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مقالات فارسیISIکنفرانسهاژورنالها

Evaluation of Energy and Protein Intakes and Clinical Outcomes in Critically Ill Patients: Cross-sectional Study

محل انتشار: فصلنامه تغذیه، روزه داری و سلامت، دوره: 11، شماره: 3
سال انتشار: 1402
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 74

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لینک ثابت به این مقاله:
https://civilica.com/doc/1777688

شناسه ملی سند علمی:

JR_JNFH-11-3_001

تاریخ نمایه سازی: 18 مهر 1402

چکیده مقاله:

Introduction: Critically ill patients admitted to the intensive care unit are often hyper-metabolic and hyper-catabolic and at risk of malnutrition. This study aimed to evaluate the amount of energy and protein intake and its correlation with the required amount in critically ill patients. Method: Seventy patients with critical conditions admitted to ICU were eligible (age ≥۱۸ years and over a ۳-day stay in ICU). Basic characteristics, medical history, and laboratory test results were extracted from the patient's medical records. Anthropometric indices and the APACHE II questionnaire were assessed. Patients' energy and protein requirements were considered ۲۵ kcal/kg/day and ۱.۲ g/kg/day, respectively. Result: Mean age in the target population was ۵۷.۶۹ ± ۲۰.۸۱ years, and ۴۸.۶% were men. The mean actual energy intake was significantly lower than the requirement (۵۳۱.۲۷ ±۳۶۵.۴۰ vs ۱۵۸۳.۷۷ ± ۳۲۹.۳۶ Kcal/day, P˂۰.۰۰۱). The mean actual protein intake was significantly lower than the requirement (۱۴.۹۴ ±۱۸.۳۳ vs ۷۴.۱۱ ± ۱۷.۸۹ gr/day, respectively, P˂۰.۰۰۱). Patients had a growing trend in providing energy and protein over time. There is a significant reverse correlation between the age of patients and total lymphocyte count (r= -۰.۳۸, P=۰.۰۰۳). Also, there is a significant reverse correlation between the Glasgow coma scale and the duration of mechanical ventilation (r=-۰.۴۹, P˂۰.۰۰۱). The lowest average energy and protein intake is in patients with poisoning.  Conclusion: The amount of energy and protein intake in critically ill patients is significantly less than the recommended amount; therefore, it is necessary to perform routine nutritional assessments.

کلیدواژه ها:

Malnutrition ، Nutritional support ، Intensive Care Unit ، Energy intake ، Protein intake

نویسندگان

Mohaddeseh Badpeyma

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Mahsa Malekahmadi

Research Center for Gastroenterology and Liver Disease, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Alireza Sedaghat

Faculty of Critical Care Medicine, Lung Disease Research Center, Mashhad University of Medical Science, Mashhad, Iran.

Andisheh Norouzian Ostad

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Majid Khadem-rezaiyan

Assistant Professor of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Naseh Pahlavani

Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

Fatemeh Ebrahimbay Salami

Medical Doctor, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Ahmad Bagheri Moghaddam

Department of Anesthesiology and Critical Care, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

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