Optimal Nutritional Factors Influencing the Duration of Mechanical Ventilation Among Adult Patients with Critical Illnesses in an Intensive Care Unit

Koontalay, Apinya; Suksatan, Wanich; Sadang, Jonaid M; Prabsangob, Kantapong

doi:10.20944/preprints202104.0330.v2

Cited by 2 publications

(1 citation statement)

References 25 publications

(53 reference statements)

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“…The COVID pandemic lead to focus relevant attention to importance of healthcare providers, their burden working on the frontlines and therefore the consequences to their mental health in terms of experience of emotional distress (Carmassi et al, 2021;Ghahramani et al, 2021;Koontalay et al, 2021;Marcomini et al, 2021;Arnold-Forster et al, 2022). This is furthermore particularly true for healthcare workers primarily involved such as ICU doctors, particularly at risk for their role and kind of work (Verma et al, 2015;Shinde et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The stress response of intensive care unit medical doctors facing repeated severe emergencies

Ciuffini

Marrelli²,

Leuter³

et al. 2022

Front. Psychol.

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ObjectivesThis study assesses the psychopathological distress experienced by doctors working in an Intensive care unit (ICU) during the COVID-19 pandemic. These doctors were the same who faced the consequences of a previous natural disaster, a severe 6.3 magnitude earthquake. A second objective is to evaluate their current mental attitude, professional performances and coping strategies adopted in the pandemic in relation to the conditioning effect of that first emergency, the earthquake.MethodsThirty-seven ICU medical doctors were recruited and assessed using Rapid Stress Assessment (RSA) rating scale, Symptom Checklist-90 Revised (SCL-90-R), Zung Self-Rating Anxiety Scale, Beck Depression Inventory, Beck Hopelessness Scale, Millon Clinical Multiaxial Inventory III. Comparison between exposure to the earthquake and COVID pandemic has been made in terms of professional role and psychological burden.ResultsComparison between 2009 earthquake catastrophe and COVID pandemic conditions evidenced relevant changes in professional role, team, environment, shifts, and work organization.ConclusionThe doctors, who already experienced the 2009 earthquake reported a feeling of greater insecurity facing this latter catastrophe, the COVID pandemic, as well as perception of greater concern for their family and the global situation. However, having participated in the medical management of another emergency (the 2009 earthquake) appears to have contributed to limiting demoralization and psychological distress. The feeling of having greater decision-making possibilities and participation in the organization of work, strengthen coping skills in the face of the emergency.

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Section: Discussionmentioning

confidence: 99%

The stress response of intensive care unit medical doctors facing repeated severe emergencies

Ciuffini

Marrelli²,

Leuter³

et al. 2022

Front. Psychol.

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Association of malnutrition status with 30-day mortality in patients with sepsis using objective nutritional indices: a multicenter retrospective study

Baek,

Kwon,

Kang

et al. 2024

ACC

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Background: The Controlling Nutritional Status (CONUT) score and the prognostic nutritional index (PNI) have emerged as important nutritional indices because they provide an objective assessment based on data. We aimed to investigate how these nutritional indices relate to outcomes in patients with sepsis.Methods: Data were collected retrospectively at five hospitals for patients aged ≥18 years receiving treatment for sepsis between January 1, 2017, and December 31, 2021. Serum albumin and total cholesterol concentrations, and peripheral lymphocytes were used to calculate the CONUT score and PNI. To identify predictors correlated with 30-day mortality, analyses were conducted using univariate and multivariate Cox proportional hazards models.Results: The 30-day mortality rate among 9,763 patients was 15.8% (n=1,546). The median CONUT score was 5 (interquartile range [IQR], 3–7) and the median PNI score was 39.6 (IQR, 33.8–46.4). Higher 30-day mortality rates were associated with individuals with moderate (CONUT score: 5–8; PNI: 35–38) or severe (CONUT: 9–12; PNI: <35) malnutrition compared with those with no malnutrition (CONUT: 0–1; PNI: >38). With CONUT scores, the hazard ratio (HR) associated with moderate malnutrition was 1.52 (95% confidence interval [CI], 1.24–1.87, P<0.001); for severe, HR=2.42 (95% CI, 1.95–3.02, P<0.001). With PNI scores, the HR for moderate malnutrition was 1.29 (95% CI, 1.09–1.53, P=0.003); for severe, HR=1.88 (95% CI, 1.67–2.12, P<0.001).Conclusions: The nutritional indices CONUT score and PNI showed significant associations with mortality of sepsis patients within 30 days.

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Optimal Nutritional Factors Influencing the Duration of Mechanical Ventilation Among Adult Patients with Critical Illnesses in an Intensive Care Unit

Cited by 2 publications

References 25 publications

The stress response of intensive care unit medical doctors facing repeated severe emergencies

The stress response of intensive care unit medical doctors facing repeated severe emergencies

Association of malnutrition status with 30-day mortality in patients with sepsis using objective nutritional indices: a multicenter retrospective study

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