Suppr超能文献

营养支持团队干预时机对接受肠内营养患者营养状况的影响

Effect of the Timing of Nutritional Support Team Intervention on Nutritional Status on Patients Receiving Enteral Nutrition.

作者信息

Kim Su Hyun, Bu So Young

机构信息

Department of Food and Nutrition, Daegu University, Gyeongsan 38453, Korea.

Dietary Team, Daegu Fatima Hospital, Daegu 41199, Korea.

出版信息

Clin Nutr Res. 2021 Jan 22;10(1):1-13. doi: 10.7762/cnr.2021.10.1.1. eCollection 2021 Jan.

Abstract

Many hospitalized patients usually have a high risk of malnutrition, which delays the therapy process and can lead to severe complications. Despite of the potential benefits, the effects of timely intervention by nutrition support team (NST) on the nutritional status of admitted patients are not well established. This study aimed to compare the nutritional status between patients with early and delayed NST supports and to assess the effect of the timing of NST support initiation on the nutritional status of enteral nutrition patients. In a simple comparison between the two groups, the early NST intervention group had shorter hospital stays and fewer tube feeding periods than the delayed NST intervention group. The increase in the amount of energy intake from first to last NST intervention was 182.3 kcal in patients in the early NST intervention group, higher than that in patients in the delayed intervention group (p = 0.042). The extent of reduction in serum albumin and hemoglobin levels between the initial and last NST intervention tended to be lower in the early NST intervention group than in the delayed NST intervention group. The mean odds ratio for the patients who were severely malnourished in the early NST intervention group was 0.142 (95% confidence interval, 0.045-0.450) after adjusting for hospital stay and age. The results of this study indicate that early NST intervention can improve patients' overall nutritional status.

摘要

许多住院患者通常存在营养不良的高风险,这会延迟治疗进程并可能导致严重并发症。尽管有潜在益处,但营养支持团队(NST)及时干预对入院患者营养状况的影响尚未明确。本研究旨在比较早期和延迟接受NST支持的患者之间的营养状况,并评估NST支持开始时间对肠内营养患者营养状况的影响。在两组的简单比较中,早期NST干预组的住院时间比延迟NST干预组短,管饲期也更少。早期NST干预组患者从首次到末次NST干预能量摄入量的增加为182.3千卡,高于延迟干预组患者(p = 0.042)。早期NST干预组首次与末次NST干预之间血清白蛋白和血红蛋白水平的降低程度往往低于延迟NST干预组。在调整住院时间和年龄后,早期NST干预组严重营养不良患者的平均优势比为0.142(95%置信区间,0.045 - 0.450)。本研究结果表明,早期NST干预可改善患者的整体营养状况。

相似文献

8
Nutrition Support Team Reconsultation During Nutrition Therapy in Korea.韩国营养治疗期间的营养支持小组会诊。
JPEN J Parenter Enteral Nutr. 2021 Feb;45(2):357-365. doi: 10.1002/jpen.1835. Epub 2020 May 20.

本文引用的文献

1
NUTRITIONAL INDICATORS OF MALNUTRITION IN HOSPITALIZED PATIENTS.住院患者营养不良的营养指标
Arq Gastroenterol. 2019 Oct-Dec;56(4):447-450. doi: 10.1590/S0004-2803.201900000-74.
2
10
Nutrition support teams: how they work, are set up and maintained.营养支持团队:其工作方式、组建及维护方式
Frontline Gastroenterol. 2010 Oct;1(3):171-177. doi: 10.1136/fg.2009.000224. Epub 2010 Aug 5.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验