Mao Zhi, Yu Qing, Liu Chao, Hu Pan, Hu Xin, Pan Liang, Kang Hongjun, Zhou Feihu
Department of Critical Care Medicine, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
Chifeng Municipal Hospital, Chifeng city of the Inner Mongolia Autonomous Region, People's Republic of China.
Asia Pac J Clin Nutr. 2019;28(2):230-237. doi: 10.6133/apjcn.201906_28(2).0004.
The optimal delivery of enteral nutrition in shock patients has an important prognostic clinical value; thus, checklists for standardizing enteral nutrition should be developed. This study examined whether the use of an enteral feeding checklist can improve enteral nutrition in shock patients.
A retrospective cohort study was conducted. A multidisciplinary working group developed an enteral feeding checklist. Information on patients' demographics, checklist items, and clinical outcomes was collected.
In total, 148 patients were included. The checklist was used for 35 patients but not for the remaining 113 patients. Patients in the checklist group received enteral nutrition earlier (2.6 vs 4.6 days, p=0.017) and had a lower mechanical ventilation rate (62.9% vs 85.0%, p=0.004). The checklist group had shorter intensive care unit stay (mean 17.3 vs 25.7 days, p=0.043). No significant differences were observed in 28- and 90- day mortality, mechanical ventilation duration, and intolerance to enteral nutrition.
The use of an enteral feeding checklist in shock patients was associated with earlier enteral nutrition delivery and decreased intensive care unit stay.
休克患者肠内营养的优化输送具有重要的预后临床价值；因此，应制定标准化肠内营养的清单。本研究探讨使用肠内喂养清单是否能改善休克患者的肠内营养。
进行了一项回顾性队列研究。一个多学科工作组制定了一份肠内喂养清单。收集了患者的人口统计学信息、清单项目和临床结果。
共纳入148例患者。35例患者使用了清单，其余113例患者未使用。清单组患者更早开始接受肠内营养（2.6天对4.6天，p = 0.017），机械通气率更低（62.9%对85.0%，p = 0.004）。清单组的重症监护病房住院时间更短（平均17.3天对25.7天，p = 0.043）。在28天和90天死亡率、机械通气持续时间和肠内营养不耐受方面未观察到显著差异。
在休克患者中使用肠内喂养清单与更早开始肠内营养输送及缩短重症监护病房住院时间相关。
