PhilSPEN Online Journal of Parenteral and Enteral Nutrition

(Article 55 | POJ_0050.php) Issue

Thesis Abstract

Calorie, Protein and Micronutrient Intake and Clinical Outcomes of Medical Intensive Care Patients of a Private Tertiary Level Hospital

Introduction | Methodology | Results | Conclusion | Recommendations | PDF () |Back to Articles Page

Submitted: November 2012

AUTHOR: Anna Monette D. Onte, RND

INSTITUTION WHERE STUDY WAS DONE: Philippine Women's Univeristy, Metro-Manila, Philippines

KEYWORDS:

INTRODUCTION | Back

Background
Critically ill patients do not have the assurance of getting the nutrition they need or tolerating the feeding well to achieve adequate levels.

Purpose of the Study
This study hoped to improve the hospital' s nutrition management of the patients especially of the critically ill by showing the current practice of ICU management in the provincial hospital setting. Specifically, it aimed to evaluate the adequacy of food intake, specifically the calorie, protein and micronutrient intakes of the enteral nutrition in the first three days of administration while in the ICU as compared to the prescribed value and determine its association with the clinical outcomes measured in this study: length  of hospital stay, morbidity and mortality.

METHODOLOGY | Back

This was a chart review that covered the period of July 2009 to March 2012. Only 60 (35%) of the 171 patients were included in this study. The calorie and protein intake of the patients were evaluated

RESULTS | Back

For both calorie and protein, the patients had significantly lower intake compared with the prescribed value (calorie=69%, protein=67%). There was no significant difference with the status upon discharge of  patients who were adequate and inadequately fed (31% vs. 28%). Most of the patients who survived were adequately fed (18/58 or 31%), while most of those who died received inadequate nutrition therapy (15/58 or 26%), though these results were not significant.

CONCLUSION: | Back

Nutrition delivery in the community hospital setting specially in the ICU is inadequate. Adequate nutrition support could lead to positive clinical outcomes in the form of: longer hospital days due to completion of treatment, a lower risk of developing developing infections by maintaining normal level of TLC and a greater chance of being discharged alive.

RECOMMENDATIONS | Back

Thus, the institution is encouraged to create a nutrition program to address the growing prevalence of malnutrition among hospitalized patients  and  to  allow the nutrition team group to function  and  be aggressive  in the  implementation  of the program.

 

Introduction | Methodology | Results | Conclusion | Recommendations | Back to Articles Page