Tyrimas mitybos praktikos intensyviosios terapijos skyriuje Lietuvos sveikatos mokslų universiteto Kauno klinikų (LUHSKK): į 'NutritionDay tyrimo 2016

Author: Ali Munir Mohammed. Title: Study of nutrition practice in the intensive care unit at Lithuanian University of Health Sciences Kauno Klinikos (LUHSKK): The “NutritionDay” survey 2016. Aim: To present an overview of the current practice of nutrition support in the intensive care unit (ICU) at the Hospital of Lithuanian University of Health Sciences Kauno Klinikos (LUHSKK). Objectives: 1.To assess the practice of nutritional support in the intensive care unit (ICU) at the Hospital of Lithuanian University of Health Sciences Kauno Klinikos (LUHSKK) using the “NutritionDay” survey. 2. To assess the nutritional condition of the patients hospitalized in the ICU at the LUHSKK. 3. To assess whether nutritional targets were met for the patients hospitalized in the ICU department at the LUHSKK. 4. To compare the results with previous data and reference data from “NutritionDay”. Methodology: A survey was conducted among patients hospitalized in the ICU at the LUHSKK. A set of questionnaire is used to evaluate the characteristics of the intensive care unit, the status of the patients, reason of hospitalization, nutritional condition, and the type of nutritional support. Study participants: Patients hospitalized in the intensive care unit at the LUHSKK. Results: A total of 23 patients were included, 56.5% were male. The main reason of ICU admission included pulmonary disease (56.6%), sepsis (43.5%), and abdominal disorders (39.1%). Over 40% of the patients were not fed the first day. Oral feeding was possible in 2 (8.7%) patients, whereas 21 (91.3%) patients were provided with artificial nutritional support, out of which 7 (30.4%) given enteral nutrition, 4 (17.4) parenteral nutrition, and 10 (43.5%) with both enteral and parenteral nutrition. The mean planned and given calories was 1361.7 ± 202.1 kcal/day and 1361.7 ± 202.1 kcal/day respectively using enteral nutrition, and 643.0 ± 480.1 kcal/day and 375.0 ± 485.6 respectively for parenteral nutrition. The median day of initiation of nutritional support was 3 days [range 0 – 11]. Conclusion: Current practice of nutritional support is falling below the recommendations and the prescription of nutrition appears to be generalized among the patients. There are unfavorable routines such as delays of initiation, affecting the optimal implementation of nutrition support. This shows that there is inadequate adherence to the European guidelines on nutritional support.