Recommended and actual calorie intake of intensive care unit patients in a private tertiary care hospital in the Philippines

Umali, Maria Nenita; Llido, Luisito O.; Francisco, Eliza Mei P.; Sioson, Marianna S.; Gutierrez, Edmon C.; Navarrette, Edelina G.; Encarnacion, Michael John

doi:10.1016/j.nut.2005.09.002

Cited by 10 publications

(6 citation statements)

References 18 publications

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“…This is consistent in a study conducted in a ICU at a private tertiary care hospital in Philippines [10]. The authors found that calorie intake was achieved at day three after starting enteral feeding.…”

Section: Discussionsupporting

confidence: 87%

THE TREND OF ENTERAL FEEDING AMONG CRITICALLY- ILL PATIENTS IN ADULT ICUs IN MALAYSIA

Japar¹,

Soh²,

Hussin³

et al. 2017

GEOMATE

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: The adequacy of caloric intake is crucial for all critically-ill patients in Intensive Care Units because energy expenditure is higher in these patients compared to normal patients in general wards. Adequate calorie intake will promote positive outcome to the patients while inadequate calorie will lead to malnutrition which will increase the length of stay. The objective of this study was to determine the adequacy of caloric intake received by critically-ill patients in the general ICU in Malaysia. This was a cross sectional study which used a proforma adapted from ICU protocol. There were 132 participants involved in this study. The descriptive statistic and independent t-test were used for the statistical analysis. The results showed that 75.8% (n=100) received adequate or more than calorie prescribed while 24.2% (n=32) received calorie less than the given prescription. Patients that received early feeding were 72% (n=95) and late feeding were 28% (n=37). The continuous feeding method was most commonly used in early feeding patients from Day 1 to Day 3. There was an association between the adequacy of calorie intake and the length of stay (p<0.05). Findings obtained from this study will provide information for the nurses and other health care providers to improve the management of patients so that all patients will receive adequate caloric intake during their stay in ICUs.

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Section: Discussionsupporting

confidence: 87%

THE TREND OF ENTERAL FEEDING AMONG CRITICALLY- ILL PATIENTS IN ADULT ICUs IN MALAYSIA

Japar¹,

Soh²,

Hussin³

et al. 2017

GEOMATE

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“…Umali et al 19 found significant differences between requirements and actual intake of energy and protein during 3 days after patients’ admission to an ICU. Petros and Engelmann, 18 Singer et al, 34 and De Beaux et al 35 reported an increasing trend in daily intake during the early phase of an ICU stay (from day 1 to day 4 or 6).…”

Section: Discussionmentioning

confidence: 99%

Enteral nutritional intake in adult korean intensivecare patients

Kim

Stotts

Froelicher

et al. 2013

American Journal of Critical Care

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Background Nutritional support is important for maximizing clinical outcomes in critically ill patients, but enteral nutritional intake is often inadequate. Objectives To assess the nutritional intake of energy and protein during the first 4 days after initiation of enteral feeding and to examine the relationship between intake and interruptions of enteral feeding in Korean patients in intensive care. Methods A cohort of 34 critically ill adults who had a primary medical diagnosis and received bolus enteral feeding were studied prospectively. Energy and protein requirements were determined by using the Harris-Benedict equation and the American Dietetic Association equation. Energy and protein intake prescribed and received and the reasons for and lengths of feeding interruptions were recorded for 4 consecutive days immediately after enteral feeding began. Results Although the differences between requirements and intakes of energy and protein decreased significantly, patients did not receive required energy and protein intake during the 4 days of the study. Energy intake prescribed was consistently less than required on each of the 4 days. Enteral nutrition was withheld for a mean of 6 hours per patient for the 4 days. Prolonged feeding interruptions due to gastrointestinal intolerance (r = −0.874; P < .001) and procedures (r = −0.839; P = .005) were negatively associated with the percentage of prescribed energy received. Conclusion Enteral nutritional intake was insufficient in bolus-fed Korean intensive care patients because of prolonged feeding interruptions and underprescription of enteral nutrition. Feeding interruptions due to gastrointestinal intolerance and procedures were the main contributors to inadequate energy intake.

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“…Studies conducted in Brazil and England have estimated that 50% of patients in pediatric intensive care units (PICUs) experience malnutrition during hospitalization 1,2. Compared with adults, children are more likely to experience nutritional deficiencies because they have higher metabolic rates and caloric needs that promote growth and development 3,4.…”

Section: Introductionmentioning

confidence: 99%

Lymphocyte count as a sign of immunoparalysis and its correlation with nutritional status in pediatric intensive care patients with sepsis: A pilot study

Manzoli

Delgado

Troster

et al. 2016

Clinics

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OBJECTIVES:Developing malnutrition during hospitalization is well recognized worldwide, and children are at a relatively higher risk for malnutrition than adults. Malnutrition can lead to immune dysfunction, which is associated with a higher mortality rate due to sepsis, the most frequent cause of death in pediatric intensive care units (PICUs). The aim of this study was to investigate whether malnourished patients are more likely to have relative or absolute lymphopenia and, consequently, worse prognoses.METHODS:We enrolled 14 consecutive patients with sepsis whose legal representatives provided written informed consent. Patients were classified as normal or malnourished based on anthropometric measurements. As an additional evaluation of nutritional status, serum albumin and zinc were measured on the 1st and 7th days of hospitalization. Lymphocyte count was also measured on the 1st and 7th days. Clinicaltrials.gov: NCT02698683.RESULTS:Malnutrition prevalence rates were 33.3% and 42.8% based on weight and height, respectively. Laboratory analyses revealed a reduction of serum albumin in 100% of patients and reduction of zinc in 93.3% of patients. A total of 35% of patients had fewer than 500 lymphocytes/mm3 on their first day in the PICU. Lymphocyte counts and zinc concentrations significantly increased during hospitalization.CONCLUSIONS:Nutritional evaluations, including anthropometric measurements, were not correlated with lymphocyte counts. Lymphocyte counts concomitantly increased with zinc levels, suggesting that micronutrient supplementation benefits patients with sepsis.

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Recommended and actual calorie intake of intensive care unit patients in a private tertiary care hospital in the Philippines

Cited by 10 publications

References 18 publications

THE TREND OF ENTERAL FEEDING AMONG CRITICALLY- ILL PATIENTS IN ADULT ICUs IN MALAYSIA

THE TREND OF ENTERAL FEEDING AMONG CRITICALLY- ILL PATIENTS IN ADULT ICUs IN MALAYSIA

Enteral nutritional intake in adult korean intensivecare patients

Lymphocyte count as a sign of immunoparalysis and its correlation with nutritional status in pediatric intensive care patients with sepsis: A pilot study

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