Korean J Adult Nurs.  2013 Aug;25(4):444-453.

Nutritional Intake and Timing of Initial Enteral Nutrition in Intensive Care Patients: A Pilot Study

Affiliations
  • 1Division of Nursing, Hallym University, Chuncheon, Korea. hjkim97@hallym.ac.kr
  • 2Research Institute of Nursing Science, Hallym University, Chuncheon, Korea.

Abstract

PURPOSE
The purpose of this study was to describe the differences between early and delayed enteral nutrition on nutritional intake.
METHODS
A pilot cohort study was conducted with 45 critically ill adult patients who had a primary medical diagnosis. Energy prescribed and received were collected during the four days after initiation of enteral nutrition. Adequate feeding was defined as the energy intake more than 90% of required energy.
RESULTS
A total of 23 patients (52%) were received early enteral nutrition (within 48 hours of admission). Energy intake of early enteral nutrition was less than intake of delayed enteral nutrition during the four days of the study. Although the difference on day one was significantly greater than the differences on day two, the differences on day two were not different from days three or four. No statistical differences in the adequacy of nutritional intake were found between patients in the early and the delayed group.
CONCLUSION
In critically ill patients receiving early enteral nutrition, more aggressive administration from the beginning will improve the nutritional intake. Additional studies including a large multi-centre, randomized clinical trial are recommended.


MeSH Terms

Adult
Cohort Studies
Critical Illness
Energy Intake
Enteral Nutrition
Humans
Critical Care
Intensive Care Units
Pilot Projects

Figure

  • Figure 1. Trend in daily energy intake of early and delayed enteral nutrition


Reference

American Dietetic Association. 2000. Manual of clinical dietetics. 6th ed.Chicago, IL: American Dietetic Association.
Alexander E.., Susla G. M.., Burstein A. H.., Brown D. T.., Ognibene F. P.2004. Retrospective evaluation of commonly used equations to predict energy expenditure in mechanically ventilated, critically ill patients. Pharmacotherapy. 24(12):1659–1667.
Article
Amato P.., Keating K. P.., Quercia R. A.., Karbonic J.1995. Formulaic methods of estimating caloric requirements in mechanical ventilated obese patients: A reappraisal. Nutrition in Clinical Practice. 10:229–232.
Artinian V.., Krayem H.., DiGiovine B.2006. Effects of early enteral feeding on the outcome of critically ill mechanically ventilated medical patients. Chest. 129(4):960–967. http://dx.doi.org/10.1378/chest.129.4.960.
Article
Binnekade J. M.., Tepaske R.., Bruynzeel P.., Mathus-Vliegen E. M. H.., de Haan R. J.2005. Daily enteral feeding practice on the ICU: Attainment of goals and interfering factors. Critical Care. 9:R218–R225.
Cartwright M. M.2004. The metabolic response to stress: A case of complex nutrition support management. Critical Care Nursing Clinics of North America. 16:467–487.
Article
Desachy A.., Clavel M.., Vuagnat A.., Normand S.., Gissort V.., Francois B.2008. Initial efficacy and tolerability of early enteral nutrition with immediate or gradual introduction in intubated patients. Intensive Care Medicine. 34(6):1054–1059.
Article
Doig G. S.., Heighes P. T.., Simpson F.., Sweetman E. A.., Davies A. R.2009. Early enteral nutrition, provided within 24h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: A meta-analysis of randomised controlled trials. Intensive Care Medicine. 35:2018–2027. http://dx.doi.org/10.1007/s00134-009-1664-4.
Article
Dvir D.., Cohen J.., Singer P.2006. Computerized energy balance and complications in critically ill patients: An observational study. Clinical Nutrition. 25(1):37–44.
Article
Elpern E. H.., Stutz L.., Peterson S.., Gurka D. P.., Skipper A.2004. Outcomes associated with enteral tube feedings in a medical intensive care unit. American Journal of Critical Care. 13(3):221–227.
Article
Hise M. E.., Halterman K.., Gajewski B. J.., Parkhurst M.., Moncure M.., Brown J. C.2007. Feeding practices of severely ill intensive care unit patients: An evaluation of energy sources and clinical outcomes. Journal of American Dietetic Association. 107(3):458–465.
Article
Hsu C. W.., Sun S. F.., Lin S. L.., Kang S. P.., Chu K. A.., Lin C. H., et al. 2009. Duodenal versus gastric feeding in medical intensive care unit patients: A prospective, randomized, clinical study. Critical Care Medicine. 37(6):1866–1872.
Article
Huang H. H.., Hsu C. W.., Kang S. P.., Liu M. Y.., Chang S. J.2012. Association between illness severity and timing of initial enteral feeding in critically ill patients: A retrospective observational study. Nutrition Journal. 11(30):1–8. http://dx.doi.org/10.1186/1475-2891-11-30.
Article
Ibrahim E. H.., Mehringer L.., Prentice D.., Sherman G.., Schaiff R.., Fraser V., et al. 2002. Early versus late enteral feeding of mechanically ventilated patients: Results of a clinical trial. JPEN Journal of Parenteral and Enteral Nutrition. 26(3):174–181.
Article
Isabel M.., Correia T. D.., Waitzberg D. L.2003. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clinical Nutrition. 22(3):235–239.
Article
Kim H.., Choi-Kwon S.2011. Changes in nutritional status in ICU patients receiving enteral tube feeding: A prospective descriptive study. Intensive and Critical Care Nursing. 27:194–201.
Article
Kim H.., Choi S. H.., Ham Y. J.2009. Nutritional status and indicators of intensive care unit patients on enteral feeding. Journal of Korean Academy of Fundamental Nursing. 16(1):21–29.
Kim H.., Shin J. A.., Shin J. Y.., Cho O. M.2010. Adequacy of nutritional support and reasons for underfeeding in neurosurgical intensive care unit patients. Asian Nursing Research. 4(2):102–110.
Article
Marik P. E.., Zaloga G. P.2001. Early enteral nutrition in acutely ill patients: A systematic review. Critical Care Medicine. 29:2264–2270.
Article
Martin C. M.., Doig G. S.., Heyland D. K.., Morrison T.., Sibbald W. J.2004. Multicentre, cluster-randomized clinical trial of algorithms for critical-care enteral and parenteral therapy (ACCEPT). Canadian Medical Association Journal. 170(2):197–204.
Article
McClave S. A.., Martindale R. G.., Vanek V. W.., McCarthy M.., Roberts P.., Taylor B., et al. 2009. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care (SCCM) and American Society of Parenteral and Enteral Nutrition (A.S.P.E.N). JPEN Journal of Parenteral and Enteral Nutrition. 33:277–316.
McClave S. A.., Spain D. A.., Lukan J. K.., Lowen C. C.., Dryden G. W.2004. Can enteral nutrition provide adequate stress prophylaxis for patients on mechanical ventilation? Gastroenterology. 126(4):A647.
Mowe M.., Bosaeus I.., Rasmussen H. H.., Kondrup J.., Unosson M.., Irtun O.2006. Nutritional routines and attitudes among doctors and nurses in Scandinavia: A questionnaire based survey. Clinical Nutrition. 25(3):524–532.
Article
Reignier J.., Thenoz-Jost N.., Fiancette M.., Legendre E.., Lebert C.., Bontemps F., et al. 2004. Early enteral nutrition in mechanically ventilated patients in the prone position. Critical Care Medicine. 32(1):94–99. http://dx.doi.org/10.1097/01.CCM.0000104208.23542.A8.
Article
Rodriguez L.2004. Nutritional status: Assessing and understanding its value in the critical care setting. Critical Care Nursing Clinics of North America. 15(4):509–514.
Article
Singer P.., Berger M. M.., Van den Berghe G.., Biolo G.., Calder P.., Forbes A., et al. 2009. ESPEN guidelines on parenteral nutrition: Intensive care. Clinical Nutrition. 28:387–400.
Article
Sungurtekin K.., Sungurtekin U.., Oner O.., Okke D.2008. Nutrition assessment in critically ill patients. Nutrition in Clinical Practice. 23(6):635–641.
Article
Terekeci H.., Kucukardali Y.., Top C.., Onem Y.., Celik S.., Oktenli C.2009. Risk assessment study of the pressure ulcers in intensive care unit patients. European Journal of Internal Medicine. 20:394–397.
Article
Villet S.., Chiolero R. L.., Bollmann M. D.., Revelly J. P.., Cayeux R. N. M.., Delarue J., et al. 2005. Negative impact of hypo-caloric feeding and energy balance on clinical outcome in ICU patients. Clinical Nutrition. 24(4):502–509.
Article
Woo S. H.., Finch C. K.., Broyles J. E.., Wan J.., Boswell R.., Hurdle A.2010. Early vs delayed enteral nutrition in critically ill medical patients. Nutrition in Clinical Practice. 25(2):205–211. http://dx.doi.org/10.1177/0884533610361605.
Article
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