Rado-Blozonova Aneta, Rauserova-Lexmaulova Leona, Cerna Lucia, Pavlik Matej, Rado Michal, Fusek Michal
Small Animal Clinic, Faculty of Veterinary Medicine, University of Veterinary Sciences Brno, Brno, Czech Republic.
Department of Physiology, Faculty of Veterinary Medicine, University of Veterinary Sciences Brno, Brno, Czech Republic.
Vet Med (Praha). 2023 Jun 27;68(6):246-252. doi: 10.17221/26/2023-VETMED. eCollection 2023 Jun.
Nutrition is an important part of the critical care. The goals of this prospective clinical study were to create a scoring system for the assessment of patient nutritional status and to compare continuous and intermittent bolus feeding of enteral nutrition (EN). A total of 38 patients (21 dogs and 17 cats) were divided into Group C (continuous feeding; 23 patients) and Group I (intermittent feeding; 15 patients). The following variables were recorded for each patient in both groups: gastrointestinal (GI) complications, changes in body weight (BW), body condition score (BCS), muscle condition score (MCS), veterinary nutritional status score (VetNSS), length of hospitalisation and outcome. The normality of the data was assessed using the Shapiro-Wilk test. Fisher's exact test, Mann-Whitney, Wilcoxon signed-rank tests, and the -test were used in statistical analyses. Significant changes were found in VetNSS and BW between the 1 and 5 day in Group C. The VetNSS seems to be useful for monitoring the nutritional status of hospitalised patients. Anorectic dogs and cats can be successfully supported with either continuous or intermittent feeding methods with a similar risk of GI complications and outcomes.
营养是重症监护的重要组成部分。这项前瞻性临床研究的目的是创建一个用于评估患者营养状况的评分系统，并比较肠内营养（EN）的持续喂养和间歇推注喂养。总共38只患者（21只狗和17只猫）被分为C组（持续喂养；23名患者）和I组（间歇喂养；15名患者）。记录两组中每位患者的以下变量：胃肠道（GI）并发症、体重（BW）变化、身体状况评分（BCS）、肌肉状况评分（MCS）、兽医营养状况评分（VetNSS）、住院时间和结局。使用Shapiro-Wilk检验评估数据的正态性。统计分析采用Fisher精确检验、Mann-Whitney检验、Wilcoxon符号秩检验和t检验。C组在第1天和第5天之间的VetNSS和BW有显著变化。VetNSS似乎有助于监测住院患者的营养状况。厌食的狗和猫可以通过持续或间歇喂养方法得到成功支持，胃肠道并发症和结局的风险相似。
