Effect of the Timing of Nutritional Support Team Intervention on Nutritional Status on Patients Receiving Enteral Nutrition
- PMID: 33564648
- PMCID: PMC7850813
- DOI: 10.7762/cnr.2021.10.1.1
Effect of the Timing of Nutritional Support Team Intervention on Nutritional Status on Patients Receiving Enteral Nutrition
Abstract
Many hospitalized patients usually have a high risk of malnutrition, which delays the therapy process and can lead to severe complications. Despite of the potential benefits, the effects of timely intervention by nutrition support team (NST) on the nutritional status of admitted patients are not well established. This study aimed to compare the nutritional status between patients with early and delayed NST supports and to assess the effect of the timing of NST support initiation on the nutritional status of enteral nutrition patients. In a simple comparison between the two groups, the early NST intervention group had shorter hospital stays and fewer tube feeding periods than the delayed NST intervention group. The increase in the amount of energy intake from first to last NST intervention was 182.3 kcal in patients in the early NST intervention group, higher than that in patients in the delayed intervention group (p = 0.042). The extent of reduction in serum albumin and hemoglobin levels between the initial and last NST intervention tended to be lower in the early NST intervention group than in the delayed NST intervention group. The mean odds ratio for the patients who were severely malnourished in the early NST intervention group was 0.142 (95% confidence interval, 0.045-0.450) after adjusting for hospital stay and age. The results of this study indicate that early NST intervention can improve patients' overall nutritional status.
Keywords: Enteral nutrition; Malnutrition; Nutritional support; Support team.
Copyright © 2021. The Korean Society of Clinical Nutrition.
Conflict of interest statement
Conflict of Interest: The authors declare that they have no competing interests.
Similar articles
-
Factors affecting target caloric achievement and calorie intake improvement: the nutrition support team's role.Front Nutr. 2024 Jan 5;10:1249638. doi: 10.3389/fnut.2023.1249638. eCollection 2023. Front Nutr. 2024. PMID: 38249615 Free PMC article.
-
Impact of an interdisciplinary nutrition support team (NST) on the clinical outcome of critically ill patients. A pre/post NST intervention study.Clin Nutr ESPEN. 2021 Oct;45:486-491. doi: 10.1016/j.clnesp.2021.06.018. Epub 2021 Jun 26. Clin Nutr ESPEN. 2021. PMID: 34620359
-
Nutrition and Clinical Outcomes of Nutrition Support in Multidisciplinary Team for Critically Ill Patients.Nutr Clin Pract. 2018 Oct;33(5):633-639. doi: 10.1002/ncp.10093. Epub 2018 May 26. Nutr Clin Pract. 2018. PMID: 29802742
-
An Evaluation of the Nutritional Value and Physical Properties of Blenderised Enteral Nutrition Formula: A Systematic Review and Meta-Analysis.Nutrients. 2020 Jun 20;12(6):1840. doi: 10.3390/nu12061840. Nutrients. 2020. PMID: 32575695 Free PMC article.
-
State of nutrition support teams.Nutr Clin Pract. 2013 Dec;28(6):691-7. doi: 10.1177/0884533613507455. Epub 2013 Oct 29. Nutr Clin Pract. 2013. PMID: 24170578 Review.
Cited by
-
The ability of the geriatric nutritional risk index to predict the risk of heart diseases in Korean adults: a Korean Genome and Epidemiology Study cohort.Front Nutr. 2023 Oct 26;10:1276073. doi: 10.3389/fnut.2023.1276073. eCollection 2023. Front Nutr. 2023. PMID: 37964931 Free PMC article.
References
-
- Mechanick JI. Practical aspects of nutritional support for wound-healing patients. Am J Surg. 2004;188:52–56. - PubMed
-
- McClave SA, Taylor BE, Martindale RG, Warren MM, Johnson DR, Braunschweig C, McCarthy MS, Davanos E, Rice TW, Cresci GA, Gervasio JM, Sacks GS, Roberts PR, Compher C Society of Critical Care Medicine; American Society for Parenteral and Enteral Nutrition. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) JPEN J Parenter Enteral Nutr. 2016;40:159–211. - PubMed
-
- Leiva Badosa E, Badia Tahull M, Virgili Casas N, Elguezabal Sangrador G, Faz Méndez C, Herrero Meseguer I, Izquierdo González À, López Urdiales R, Oca Burguete FJ, Tubau Molas M, Vilarasau Farré C, Llop Talaveron JM. Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay. Nutr Hosp. 2017;34:907–913. - PubMed
-
- Söderström L, Rosenblad A, Thors Adolfsson E, Bergkvist L. Malnutrition is associated with increased mortality in older adults regardless of the cause of death. Br J Nutr. 2017;117:532–540. - PubMed
-
- Heyland DK, Dhaliwal R, Day A, Jain M, Drover J. Validation of the Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients: results of a prospective observational study. Crit Care Med. 2004;32:2260–2266. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources