[Home ] [Archive]    
:: Main :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Jul-Sep ::
Back to the articles list Back to browse issues page
Current Nutritional Statuses and Gastrointestinal Complications in Critically Ill Patients Admitted to ICUs in Iran: A Cross-Sectional Study
Sahar Rafiee , Zahra Safari , Nafiseh Shokri-Mashhadi
Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract:   (105 Views)
Background and Objectives: Adequate nutrition is closely linked to clinical outcomes. Therefore, this study was carried out to assess nutritional statuses of the ICU patients in Isfahan, Iran.
Materials and Methods: In this cross-sectional study, 55 critically ill adult patients receiving enteral nutrition for a minimum of seven days were participated. Nutritional screening, including acute physiology and chronic health evaluation (APACHE) score, nutrition risk in critically (NUTRIC) score and nutritional assessments of laboratory data, energy and protein balance, was carried out. Moreover, gastrointestinal problems was assessed.
Results: In total, 55 patients (35 men and 20 women) with the median [IQR] age of 49 [18–77] years and the median [IQR] weight of 75 (55–100) kg were included in this study. The average of albumin concentrations were 3 g/dl ±0.7 in ICU inpatients, indicating decreased albumin levels compared to normal ranges (3.5–5 g/dl). During inpatient period, nutrition screening showed a median range of NUTRIC score of 3 (2–5) and APACHE score of 23 (18–27). In addition, median range of weight decreased to 71 (50–96) kg. Median intakes of energy and proteins for seven days seemed inadequate (1920 [1200–2740] and 86 [49–129], respectively). After gastrointestinal assessment, 20% of the participants had nausea and vomiting, 10% had obstipation, 5% had diarrhea and 20% had enteral feeding intolerance (assessed by GRV > 250 mL at repeated regular (6 h) measurements).
Conclusions: Results have suggested that although imbalanced energy, insufficient protein intakes, and gastrointestinal complications are common in ICU patients especially in women, risk assessment of malnutrition has shown no critical results. Therefore, designing and providing more sensitive methods for the screening of nutrition and assessment of nutritional adequacy is essential to prevent malnutrition in societies.
Keywords: Intensive care unit, Malnutrition, Nutrition assessment, Gastrointestinal complication
Full-Text [PDF 492 kb]   (29 Downloads)    
Protocol Study: Research | Subject: nutrition
Received: 2020/03/2 | Accepted: 2020/05/13
Send email to the article author

Add your comments about this article
Your username or Email:


XML     Print

Back to the articles list Back to browse issues page
Nutrition and Food Sciences Research
Persian site map - English site map - Created in 0.06 seconds with 32 queries by YEKTAWEB 4162