Impact and Outcomes of Nutritional Support Team Intervention in Patients with Gastrointestinal Disease in the Intensive Care Unit

Park, Yongeun; Lee, Hyun Jung; Hong, Sung Pil; Cheon, Jae Hee; Kim, Tae Il; Park, Soo Jung

doi:10.1016/s0016-5085(17)31623-2

Cited by 5 publications

(8 citation statements)

References 21 publications

(31 reference statements)

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“…Relatively, specific measures that have to be taken include periodic visits by a nutritionist and implementation of nutritional guidelines for ICU patients. Studies have shown that nutritional counseling, along with diverse strategies of a nutritional support team at the hospital, especially ICU, has led to a reduction in the GMJ.2020;9:e1678 www.gmj.ir prevalence of malnutrition [47,48]. The presence of experts and nutritional support team can significantly improve the performance of ICU staff by providing adequate nutritional support [49].…”

Section: Discussionmentioning

confidence: 99%

“…The presence of experts and nutritional support team can significantly improve the performance of ICU staff by providing adequate nutritional support [49]. In a study performed by Park et al, the presence of a nutritional support team had a positive and significant effect on the nutritional and clinical outcomes of ICU patients [48]. Evidence suggests that using these guidelines and nutritional protocols can help increase nutritional adequacy and prevent complications arising from inappropriate nutrition in ICU patients [50][51][52].…”

Section: Discussionmentioning

confidence: 99%

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Nutritional Status in Intensive Care Unit: A Meta-Analysis and Systematic Review

Gubari

Hosseinzadeh‐Attar

Hosseini

et al. 2020

GMJ

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It is important to consider the nutritional status of patients in the intensive care unit (ICU) since it is a key element in the ability to overcome and survive critical illnesses and clinical outcomes. The aim of the present study was to provide a meta-analysis and systematic overview in determining the nutritional status of patients in ICU by examining other studies. All studies published during 2015-2019 on nutritional status in ICU were retrieved from Medline (via PubMed), Embase, Scopus, and Web of Science databases. Finally, 23 articles were included in the meta-analysis. Results obtained from these studies showed that the nutritional status of patients in ICU was inappropriate (the pooled proportion of malnutrition was 0.51 in the type of study stratified), in which many patients in this unit had different degrees of malnutrition (moderate-mild malnourished and severe malnutrition is 0.46 and 20%, respectively). According to the results of this study, the nutritional status of patients in ICU was unsatisfactory; hence, it is necessary to consider the nutritional status along with other therapeutic measures at the beginning of the patient’s admission.[GMJ.2020;9:e1678]

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nutritional Status in Intensive Care Unit: A Meta-Analysis and Systematic Review

Gubari

Hosseinzadeh‐Attar

Hosseini

et al. 2020

GMJ

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“…It is important to assess nutrition risk with validated tools (Nutritional Risk in Critically Ill [NUTRIC] score and Nutritional Risk Screening 2002 score). A team specialized in evaluating, managing, and monitoring nutrition therapy increases the chance of providing the optimal formula, route, quantity of calories, and protein and can assess progression toward nutrition goals . Indicators such as the amount of calories and protein actually provided are often the first to improve .…”

Section: Discussionmentioning

confidence: 99%

“…This team ideally includes a medical specialist, a nutritionist, a nurse, and a pharmacist. The cost of maintaining this team and continuing education is lower than savings it will accrue by reducing morbidity and ICU length of stay …”

Section: Discussionmentioning

confidence: 99%

“…A team specialized in evaluating, managing, and monitoring nutrition therapy increases the chance of providing the optimal formula, route, quantity of calories, and protein and can assess progression toward nutrition goals . Indicators such as the amount of calories and protein actually provided are often the first to improve . Inadvertent undernutrition and unnecessary fasting is associated with a greater chance of chronic critical illness .…”

Section: Discussionmentioning

confidence: 99%

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Seven Deadly Sins of Nutrition Therapy in Critically Ill Patients

et al. 2019

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This article presents 7 nutrition steps that, if not followed by the clinical staff, may be metaphorically considered as “7 deadly sins” of nutrition therapy. In this review, we suggest approaches that must be avoided or accomplished to increase compliance with the “Ten Commandments” of good nutrition practice in the intensive care setting. Multiple aggressive and simultaneous sets of therapies are implemented in the intensive care setting, which include nutrition and metabolic support as important components in these therapies. “Sins” should be remembered as a mnemonic device for nutrition standard care in the intensive care unit; this incorporates nutrition adequacy and protocol adherence.

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Phenylalanine- and leucine-defined metabolic types identify high mortality risk in patients with severe infection

Huang

Lin

Chen

et al. 2019

International Journal of Infectious Diseases

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To investigate the prognostic value of phenylalanine and leucine in patients with severe infection. Methods: Ninety-three patients with infection who had a quick Sequential Organ Failure Assessment (qSOFA) score !2 were enrolled. Plasma phenylalanine, leucine, albumin, C-reactive protein, prealbumin, and transferrin were measured and the SOFA score at enrollment was calculated after hospitalization. Results: During the 3-month follow-up, 30 (32.3%) patients died. Death was associated with higher SOFA scores, a higher incidence of bacteremia and admission to the intensive care unit, higher C-reactive protein and phenylalanine levels, worse kidney function, and lower pre-albumin and transferrin levels.Patients were categorized into three groups: high-risk type 1 (phenylalanine !84 mM), high-risk type 2 (phenylalanine <84 mM and leucine <93 mM), and low-risk (other). Compared to the low-risk type patients, high-risk type 1 and 2 patients had higher mortality rates (hazard ratio 10.1 (95% CI 2.33-43.5) and hazard ratio 5.56 (95% CI 1.22-25.4), respectively). Type 1 patients had higher SOFA scores, a higher incidence of admission to the intensive care unit, and higher C-reactive protein and leucine levels. Type 2 patients had lower albumin and hemoglobin levels. Multivariable analysis showed that both high-risk types were independent predictors of death. Conclusions: Phenylalanine-and leucine-defined risk classifications provide metabolic information with prognostic value for patients with severe infection.

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Impact and Outcomes of Nutritional Support Team Intervention in Patients with Gastrointestinal Disease in the Intensive Care Unit

Cited by 5 publications

References 21 publications

Nutritional Status in Intensive Care Unit: A Meta-Analysis and Systematic Review

Nutritional Status in Intensive Care Unit: A Meta-Analysis and Systematic Review

Seven Deadly Sins of Nutrition Therapy in Critically Ill Patients

Phenylalanine- and leucine-defined metabolic types identify high mortality risk in patients with severe infection

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