Evaluation of current feeding practices in the critically ill: A retrospective chart review

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• 作者：Melissa Lottes Stewart^a ; ^{mdlott0@uky.edu} ; Martha Biddle^b ; ^{mjbidd0@uky.edu} ; Travis Thomas^c ; ¹ ; ^{dth225@uky.edu}
• 关键词：Adult ; Critical care ; Critical illness ; Enteral nutrition ; Malnutrition ; Retrospective studies
• 刊名：Intensive and Critical Care Nursing
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：38
• 期：Complete
• 页码：24-30
• 全文大小：633 K
• 卷排序：38

文摘

Worldwide, malnutrition is an important issue in the care of the critically ill which is associated with increased costs of care and poor patient outcomes.ObjectivesTo evaluate the current state of enteral nutrition in the critically ill in the U.S. in comparison to international practices.Research methodology/designA retrospective chart audit was performed utilising a 10% random sample of patients admitted to the Pulmonary Medicine Service at an academic medical center in the U.S. from 1/1/11 to 12/31/11. A total of 69 charts were audited.Outcome measuresOutcome measures included time to initiation of feeds, prescribed versus received protein and energy on day three, prokinetic use and markers of nutritional status.ResultsDelayed time to feeding, greater than 48 hours after ICU admission, was present in 66.7% of the sample. On day three only 9% of the sample was receiving 80% or more of the prescribed protein or energy. These findings are similar to those found internationally.ConclusionCritically ill patients continue to experience delays in enteral feeding initiation and are frequently not meeting nutrition targets. Interventions aimed at improving nutrition delivery in the intensive care unit should be a focus of quality care both in the U.S. and internationally.