Kim Su Hyun, Bu So Young
Department of Food and Nutrition, Daegu University, Gyeongsan 38453, Korea.
Dietary Team, Daegu Fatima Hospital, Daegu 41199, Korea.
Clin Nutr Res. 2021 Jan 22;10(1):1-13. doi: 10.7762/cnr.2021.10.1.1. eCollection 2021 Jan.
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.
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。