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KMID : 0664320090150040335
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Journal of the Korean Dietetic Association
2009 Volume.15 No. 4 p.335 ~ p.342
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The Calorie and Protein Intake of Critically Ill Patients Who Require Continuous Renal Replacement Therapy in the Intensive Care Unit
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Lee Ho-Sun
Park Moo-Suk
Na Sung-won
Lee Jae-Gil
Yoo Tae-Hyun
Koh Shin-Ok
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Abstract
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Forty-two percent of the patients with renal failure that requires continuous renal replacement therapy(CRRT) have been reported to have severe malnutrition, and preexisting malnutrition is a statistically significantand independent predictor of negative hospital outcomes. We performed this study to evaluate the appropriatenessof the calorie and protein provided for the critically ill patients who require CRRT. One hundredforty-nine patients who received CRRT were enrolled. The demographic data, the length of the ICU stayand the mortality were recorded. The calorie/protein intake and the blood urea nitrogen (BUN), albumin andcreatinine levels were used as nutritional parameters. The mean daily calorie intake during CRRT was 16.1±7.4 kcal/kg, which was 64% of the recommended intake. Only 10% of the patients received therecommendedcaloric intake and the ratio of the enteral and parenteral calories was 26%/74%. The mean protein intake was0.58±0.34 g/kg, which was 38% of the recommended intake. The calorie and protein intakes at the terminationof CRRT were significantly increased compared to the initial day of treatment, but they stayed underthe recommended intake. The BUN, creatinine and albumin levels were significantly increased in the survivalgroup (odds ratio for albumin: 2.73; creatinine: 2.43). A strategy to increase the nutrition provision is neededto improve the nutritional statuses and clinical outcomes of the critically ill patients who require CRRT.
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KEYWORD
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continuous renal replacement therapy, nutrition support, calorie, protein, intensive care unit
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