Enteral nutrition discontinuation and outcomes in general critically ill patients

Authors

  • Marco Antonio Silva Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina; Programa de Pós-Graduaçao em Ciências da Saude
  • Saionara da Graca Freitas dos Santos Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina; Programa de Pós-Graduaçao em Ciências da Saude
  • Cristiane Damiani Tomasi Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina; Programa de Pós-Graduaçao em Ciências da Saude
  • Gabrielle da Luz Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina; Programa de Pós-Graduaçao em Ciências da Saude
  • Marcos Marques da Silva Paula Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina; Programa de Pós-Graduaçao em Ciências da Saude
  • Felipe Dal Pizzol Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina; Programa de Pós-Graduaçao em Ciências da Saude
  • Cristiane Ritter Instituto Nacional de Ciencia e Tecnologia Translacional em Medicina; Programa de Pós-Graduaçao em Ciências da Saude

DOI:

https://doi.org/10.6061/CLINICS/2013(02)OA09

Keywords:

Enteral Nutrition, Critically Ill Patients, Mortality

Abstract

OBJECTIVE: To determine the relationship between enteral nutrition discontinuation and outcome in general critically ill patients. MATERIALS AND METHODS: All patients admitted to a mixed intensive care unit in a tertiary care hospital from May-August 2009 were screened for an indication for enteral nutrition. Patients were followed up until leaving the intensive care unit or a maximum of 28 days. The gastrointestinal failure score was calculated daily by adding values of 0 if the enteral nutrition received was identical to the nutrition prescribed, 1 if the enteral nutrition received was at least 75% of that prescribed, 2 if the enteral nutrition received was between 50-75% of that prescribed, 3 if the enteral nutrition received was between 50-25% of that prescribed, and 4 if the enteral nutrition received was less than 25% of that prescribed. RESULTS: The mean, worst, and categorical gastrointestinal failure scores were associated with lower survival in these patients. Age, categorical gastrointestinal failure score, type of admission, need for mechanical ventilation, sequential organ failure assessment, and Acute Physiologic and Chronic Health Evaluation II scores were selected for analysis with binary regression. In both models, the categorical gastrointestinal failure score was related to mortality. CONCLUSION: The determination of the difference between prescribed and received enteral nutrition seemed to be a useful prognostic marker and is feasible to be incorporated into a gastrointestinal failure score.

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Published

2013-01-01

Issue

Section

Clinical Sciences

How to Cite

Silva, M. A., Santos, S. da G. F. dos, Tomasi, C. D., Luz, G. da, Paula, M. M. da S., Pizzol, F. D., & Ritter, C. (2013). Enteral nutrition discontinuation and outcomes in general critically ill patients . Clinics, 68(2), 173-178. https://doi.org/10.6061/CLINICS/2013(02)OA09