Journal List > Korean J Nutr > v.44(5) > 1043893

Korean J Nutr. 2011 Oct;44(5):384-393. Korean.
Published online October 31, 2011.  https://doi.org/10.4163/kjn.2011.44.5.384
© 2011 The Korean Nutrition Society
Degree of Nutritional Support and Nutritional Status in MICU Patients
Soo Na Chi,1 Jea Young Ko,1 Su Ha Lee,1 Eun Hwa Lim,1 Kuk Hwan Kown,2 Mi Seon Yoon,3 and Eun Sook Kim3
1Department of Nutrition Team, NHIC Ilsan Hospital, Goyang 410-719, Korea.
2Department of Surgery, NHIC Ilsan Hospital, Goyang 410-719, Korea.
3Department of Nursing, NHIC Ilsan Hospital, Goyang 410-719, Korea.

To whom correspondence should be addressed. (Email: soonacap@nhmic.or.kr )
Received June 28, 2011; Revised August 12, 2011; Accepted October 15, 2011.

Abstract

The objective of this study was to determine the nutritional support in patients treated in medical intensive care units (MICUs) by evaluating the extent of current nutritional support using the patient care plan and considering the association between nutritional status and the amount of nutrition supplied. From April to December 2010, 114 patients (age ≥ 18 years) admitted to the MICU and who underwent nutritional support for > 5 days were included. Descriptive statistics showed that the 114 patients received nutritional support within 1.2 ± 0.7 days and for 16.2 ± 11.7 days in the MICUs. The total delivered/required caloric ratio was 81.08 ± 27.31%, and the protein ratio was 80.32 ± 28.93%. Patients who received > 80% of required calories and protein showed improved nutritional status (p < 0.05). The results showed that adequate nutritional support is crucial to critically ill patients. We suggest early nutritional screening using simple tools such as periodic monitoring and management to recalculate nutritional status and nutritional requirements and nutritional support using a multidisciplinary method. Systematic nutritional support teams are needed to provide adequate nutritional support for patients in the MICU.

Keywords: nutrition support; nutritional status; calories; protein; intensive care unit

Tables


Table 1
General characteristics of the subjects
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Table 2
Mean value of APACHE score and nutritional screening in critically ill patients
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Table 3
Mean value of energy and protein intake in critically ill patients
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Table 4
Nutritional indices of initial and final status in critically ill patients
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Table 5
Comparison of variables nutritional status markers (indices) and change in nutritional status with APACHE Score factor in critically ill patients
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Table 6
Comparison of change in nutritional status and infused rate with APACHE Score factor in critically ill patients
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Table 7
Partial correlations of infused rate and nutritional indices change/prognostic indicator with APACHE score factor
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Table 8
Comparison of Nutrition status change by percent optimal energy requirements delivered [No (%)]
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Table 9
Comparison of variables nutritional indices by actual infused energy in critically ill patients
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Table 10
Comparison of Nutrition status change by percent optimal protein requirements delivered [No (%)]
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Table 11
Comparison of variables nutritional indices by actual infused protein in critically ill patients
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Notes

This work was supported by grants of the NHIC Ilsan Hospital in 2010.

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