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KMID : 0616620100160020231
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Journal of Soonchunhyang Medical College
2010 Volume.16 No. 2 p.231 ~ p.236
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A Prospective Study of Nutritional Status of Critically Ill Patients and Length of Stay in Intensive Care Unit
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Ha Kyung-Ho
Yoon Sung-Woo
Yoon Shin-Eui
Kim Tae-Jin
Han Na
Lee Su-Kyung
Kim Young-Min
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Abstract
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Nutritional support in intensive care unit (ICU) patients is important because it is related with clinical prognosis. We investigated the nutritional support in ICU patients and compared it with evidence-based guidelines. To improve nutritional support, we used the protocol and evaluated its effect. Nutritional data were collected from ICU patients before and after the application of protocol (controls, n = 46; intervention group, n = 41). Until the 72 hours after admission, calorie and protein were supplemented mainly with intravenous nutrition. Since then, the proportion of enteral nutrition (EN) has been to increase. Among 42% of patients who had not taken EN on the 3rd day, we did not find any reasons about that. After application of protocol, mean delivered amount of calorie was increased from 33.1% ± 24.2% to 44.8% ± 27.2% and mean delivered amount of protein was increased from 23.8% ± 19.7% to 36.1% ± 23.0%. But the length of stay in ICU was not affected. We discovered that the application of protocol improved nutritional delivery, but it couldn’t affect the length of stay in ICU.
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KEYWORD
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Enteral nutrition, Evidence-based guidelines, Clinical protocol, Nutritional support
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