Mohialdeen Gubari Mohammed Ibrahim, Hosseinzadeh-Attar Mohammad Javad, Hosseini Mostafa, Mohialdeen Fadhil Ahmed, Othman Haval, Hama-Ghareeb Khalid Anwar, Norouzy Abdolreza
Department of Clinical Nutrition, School of Nutritional Sciences and Dietetic, Tehran University of Medical Sciences, Tehran, Iran.
Centre of Research Excellence in Translating, Nutritional Science to Good Health, The University of Adelaide, Adelaide, Australia.
Galen Med J. 2020 Oct 8;9:e1678. doi: 10.31661/gmj.v9i0.1678. eCollection 2020.
It is important to consider the nutritional status of patients in the intensive care unit (ICU) since it is a key element in the ability to overcome and survive critical illnesses and clinical outcomes. The aim of the present study was to provide a meta-analysis and systematic overview in determining the nutritional status of patients in ICU by examining other studies. All studies published during 2015-2019 on nutritional status in ICU were retrieved from Medline (via PubMed), Embase, Scopus, and Web of Science databases. Finally, 23 articles were included in the meta-analysis. Results obtained from these studies showed that the nutritional status of patients in ICU was inappropriate (the pooled proportion of malnutrition was 0.51 in the type of study stratified), in which many patients in this unit had different degrees of malnutrition (moderate-mild malnourished and severe malnutrition is 0.46 and 20%, respectively). According to the results of this study, the nutritional status of patients in ICU was unsatisfactory; hence, it is necessary to consider the nutritional status along with other therapeutic measures at the beginning of the patient's admission.
考虑重症监护病房（ICU）患者的营养状况很重要，因为这是战胜严重疾病并存活下来的能力以及临床结局的关键因素。本研究的目的是通过审查其他研究，对确定ICU患者营养状况进行荟萃分析和系统概述。从Medline（通过PubMed）、Embase、Scopus和科学网数据库中检索了2015年至2019年期间发表的所有关于ICU营养状况的研究。最后，23篇文章被纳入荟萃分析。这些研究的结果表明，ICU患者的营养状况不佳（在分层研究类型中，营养不良的合并比例为0.51），该科室的许多患者存在不同程度的营养不良（中度-轻度营养不良和重度营养不良分别为0.46和20%）。根据本研究结果，ICU患者的营养状况不尽人意；因此，在患者入院之初，有必要将营养状况与其他治疗措施一并考虑。
