J Nutr Health.  2018 Apr;51(2):132-139. 10.4163/jnh.2018.51.2.132.

A comparison of nutritional status by intensive nutritional support in enteral nutrition patients

• Kim BH
• Kim H
• Kwon O

• KMID: 2410313
• DOI: http://doi.org/10.4163/jnh.2018.51.2.132

Abstract

PURPOSE
The aim of this study was to determine the effects of nutritional intervention focused on a Nutrition Support Team (NST) in patients receiving enteral nutrition (EN) in general hospital wards.
METHODS
The electronic medical records of 95 adult patients admitted in C university hospital and received EN supply for more than 3 days at a general ward were analyzed retrospectively. The subjects were classified into the intervention group (n = 40) and non-intervention group (n = 55).
RESULTS
The calorie support rate (%) and protein support rate (%) increased significantly only in the intervention group after 2 weeks compared to the rate upon admission. The serum albumin levels increased in the intervention group after 2 weeks compared to the levels at admission, but decreased in the non-intervention group. The glucose levels decreased only in the intervention group compared to that at admission.
CONCLUSION
The nutritional status of the patients was improved by the proper planning of nutrition management from the beginning of hospitalization and systematically managing the nutrition intervention of the NST.

Keyword

enteral nutrition; nutrition support team; nutrition intervention; nutrition screening score

MeSH Terms

Adult
Electronic Health Records
Enteral Nutrition*
Glucose
Hospitalization
Hospitals, General
Humans
Nutritional Status*
Nutritional Support*
Patients' Rooms
Retrospective Studies
Serum Albumin
Glucose
Serum Albumin

Reference

1. Korean Society of Critical Care Medicine. Guidelines for nutrition support in the adult critically ill patient. Seoul: Korean Society of Critical Care Medicine;2013.

2. Lee S, Shin J. A study of nutritional status and incidences of diarrhea by enteral formula and infusion method in ICU tube-fed patients. Korean J Crit Care Med. 1994; 9(1):23–32.

3. Williams NT. Medication administration through enteral feeding tubes. Am J Health Syst Pharm. 2008; 65(24):2347–2357.

4. Martindale RG, McClave SA, Vanek VW, McCarthy M, Roberts P, Taylor B, Ochoa JB, Napolitano L, Cresci G. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: executive summary. Crit Care Med. 2009; 37(5):1757–1761.

5. Skipper A. Agreement on defining malnutrition. JPEN J Parenter Enteral Nutr. 2012; 36(3):261–262.

6. McWhirter JP, Pennington CR. Incidence and recognition of malnutrition in hospital. BMJ. 1994; 308(6934):945–948.

7. Kyle UG, Genton L, Pichard C. Hospital length of stay and nutritional status. Curr Opin Clin Nutr Metab Care. 2005; 8(4):397–402.

8. Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003; 22(3):235–239.

9. Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011; 8(2):514–527.

10. Kondrup J, Johansen N, Plum LM, Bak L, Larsen HI, Martinsen A, Andersen JR, Baernthsen H, Bunch E, Lauesen N. Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr. 2002; 21(6):461–468.

11. Ministry of Health and Welfare (KR). Guidelines for hospital evaluation programme. Seoul: Ministry of Health and Welfare;2005.

12. Korean Society for Parenteral and Enteral Nutrition. Nutrition support guideline. Goyang: Korean Society for Parenteral and Enteral Nutrition;2007.

13. Tougas JG. Starting a nutrition support team: short-term pain for long-term gain. Nutr Clin Pract. 1994; 9(6):221–225.

14. Mo YH. Effectiveness analysis of nutrition support team in the intensive care unit [dissertation]. Seoul: Sungkyunkwan University;2010.

15. Kang JH, Baek HW, Shin DW, Shin DH, Son HJ, Chang SH, Seo YS, Min JH, Lee YA, Mo YH, Kim MY. The outcomes of critically ill patients after following the recommendations of the nutritional support team. J Korean Soc Parenter Enter Nutr. 2010; 3(1):40–44.

16. Lee HJ, Kim JT, Lee BK. Effects of a nutrition support team with parenteral nutrition on gastrointestinal cancer patients who underwent surgery. J Clin Nutr. 2014; 6(2):79–86.

17. Park SJ, Park JE, Kwon NY, Kim JS, Son ES, Yu HJ, Bang JY, Kim S, Eun HS. Effects of compliance with the nutrition support team in critically ill pediatric patients. J Clin Nutr. 2016; 8(2):51–57.

18. Korean Society for the Study of Obesity. Obesity treatment guidelines for Koreans. Seoul: Korean Society for the Study of Obesity;2012.

19. The Korean Dietetic Association. Manual of medical nutrition therapy. 3rd edition. Seoul: The Korean Dietetic Association;2008.

20. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANESV-2). Cheongwon: Korea Centers for Disease Control and Prevention;2012.

21. Hwang HS. Effect of nutrition consult on nutritional status in critically ill surgical patients [dissertation]. Seoul: Ewha Womans University;2014.

22. Umali MN, Llido LO, Francisco EM, Sioson MS, Gutierrez EC, Navarrette EG, Encarnacion MJ. Recommended and actual calorie intake of intensive care unit patients in a private tertiary care hospital in the philippines. Nutrition. 2006; 22(4):345–349.

23. Park EK. Degree of enteral tube feeding in the intensive care unit and change in nutritional status [dissertation]. Seoul: Yonsei University.

24. Dardaine V, Dequin PF, Ripault H, Constans T, Ginies G. Outcome of older patients requiring ventilatory support in intensive care: impact of nutritional status. J Am Geriatr Soc. 2001; 49(5):564–570.

25. Lee YM, Kim SH, Kim YS, Kim EM, Kim JY, Keum MA, Moon JY, Park SJ, Shin DW, Ahn HY, Lee YR, Yim HJ, Hong SK, Baik HW. Nutritional status of Korean hospitalized patients: a multi-center preliminary survey. J Clin Nutr. 2014; 6(2):71–78.

26. Coats KG, Morgan SL, Bartolucci AA, Weinsier RL. Hospital-associated malnutrition: a reevaluation 12 years later. J Am Diet Assoc. 1993; 93(1):27–33.

27. Kim HY, Kang MH. Nutritional status determination. 3rd edition. Seoul: Shinkwang Pub.;2008.

28. McClave SA, Sexton LK, Spain DA, Adams JL, Owens NA, Sullins MB, Blandford BS, Snider HL. Enteral tube feeding in the intensive care unit: factors impeding adequate delivery. Crit Care Med. 1999; 27(7):1252–1256.

29. Park HR, Yun SN, Lee MH. Study on relationship between blood glucose and characteristics of patient with intensive nutritional support. In : 2016 Conference of Korean Society for Parenteral and Enteral Nutrition; 2016 Jun 24; Seoul, Korea. Seoul: Korean Society for Parenteral and Enteral Nutrition;2016. p. 227.

30. Shin HS. Management of complications. In : 2002 Conference of Korean Society for Parenteral and Enteral Nutrition; 2002 Sep 14; Seoul, Korea. Seoul: Korean Society for Parenteral and Enteral Nutrition;2002. p. 52–53.

31. Seo KW, Kang GH, Kong SH, Ryu SW, Park JS, Park JW, Lee IK, Jeong MR, Hwang DW, Hur H, Lee HJ. Current status of nutritional supports on surgical patients in Korea: a nationwide survey. Surg Metab Nutr. 2012; 3(2):45–52.