Brunetto Marcio A, Gomes Marcia O S, Andre Marco R, Teshima Eliana, Gonçalves Karina N V, Pereira Gener T, Ferraudo Antonio S, Carciofi Aulus C
Department of Veterinary Clinic and Surgery, São Paulo State University-UNESP, Jaboticabal, SP, Brazil.
J Vet Emerg Crit Care (San Antonio). 2010 Apr 1;20(2):224-31. doi: 10.1111/j.1476-4431.2009.00507.x.
Investigate the effects of assisted nutritional support on hospital outcome in dogs and cats, and the relationship between hospital outcome and energy intake, body condition score (BCS), physical status score, and type of nutritional support used.
Retrospective analysis of hospitalized animals.
Teaching Veterinary Hospital.
Four hundred and sixty-seven dogs and 55 cats.
Routine clinical nutritional support.
The following variables were recorded for each animal: energy intake, body weight at admission and discharge, BCS, physical status score, and type of nutritional support used. Disease severity was negatively associated with hospital outcome and energy intake (P=0.009). Energy intake was positively associated with hospital discharge (P<0.001). Outcome may be related to BCS, with discharge rates of 73% for animals with low BCS, and 84.7% for those at an ideal BCS or overweight (P=0.04). Sixty-four percent of animals showed voluntary food intake (92.9% were discharged), 19.0% received enteral support (71.8% were discharged), 7.0% were forced fed (75.0% were discharged), 6.0% received parenteral support (61.9% were discharged), and 4.0% did not receive calories (38.4% were discharged), suggesting a possible relationship between the type of nutritional support, energy intake, and outcome (P=0.009).
Energy supply, even if modest and close to resting energy requirements appears to be positively associated with hospital discharge. However, disease severity was the main negative factor on outcome and also had a negative effect on energy intake, making it difficult to separate the effects of both factors when interpreting hospital discharge. Thin animals with low BCS had greater mortality.
研究辅助营养支持对犬猫住院结局的影响，以及住院结局与能量摄入、体况评分（BCS）、身体状况评分和所用营养支持类型之间的关系。
对住院动物进行回顾性分析。
教学兽医医院。
467只犬和55只猫。
常规临床营养支持。
记录每只动物的以下变量：能量摄入、入院和出院时的体重、BCS、身体状况评分和所用营养支持类型。疾病严重程度与住院结局和能量摄入呈负相关（P = 0.009）。能量摄入与出院呈正相关（P < 0.001）。结局可能与BCS有关，BCS低的动物出院率为73%，BCS理想或超重的动物出院率为84.7%（P = 0.04）。64%的动物有自主进食（92.9%出院），19.0%接受肠内支持（71.8%出院），7.0%进行强制喂食（75.0%出院），6.0%接受肠外支持（61.9%出院），4.0%未摄入热量（38.4%出院），提示营养支持类型、能量摄入和结局之间可能存在关系（P = 0.009）。
即使能量供应适度且接近静息能量需求，似乎也与出院呈正相关。然而，疾病严重程度是影响结局的主要负面因素，对能量摄入也有负面影响，这使得在解释出院情况时难以区分这两个因素的影响。BCS低的瘦动物死亡率更高。
