Maricel B Malazarte and Gerry H Tan*
Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, Cebu Doctors’ University College of Medicine, Cebu Doctors’ University Hospital, Cebu City, PhilippinesFulltext PDF
Background: Enteral Nutrition (EN) is nutrition provided through the gastrointestinal tract, which delivers nutrition distal to the oral cavity. Critically ill patients are at high nutrition risk thus the need for full nutrition assessment. At present, NUTRIC score is one of the reliable assessment tools for quantifying risk of developing adverse outcome in critically ill patients, which may be modifiable
by aggressive nutrition therapy.
Objectives: We assessed the nutrition risk levels as measured by NUTRIC score among admitted patients who were given enteral nutrition at the Intensive Care Unit (ICU) of Cebu Doctors’ University Hospital from June 2016 to June 2017.
Methodology: This is a one year single center cross sectional retrospective chart review study on admitted ICU patients from June 2016 to June 2017. Categorical profiles were expressed in frequency and percentage while those continuous variables were described in mean and standard deviations. Moreover, incidence rate of nutrition risk levels of patients was computed. In comparing the required and actual feeding amount of patients was compared using the Paired t-test wherein a p-values lesser than 0.05 alpha were considered significant. IBMSPSS 21 was used as software.
Results: This study has shown that 86.4% of the patients admitted in this institution’s ICU were started on early enteral feeding within 24 h to 48 h of ICU admission. From the subjects given EN, only 21 (5.8%) were able to achieve the energy requirement. In those subjects who did not achieve the required energy requirement, there is an associated increased length of stay in the ICU (p-value of 0.045). Based on NUTRIC score, out of 52 patients included in this study, 39 patients (75%) were identified to be at low risk while 13 subjects (25%) were at high risk for 28 days mortality.
Conclusion: Early initiation of enteral nutrition was being practiced among patients admitted to ICU in our institution. However, majority of patients given enteral feeding were not given the required energy requirement. The ICU patients who were given early nutrition feeding were associated with decreased length of ICU stay.
Malazarte MB, Tan GH. A Survey on the Nutrition Risk Level of Patients Subjected to Standard Practice of Enteral Nutrition Provision Admitted at the Intensive Care Unit of Cebu Doctors’ University Hospital: A One-Year Retrospective Chart Review. Ann
Diabetes Res. 2019; 3(1):1012..