Evidence map›Paper›PMID 29416216›Full record

ArticleMedical archives (Sarajevo, Bosnia and Herzegovina)2018

Characters of Nutrition Status and Energy-delivery Patterns of the University-based Surgical Intensive Care Units in Thailand (Multi-center THAI-SICU Study).

Supakrit Auiwattanakul, Kaweesak Chittawatanarat, Onuma Chaiwat, Sunthiti Morakul, Suneerat Kongsayreepong, Winai Ungpinitpong, Surakrant Yutthakasemsunt, Supawan Buranapin

Abstract readMulticenter Study
In one paragraph

Article in Medical archives (Sarajevo, Bosnia and Herzegovina), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Supakrit AuiwattanakulDepartment of Surgery, Institute of Medicine, Suranaree University of Technology, Thailand.
Kaweesak ChittawatanaratDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Thailand.
Onuma ChaiwatDepartment of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Sunthiti MorakulDepartment of Anesthesiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Suneerat KongsayreepongDepartment of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Winai UngpinitpongDepartment of Surgery, Surin Hospital, Surin, Thailand.
Surakrant YutthakasemsuntDepartment of Surgery, Khon Kaen Hospital, Khon Kaen, Thailand.
Supawan BuranapinDepartment of Medicine, Faculty of Medicine, Chiang Mai University, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe authors aimed to describe nutrition status and energy-delivery characters in multi-center THAI-SICU study. MATERIAL AND

methodsEligible patients admitted in SICU were 1,686 after excluding 563 of 2,249 participants owing to very short stay or non-alive within 24 hours after admission and missing data. The study was a posthoc analysis and multicenter descriptive design. The analytic methods described categorical data in percentage and the continuous data in the median with interquartile range. Variables divided into baseline characteristics and nutrition data before SICU admission, and the pattern of energy delivery in SICU. Statistical significance accepted as a p-value less than 0.05.

resultsThe average age was 64 (52-76) years with 57% male. The median of serum albumin level at admission (interquartile range, IQR) was 2.8 (2.2-3.4). There was 46 -47 percent of nutrition risk patient. Less than 10 percent of the patient had enteral (EN), parenteral (PN) or their combination before admission. History of weight loss and appetite loss was 27-31 percent. However, seventy percent of the patient could not define the duration of the symptom. EN was initiated early, but the tendency of full feeding was 7-10 days. At that period, supplemental PN was added around 30 percent of total calories. The composition of PN was quite low in these study which contains only 15-16 percent of total calories. The average energy delivery was 20 kcal/kg/day (the recommendation is 25-30 kcal/kg/day).

conclusionThe patient's nutrition status before SICU admission was at risk of 46-47% and weight loss and appetite loss might unreliable in ICU setting. EN is started early with gradually increase up to 7-10 days. The average total calories requirement is lower than a recommendation.

Indexed as

Energy IntakeNutritional StatusAgedCritical Care NursingFemaleHospitals, UniversityHumansIntensive Care UnitsMaleMiddle AgedParenteral NutritionThailandCritically illEnergy intakeEnteral nutritionMulticenter studiesNutrition status

Identifiers

PMID29416216
PMCPMC5789566

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