Impact of a natural versus commercial enteral-feeding on the occurrence of diarrhea in critically ill cardiac surgery patients. A retrospective cohort study

Fabiani, Adam; Sanson, Gianfranco; Bottigliengo, Daniele; Dreas, Lorella; Zanetti, Michela; Lorenzoni, Giulia; Gatti, Giuseppe; Sacilotto, Marisa; Pappalardo, Aniello; Gregori, Darío

doi:10.1016/j.ijnurstu.2020.103605

Cited by 16 publications

(37 citation statements)

References 46 publications

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“…The other group (n = 112) received a standard CF delivered by continuous pump infusion for 15 h per day. During the 8‐day observation, 48.2% of the CF group developed diarrhea compared with 27.2% of the BTF group, demonstrating a significantly lower probability of diarrhea occurrence in BTF use ( P = .023) 26 …”

Section: Discussionmentioning

confidence: 96%

“…The favorable impact of BTF on reducing adverse GI symptoms in children is well documented 12–16,18–24 . At least two studies on the impact of BTF for reducing adverse GI symptoms in adults have been published 26,27 . In an observational study, Fabiani et al compared diarrhea occurrence between two groups of critically ill patients in a cardiac intensive care unit 26 .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, these investigations confirm that BTF supports growth and weight goals. Studies in adult populations are scant, but early evidence suggests favorable outcomes, including reduced diarrhea and weight loss prevention 25–28 . These outcomes are consistent whether full or partial BTF is used for nutrition support.…”

Section: Introductionmentioning

confidence: 98%

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Blenderized food tube feeding in patients with head and neck cancer

Spurlock

Johnson

Pritchett³

et al. 2021

Nut in Clin Prac

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Background Patients with headand neck cancer (HNC) are at high risk for malnutrition before and during chemoradiation treatment. Many will also require tube feeding to address declines in energy intake, weight, and quality of life (QOL) caused by the impact of treatment on gastrointestinal (GI) symptoms. Blenderized tube feeding (BTF) may ameliorate these adverse conditions. Methods In this open‐label, prospective pilot study, 30 patients with HNC who required feeding tube placement were recruited to switch from standard commercial formula after 2 weeks to a commercially prepared BTF formula. Weight, body mass index (BMI), GI symptoms, and QOL scores were tracked for 6 weeks from the first week of feeding tube placement. Results Of the 16 patients who completed the 6‐week assessment period, weights and BMI scores for 15 patients trended upward. For most patients, QOL and oral intake increased and GI symptoms decreased over the 6‐week period, particularly during weeks 3 and 4, when the impact of treatment is particularly exacting on patients with HNC. Conclusion BTF effectively mitigated weight loss, GI symptoms, QOL scores, and total energy intake in this group of patients with HNC who received tube feeding for 6 weeks.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Blenderized food tube feeding in patients with head and neck cancer

Spurlock

Johnson

Pritchett³

et al. 2021

Nut in Clin Prac

View full text Add to dashboard Cite

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“…However, they administered natural foods (such as milk, meat, and vegetables) only by enteral nutrition. Most recently, Fabiani et al [31] reported that the administration of natural foods by enteral nutrition significantly reduces the appearance of diarrhoea, but it was observed in patients subjected to cardiac surgery. However, our findings show as the type of nutrition can have a pivotal role in SABI patient's recovery, both from a metabolic and cognitive point of view.…”

Section: Discussionmentioning

confidence: 99%

Is the natural feed the better nutritional therapy in patients with severe acquired brain injury? A retrospective study

Andaloro

Caliri

Corallo

et al. 2021

Clinical Nutrition Open Science

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Background: This retrospective study aimed to assess whether the use of natural foods, also in combination with enteral nutrition, improves rehabilitative recovery in patients severe acquired brain injuries. Methods: 40 severe acquired brain injuries patients (75% males, aged 50.2 ± 16.6) were selected. The study population was divided into three groups based on the type of nutrition administered (enteral, oral, and mixed). Mini Nutritional Assessment and Level of Cognitive Functioning scales were used to assess changes from admission to discharge in each group. Multiple logistic regression model was performed to assess the association between the feeding typology and nutritional recovery. Results: At admission, about 97.5% of patients were malnourished. We found significant score changes from baseline to follow-up for both test used and in each subgroup, except for the subgroup that includes patients fed with enteral nutrition. There were significant differences in biochemical indicators, including levels of albumin (p < 0.01) and protein (p < 0.001), compared to baseline and follow-up. Oral nutrition resulted to be a significant predictor for nutritional improvement. Conclusions: Nutrition therapy within a multi-disciplinary team may improve both the hospital care and the recovery in severe acquired brain injuries population. Notably, our findings suggest that natural nutrition is superior to enteral nutrition in improving

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“…Digestive complications in EN were found. Most often described as vomiting, diarrhea, bowel ischemia, and acute colonic pseudo-obstruction [52][53][54][55][56] these complications were considered as risk factors for extended ICU stay and prolonged mechanical ventilation [55][56][57]. Further complications included refeeding hypophosphatemia and aspiration [11,[58][59][60].…”

Section: Monitoring Gastrointestinal Complication and Infectionsmentioning

confidence: 99%

Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

et al. 2020

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Critically ill patients in the intensive care unit (ICU) have a high risk of developing malnutrition, and this is associated with poorer clinical outcomes. In clinical practice, nutrition, including enteral nutrition (EN), is often not prioritized. Resulting from this, risks and safety issues for patients and healthcare professionals can emerge. The aim of this literature review, inspired by the Rapid Review Guidebook by Dobbins, 2017, was to identify risks and safety issues for patient safety in the management of EN in critically ill patients in the ICU. Three databases were used to identify studies between 2009 and 2020. We assessed 3495 studies for eligibility and included 62 in our narrative synthesis. Several risks and problems were identified: No use of clinical assessment or screening nutrition assessment, inadequate tube management, missing energy target, missing a nutritionist, bad hygiene and handling, wrong time management and speed, nutritional interruptions, wrong body position, gastrointestinal complication and infections, missing or not using guidelines, understaffing, and lack of education. Raising awareness of these risks is a central aspect in patient safety in ICU. Clinical experts can use a checklist with 12 identified top risks and the recommendations drawn up to carry out their own risk analysis in clinical practice.

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Impact of a natural versus commercial enteral-feeding on the occurrence of diarrhea in critically ill cardiac surgery patients. A retrospective cohort study

Cited by 16 publications

References 46 publications

Blenderized food tube feeding in patients with head and neck cancer

Blenderized food tube feeding in patients with head and neck cancer

Is the natural feed the better nutritional therapy in patients with severe acquired brain injury? A retrospective study

Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

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