ArticleJournal of clinical nursing2012
Adequacy of early enteral nutrition in adult patients in the intensive care unit.
Article in Journal of clinical nursing, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Current status and influencing factors of enteral nutrition interruption among critical patients: a systematic review.Frontiers in nutrition · 2025Pooled it
- Knowledge, attitudes, and practices regarding enteral nutrition interruption management in intensive care units: a multicenter cross-sectional study predominantly among nurses.Frontiers in nutrition · 2026Article
- Interruptions of enteral nutrition in intensive care units: mechanisms, clinical impacts, and precision nursing interventions-a scoping review.Frontiers in nutrition · 2026Review
- Review
- Enteral feeding protocol: a quality improvement project on feeding interruptions and clinical outcomes in a tertiary intensive care unit.Frontiers in medicine · 2025Article
- Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis.Nutrients · 2020Review
- Evidence on nutritional therapy practice guidelines and implementation in adult critically ill patients: A systematic scoping review.Curationis · 2019Article
- Assessment of malnutrition and enteral feeding practices in the critically ill: A single-centre observational study.Indian journal of anaesthesia · 2018Article
- Effects on nutritional care practice after implementation of a flow chart-based nutrition support protocol in an intensive care unit.Nursing open · 2017Article
- Nutritional Assessment in Critically Ill Patients.Iranian journal of medical sciences · 2016Article
- Evaluation of delivery of enteral nutrition in mechanically ventilated Malaysian ICU patients.BMC anesthesiology · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
AIMS AND
objectivesTo evaluate the adequacy of energy and protein intake of patients in a Korean intensive care unit in the first four days after initiation of enteral feeding and to investigate the factors that had impact on adequate intake.
backgroundUnderfeeding is a common problem for patients hospitalised in the intensive care unit and is associated with severe negative consequences, including increased morbidity and mortality.
designA prospective, cohort study was conducted in a medical intensive care unit of a university hospital in Korea.
methodsA total of 34 adult patients who had a primary medical diagnosis and who had received bolus enteral nutrition for the first four days after initiation of enteral nutrition were enrolled in this study. The data on prescription and intake of energy and protein, feeding method and feeding interruption were recorded during the first four days after enteral feeding initiation. Underfeeding was defined as the intake <90% of required energy and protein.
resultsMost patients (62%) received insufficient energy, although some (29%) received adequate energy. More than half of patients (56%) had insufficient protein intake during the first four days after enteral feeding was initiated. Logistic regression analysis showed that the factors associated with underfeeding of energy were early initiation of enteral nutrition, under-prescription of energy and prolonged interruption of prescribed enteral nutrition.
conclusionUnderfeeding is frequent in Korean critically ill patients owing to early initiation, under-prescription and prolonged interruption of enteral feeding. RELEVANCE TO CLINICAL PRACTICE: Interventions need to be developed and tested that address early initiation, under-prescription and prolonged interruption of enteral nutrition. Findings from this study are important as they form the foundation for the development of evidence-based care that is badly needed to eliminate underfeeding in this large vulnerable Korean intensive care unit population.
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