The relationship between energy intake and infections in critical patients in intensive care unit (ICU) receiving medical nutrition therapy at Wahidin Sudirohusodo Hospital.
DOI:
https://doi.org/10.12873/443jeffryPalabras clave:
Energy intake, Infection events, Medical Nutrition Therapy, ICUResumen
Introduction : Nutrition is vital in caring for critically ill patients, with malnutrition closely linked to poor prognosis in ICU treatment.
Objectives This study aims to establish the correlation between energy intake and infection occurrence among critically ill ICU patients undergoing medical nutrition therapy at Central General Hospital (RSUP) Dr. Wahidin Sudirohusodo.
Methods : This is a retrospective cohort study on critically ill ICU patients at RSUP Dr. Wahidin Sudirohusodo Makassar, conducted from September to November 2023. The sample comprises all critical patients treated in the ICU from January 2020 to December 2022 who meet the inclusion criteria. Analysis employs One Way Anova Test and T-Test for normally distributed data, or Kruskall Wallis and Mann Whitney tests otherwise.
Results : Based on the research findings, a significant correlation was found between the use of enteral and parenteral nutrition methods and the KJS or Non KJS group (p < 0.000). Specifically, enteral nutrition methods showed a significant relationship with the KJS or Non KJS group (p < 0.000), while parenteral nutrition methods also displayed a significant association (p < 0.007). Adequate energy intake is crucial for the recovery of ICU patients at RSUP dr. Wahidin Sudirohusodo, with medical nutritional therapy, including enteral or parenteral nutrition, playing a supportive role in ensuring patients receive sufficient nutrition.
Conclusions : Despite similar nutritional intake, KJS patients exhibited superior bodily response, indicating the crucial role of nutritional synergy in enhancing therapy efficacy and patient outcomes.
Citas
Khalid, I., Doshi, P. and DiGiovine, B. (2010) 'Early enteral nutrition and outcomes of critically ill patients treated with vasopressors and mechanical ventilation', American Journal of Critical Care , 19(3). Available at: https://doi.org/10.4037/ajcc2010197
Calder, PC and Jackson, AA (2000) 'Undernutrition, infection and immune function', Nutrition Research Reviews , 13(1). Available at: https://doi.org/10.1079/095442200108728981
Barker, LA, Gout, BS and Crowe, TC (2011) 'Hospital Malnutrition : Prevalence, Identification and Impact on Patients and the Healthcare System', pp. 514–527. Available at: https://doi.org/10.3390/ijerph8020514 .
Appelgren, P. et al. (2001) 'Risk factors for nosocomial intensive care infections: A long-term prospective analysis', Acta Anaesthesiologica Scandinavica , 45(6). Available at: https://doi.org/10.1034/j.1399-6576.2001.045006710.x
Hill, A., Elke, G. and Weimann, A. (2021) 'Nutrition in the intensive care unit—a narrative review', Nutrients , 13(8), pp. 1–26. Available at: https://doi.org/10.3390/nu13082851
Rodríguez, L., Cervantes, E. and Ortiz, R. (2011) 'Malnutrition and gastrointestinal and respiratory infections in children: a public health problem.', International journal of environmental research and public health . Available at: https://doi.org/10.3390/ijerph8041174 .
Santosa, B., Suwarman and Pradian, E. (2020) 'Nutritional Therapy for Patients in the Intensive Care Unit (Icu)', Journal of Anesthesia Complications , 7.
Zanten, ARH Van (2016) 'Should We Increase Protein Delivery During Critical Illness? Critically Ill Protein Catabolism in Critical Illness What Is the Best Protein Target in Critical Illness? ' Available at: https://doi.org/10.1177/0148607115626905
Martin, SJ and Yost, RJ (2012) 'Infectious Diseases in the Critically Ill Patient Steven', Journal of Pharmacy Practice , 24(I), pp. 35–43. Available at: https://doi.org/10.1177/0897190010388906
Haley, R.W. et al. (1985) 'The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals', American Journal of Epidemiology , 121(2). Available at: https://doi.org/10.1093/oxfordjournals.aje.a113990
Angele, MK and Chaudry, IH (2005) 'Surgical trauma and immunosuppression: Pathophysiology and potential immunomodulatory approaches', Langenbeck's Archives of Surgery , 390(4). Available at: https://doi.org/10.1007/s00423-005-0557-4
Pierre, JF et al. (2013) 'Pharmaconutrition Review: Physiological Mechanisms', Journal of Parenteral and Enteral Nutrition , 37. Available at: https://doi.org/10.1177/0148607113493326.
Descargas
Publicado
Cómo citar
Número
Sección
Categorías
Licencia
Derechos de autor 2024 Nutrición Clínica y Dietética Hospitalaria
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)
