Nutrition and Clinical Outcomes of Nutrition Support in Multidisciplinary Team for Critically Ill Patients

Jeong Shin Lee, Ji Eun Kang, So Hyun Park, Hye Kyung Jin, Soo Min Jang, Sun Ah Kim, Sandy Jeong Rhie

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Background: To examine the outcomes of the implementation of a multidisciplinary nutrition support team (NST) that included a pharmacist for critically ill patients in the intensive care unit (ICU). Methods: Data were retrospectively collected from electronic medical records and compared between the pre-NST group (n = 73) and post-NST group (n = 75). Patients were included if they received enteral or parenteral nutrition support for at least 72 hours in the ICU of an approximately 900-bed, top-tier university medical center. The percentage of goal kcal, the percentage of goal protein, serum albumin level, total lymphocyte count, C-reactive protein, duration of mechanical ventilation use, hospital length of stay (LOS), ICU LOS, and mortality were evaluated. Results: There were significant differences in the percentage of goal kcal (66.9% ± 25.9% vs 86.2% ± 27.5%; P < 0.001) and the percentage of goal protein (67.0% ± 29.9% vs 81.7% ± 30.7%; P < 0.05) between the pre-NST and post-NST groups. A higher percentage of goal kcal was associated with a significant decrease in the ICU LOS (P < 0.05) and hospital LOS (P < 0.05). The percentage of goal kcal was associated with mortality rate (odd ratio, 0.977; 95% confidential interval, 0.959–0.996; P = 0.016). Conclusion: Implementation of a multidisciplinary NST service for critically ill patients was associated with higher percentages of goal kcal and goal protein, as well as a shortened duration of mechanical ventilation use. Higher energy supply was associated with a reduced mortality rate.

Original languageEnglish
Pages (from-to)633-639
Number of pages7
JournalNutrition in Clinical Practice
Volume33
Issue number5
DOIs
StatePublished - Oct 2018

Bibliographical note

Funding Information:
Conflicts of interest: None declared. This article originally appeared online on May 26, 2018. Corresponding Author: Sandy Jeong Rhie, PhD, Pharm D, Graduate School of Converging Clinical & Public Health, Division of Life and Pharmaceutical Sciences and College of Pharmacy, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Republic of Korea. Email: sandy.rhie@ewha.ac.kr

Publisher Copyright:
© 2018 American Society for Parenteral and Enteral Nutrition

Keywords

  • critical illness
  • enteral nutrition
  • intensive care unit
  • length of stay
  • mortality
  • nutrition support
  • parenteral nutrition
  • patient care team

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