Is There a Discrepancy? Comparing Enteral Nutrition Documentation With Enteral Pump Volumes

Musillo, Lisa; Grguric-Smith, Laryssa Marie; Coffield, Edward; Totino, Karen; Jc, DiGiacomo

doi:10.1177/0884533616664504

Cited by 4 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were some limitations to this study. The documented volumes delivered to patients in both groups may be overestimated, a known phenomenon (Musillo, Grguric-Smith, Coffield, Totino, DiGiacomo, 2017, Kesey, Pucket, & Dissanaike, 2018. Given that RB delivery does not allow the RN to make up for lost EN due to interruptions, it may be that overestimation of the volume delivered was more common in the RB group when 100% of the 24-hour prescribed volume was documented as delivered.…”

Section: Discussionmentioning

confidence: 99%

Improving the Delivery of Enteral Nutrition in the Neurocritical Care Unit Through the Implementation of a Volume-Base Feeding Protocol

Walsh¹

2019

Preprint

View full text Add to dashboard Cite

Neurocritical care patients receiving rate-based enteral nutrition (RBEN) consistently received less than their full prescription of enteral nutrition (EN) volume due to interruptions in feeding. This study investigated the impact of the implementation of a volume-based feeding protocol (VBEN) on the percentage of prescribed volume of EN delivered over the course of patients’ neurocritical care unit (NCCU) length of stay. Aim: The aim of this study was to better meet the nutritional needs of adult neurocritical care patients receiving nutrition through the enteral route. Methods: A retrospective pre and postimplementation chart review was conducted on adult patients with age 18 or greater and less than 90 years with a neurological-related injury or disease process who had EN initiated and delivered for three or more days during their stay in NCCU. Results: Despite no significant differences in characteristics or gastrointestinal complications between the groups, there was a significant increase in the percentage of prescribed EN volume delivered over the course of NCCU stay of 23.15% percentage points in the VBEN group (M = 95.3%, SD 4.92) as compared to the RBEN group (M = 72.15%, SD 10.55, t(27, n=40) = 8.89, p

show abstract

Section: Discussionmentioning

confidence: 99%

Improving the Delivery of Enteral Nutrition in the Neurocritical Care Unit Through the Implementation of a Volume-Base Feeding Protocol

Walsh¹

2019

Preprint

View full text Add to dashboard Cite

show abstract

“…There are discrepancies between documented EN delivery and the actual amount provided to patients. 10 The bimonthly time to initiation of nutrition therapy data was started in 2010 and is ongoing and regularly presented at committee meetings.…”

Section: Background and Changesmentioning

confidence: 99%

Strategies for the Enhancement of Nutrition Practice in a New York State Level 1 Trauma Center: A Hospital’s Journey

et al. 2017

Self Cite

View full text Add to dashboard Cite

Background: Provision of enteral nutrition (EN) support is historically inadequate in the critically ill population. An interdisciplinary approach utilizing various strategies has been shown to improve initiation of timely EN support. The purpose of this study was to examine whether the implementation of a series of interventions led by an interdisciplinary team was associated with changes in the initiation of nutrition support in a level 1 trauma center. Methods: Patients admitted between 2009 and 2013 with isolated closed head trauma injuries were identified through the hospital’s trauma center database. The initial population consisted of 159 patients; after exclusion criteria, 141 patients were included in the statistical analyses. Two statistical analyses were conducted. The first calculated the average days to the initiation of nutrition start by admission year. The second estimated the association between admission year and time to nutrition initiation with a generalized linear model. Results: Time to initiate nutrition therapy was estimated to decrease by 1.46 days (47.31%) from 2009 to 2013. The time to initiate nutrition in 2013 was 1.63 days. A significant association was found between the time to initiate nutrition and the 2012 and 2013 binary variables while controlling for confounding variables. The time frame was estimated to be 1.09 (P = .008) and 1.75 (P = .000) days shorter in 2012 and 2013 relative to 2009. Conclusions: An interdisciplinary effort utilizing multiple strategies identified and addressed barriers, resulting in a reduction of variability and a proactive approach to early EN.

show abstract

Controlled enteral nutrition in critical care patients – A randomized clinical trial of a novel management system

Kagan¹,

Hellerman-Itzhaki²,

Bendavid³

et al. 2023

Clinical Nutrition

View full text Add to dashboard Cite

Is There a Discrepancy? Comparing Enteral Nutrition Documentation With Enteral Pump Volumes

Abstract: These results support the need for a technological platform that directly transmits EN pump volumes in real time to the EMR.

Cited by 4 publications

References 6 publications

Improving the Delivery of Enteral Nutrition in the Neurocritical Care Unit Through the Implementation of a Volume-Base Feeding Protocol

Improving the Delivery of Enteral Nutrition in the Neurocritical Care Unit Through the Implementation of a Volume-Base Feeding Protocol

Strategies for the Enhancement of Nutrition Practice in a New York State Level 1 Trauma Center: A Hospital’s Journey

Controlled enteral nutrition in critical care patients – A randomized clinical trial of a novel management system

Contact Info

Product

Resources

About