrition Screening Tools and the Prediction of Clinical Outcomes among Chinese Hospitalized Gastrointestinal Disease Patients

et al. 2016

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Nutrition risk Screening 2002 (NRS-2002) and Subjective Global Assessment (SGA) are widely used screening tools but have not been compared in a Chinese population. We conducted secondary data analysis of a cross-sectional study which included 332 hospitalized gastrointestinal disease patients, collected by the Gastrointestinal department of Peking Union Medical College Hospital (PUMCH) in 2008. Results of NRS-2002 and SGA screening tools, complications, length of stay (LOS), cost, and death were measured. The agreement between the tools was assessed via Kappa (κ) statistics. The performance of NRS-2002 and SGA in predicting LOS and cost was assessed via linear regression. The complications and death prediction of tools was assessed using receiver operating characteristic (ROC) curves. NRS-2002 and SGA identified nutrition risk at 59.0% and 45.2% respectively. Moderate agreement (κ >0.50) between the two tools was found among all age groups except individuals aged ≤ 20, which only slight agreement was found (κ = 0.087). NRS-2002 (R square 0.130) and SGA (R square 0.140) did not perform differently in LOS prediction. The cost prediction of NRS-2002 (R square 0.198) and SGA (R square 0.190) were not significantly different. There was no difference between NRS-2002 (infectious complications: area under ROC (AUROC) = 0.615, death: AUROC = 0.810) and SGA (infectious complications: AUROC = 0.600, death: AUROC = 0.846) in predicting infectious complication and death, but NRS-2002 (0.738) seemed to perform better than SGA (0.552) in predicting non-infectious complications. The risk of malnutrition among patients was high. NRS-2002 and SGA have similar capacity to predict LOS, cost, infectious complications and death, but NRS-2002 performed better in predicting non-infectious complications.

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Section: Discussionmentioning

confidence: 99%

Nutrition Screening Tools and the Prediction of Clinical Outcomes among Chinese Hospitalized Gastrointestinal Disease Patients

et al. 2016

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“…The greater the severity of neurological injury, the more likely is that enteral feeding tubes will be required [8]. Patients typically receive this nutritional support therapy for less than 6 weeks although some may rely on EN throughout their lives [37]. EN is cost-effective, maintains or improves nutritional status, and reduces the risk for malnutrition-related complications [20, 31, 37].…”

Section: Management Of Malnutritionmentioning

confidence: 99%

“…Patients typically receive this nutritional support therapy for less than 6 weeks although some may rely on EN throughout their lives [37]. EN is cost-effective, maintains or improves nutritional status, and reduces the risk for malnutrition-related complications [20, 31, 37]. In patients with acute stroke and dysphagia, protein and energy intake was higher in patients receiving enteral tube feeding than in those on a regular or dysphagia diet [38].…”

Section: Management Of Malnutritionmentioning

confidence: 99%

Malnutrition in Patients with Acute Stroke

Bouziana

Τζιόμαλος

2011

Journal of Nutrition and Metabolism

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Stroke is a devastating event that carries a potential for long-term disability. Malnutrition is frequently observed in patients with stroke, and dysphagia contributes to malnutrition risk. During both the acute phase of stroke and rehabilitation, specific nutritional interventions in the context of a multidisciplinary team effort can enhance the recovery of neurocognitive function. Early identification and management of malnutrition with dietary modifications or specific therapeutic strategies to ensure adequate nutritional intake should receive more attention, since poor nutritional status appears to exacerbate brain damage and to contribute to adverse outcome. The main purpose of nutritional intervention should be the prevention or treatment of complications resulting from energy-protein deficit. This paper reviews the evaluation and management of malnutrition and the use of specialized nutrition support in patients with stroke. Emphasis is given to enteral tube and oral feeding and to strategies to wean from tube feeding.

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“…Traditionally, the nutritional assessment in critically ill patients has been evaluated using biochemical indicators such as serum albumin, total lymphocyte count (TLC) and serum pre-albumin. Recently, however, objections have been raised against using these indicators for nutritional assessment, as such markers can be influenced by acute inflammation [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Use of Bioelectrical Impedance Analysis for the Assessment of Nutritional Status in Critically Ill Patients

et al. 2015

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Malnutrition is common in the critically ill patients and known to cause a variety of negative clinical outcomes. However, various conventional methods for nutrition assessment have several limitations. We hypothesized that body composition data, as measured using bioelectrical impedance analysis (BIA), may have a significant role in evaluating nutritional status and predicting clinical outcomes in critically ill patients. We gathered clinical, biochemical, and BIA data from 66 critically ill patients admitted to an intensive care unit. Patients were divided into three nutritional status groups according to their serum albumin level and total lymphocyte counts. The BIA results, conventional indicators of nutrition status, and clinical outcomes were compared and analyzed retrospectively. Results showed that the BIA indices including phase angle (PhA), extracellular water (ECW), and ECW/total body water (TBW) were significantly associated with the severity of nutritional status. Particularly, PhA, an indicator of the health of the cell membrane, was higher in the well-nourished patient group, whereas the edema index (ECW/TBW) was higher in the severely malnourished patient group. PhA was positively associated with albumin and ECW/TBW was negatively associated with serum albumin, hemoglobin, and duration of mechanical ventilation. In non-survivors, PhA was significantly lower and both ECW/TBW and %TBW/fat free mass were higher than in survivors. In conclusion, several BIA indexes including PhA and ECW/TBW may be useful for nutritional assessment and represent significant prognostic factors in the care of critically ill patients.

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Disease‐Related Malnutrition and Enteral Nutrition Therapy

Cited by 76 publications

References 46 publications

Nutrition Screening Tools and the Prediction of Clinical Outcomes among Chinese Hospitalized Gastrointestinal Disease Patients

Nutrition Screening Tools and the Prediction of Clinical Outcomes among Chinese Hospitalized Gastrointestinal Disease Patients

Malnutrition in Patients with Acute Stroke

Use of Bioelectrical Impedance Analysis for the Assessment of Nutritional Status in Critically Ill Patients

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