Effect of Early Enteral Nutrition on Clinical Outcomes in an Intensive Care Unit
Message:
Abstract:
Background
There is evidence that early enteral nutrition can improve clinical outcomes in patients hospitalized in the intensive care unit..
Objectives
The purpose of this study was to evaluate the effect of early enteral nutrition on clinical outcomes in medical patients admitted to the intensive care unit..
Materials And Methods
This prospective study was performed on 94 patients admitted to the medical intensive care unit (ICU). The patients were divided into two groups according to nutrition onset. Enteral nutrition for group one was started within the first 48 hours of admission to the ICU and group two received enteral nutrition after the third day of admission to the ICU. Patients were monitored for ICU length of stay, organ failure (SOFA score), aspiration pneumonia, duration of mechanical ventilation and mortality..
Results
The average daily caloric intake between the two groups did not differ significantly (P = 0.4). Both groups received more than 75% of the calculated required calorie. The mean duration of hospitalization, occurrences of organ failure and mortality were lower in patients who received their calculated daily nutrition during the first 48 hours of admission (P < 0.05). Regarding ventilator-associated pneumonia, there was no significant difference between the two groups of early and late enteral nutrition. There was no significant difference between the two groups of early and late nutrition in the duration of mechanical ventilation. Logistic regression analysis showed that late nutrition causes a 3.3 times increase in mortality rate, 1.3 times in the length of ICU stay and 1.8 times in organ failure (P < 0.05)..
Conclusions
Early enteral nutrition within 24 to 48 hours of admission to ICU reduces the duration of hospitalization, organ failure and mortality of the medical patients..
Language:
English
Published:
Page:
6
magiran.com/p1320023  
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 990,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
توجه!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
دسترسی سراسری کاربران دانشگاه پیام نور!
اعضای هیئت علمی و دانشجویان دانشگاه پیام نور در سراسر کشور، در صورت ثبت نام با ایمیل دانشگاهی، تا پایان فروردین ماه 1403 به مقالات سایت دسترسی خواهند داشت!
In order to view content subscription is required

Personal subscription
Subscribe magiran.com for 50 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!