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. 2010;18(2):103-6.

Comparison the inflammatory effects of early supplemental parenteral nutrition plus enteral nutrition versus enteral nutrition alone in critically ill patients

R Abrishami  1 , A Ahmadi, M Abdollahi, A Moosivand, H Khalili, A Najafi, K Gholami, H Hamishehkar, A Peivandi Yazdi, M Mojtahedzadeh
Affiliations

Comparison the inflammatory effects of early supplemental parenteral nutrition plus enteral nutrition versus enteral nutrition alone in critically ill patients

R Abrishami et al. Daru. 2010.

Abstract

Background and the purpose of the study: It is believed that enteral nutrition (EN) support is the preferred route as compared to parenteral nutrition (PN). Critically ill patients on EN receive less than 60% of their metabolic requirements. To meet patients' calorie goal addition of PN to EN was proposed. This study was conducted to determine whether supplemental PN have any difference with EN alone in regard to inflammatory indices.

Methods: Twenty patients were randomized to either receive EN alone or EN+PN for 7 days. Pre albumin and inflammatory indices including interleukin IL-1, IL-6 and tumor necrosis factor-α (TNF-α) were measured on days of 0, 3,7. Also Sequential Organ Failure Assessment (SOFA) score and Therapeutic Intervention Scoring System-28 (TISS-28) score were calculated on days of 0, 3 and 7.

Results and major conclusion: IL-1, IL-6 and TNF-α did not show significant difference between two interventions. Pre-albumin was increased from baseline by 9% and 81% in EN and EN+PN groups respectively but it did not reach to statistical significance. SOFA score did not show significant difference. TISS score was higher in EN+PN group on days of 3 and 7. No difference was found between EN and EN+PN regimens in regard to inflammation, while severity of illness may not change with these regimens, nursing workload increases with implementation of supplemental PN.

Keywords: Enteral nutrition; Inflammation; Parenteral nutrition.

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Figures

Figure 1
Figure 1
Patients’ serum pre-albumin levels in enteral and enteral plus parenteral groups. Differences between groups were not significant (p>0.05). Figure shows mean pre-albumin levels±SE.
Figure 2
Figure 2
Interleukin 6 levels in enteral and enteral plus parenteral groups. Differences between groups were not significant (p>0.05). Figure shows mean interleukin 6 levels±SE.
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