Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study

Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study Publisher Pubmed

Javid Z¹ ; Shadnoush M^{2, 3} ; Khademrezaiyan M⁴ ; Mohammad Zadeh Honarvar N⁵ ; Sedaghat A⁶ ; Hashemian SM⁷ ; Ardehali SH⁸ ; Nematy M⁹ ; Pournik O^{10, 11} ; Beigmohammadi MT¹² ; Safarian M⁹ ; Moradi Moghaddam O¹³ ; Khoshfetrat M¹⁴ ; Zand F¹⁵ Show All Authors

Javid Z¹
Shadnoush M^{2, 3}
Khademrezaiyan M⁴
Mohammad Zadeh Honarvar N⁵
Sedaghat A⁶
Hashemian SM⁷
Ardehali SH⁸
Nematy M⁹
Pournik O^{10, 11}
Beigmohammadi MT¹²
Safarian M⁹
Moradi Moghaddam O¹³
Khoshfetrat M¹⁴
Zand F¹⁵
Mohammad Alizadeh A¹⁶
Kosari Monfared M¹⁷
Mazaheri Eftekhar F¹⁷
Mohamadi Narab M¹⁷
Taheri AS¹⁸
Babakhani K¹⁷
Foroutan B¹⁹
Jamialahmadi T¹
Jabbarzadeh Gangeh B²⁰
Meshkani M¹⁷
Kimiaee F²⁰
Norouzy A⁹

Show Affiliations

1. Student Research Committee, Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2. Semnan University of Medical Sciences, Semnan, Iran
3. Department of Clinical Nutrition, Faculty of Nutrition & Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4. Department of Community Medicine and Public Health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5. Department of Cellular and Molecular Nutrition, School of Nutritional Sciences & Dietetics, Tehran University of Medical Sciences, Tehran, Iran
6. Faculty of Critical Care Medicine, Lung Disease Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
7. Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran
8. Department of Anesthesiology &Critical care, Shohadaye â€“ Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
9. Biochemistry and Nutrition Department, Mashhad University of Medical Sciences, Mashhad, Iran
10. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
11. Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
12. Department of Anesthesiology and Intensive Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
13. Trauma and Injury Research Center & Critical Care Department, Rasoul-e-Akram Complex Hospital, Iran University of Medical Sciences, Tehran, Iran
14. Anesthesiology and Critical Care Department of Anesthesiology and Intensive Care Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
15. Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
16. Department of Bone Marrow Transplantation, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
17. Department of Nutrition, Sciences and Research Branch, Islamic Azad University, Tehran, Iran
18. Kowsar Hospital, Semnan University of Medical Sciences and Health Services, Semnan, Iran
19. Student Research Committee, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
20. Department of Nutrition Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran

Source: Clinical Nutrition Published:2021

Abstract

Background & aims: Critically ill patients are provided with the intensive care medicine to prevent further complications, including malnutrition, disease progression, and even death. This study was intended to assess nutritional support and its' efficacy in the Intensive Care Units (ICUs) of Iran. Methods: This cross-sectional study assessed 50 ICU's patients out of 25 hospitals in the 10 major regions of Iran's health system and was performed using the multistage cluster sampling design. The data were collected from patient's medical records, ICU nursing sheets, patients or their relatives from 2017 to 2018. Nutritional status was investigated by modified NUTRIC score and food frequency checklist. Results: This study included 1321 ICU patients with the mean age of 54.8 ± 19.97 years, mean mNUTRIC score of 3.4 ± 2.14, and malnutrition rate of 32.6%. The mean time of first feeding was the second day and most of patients (66%) received nutrition support, mainly through enteral (57.2%) or oral (37%) route during ICU stay. The patients received 59.2 ± 37.78 percent of required calorie and 55.5 ± 30.04 percent of required protein. Adequate intake of energy and protein was provided for 16.2% and 10.7% of the patients, respectively. The result of regression analysis showed that the odds ratio of mNUTRIC score was 0.85 (95% confidence interval [CI] = 0.74–0.98) and APACHE II was 0.92 (95%CI = 0.89–0.95) for the prediction of energy deficiency. Nutrition intake was significantly different from patient's nutritional requirements both in terms of energy (p < 0.001) and protein (p < 0.001). Also, mean mNUTRIC score varied notably (p = 0.011) with changing in energy intake, defined as underfeeding, adequate feeding, and overfeeding. Conclusion: The present findings shown that, provided nutritional care for ICU patients is not adequate for their requirements and nutritional status. © 2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism

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Style	Citing Format
MLA	Javid Z, et al.. "Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study." Clinical Nutrition, vol. 40, no. 2, 2021, pp. 511-517.
APA	Javid Z, Shadnoush M, Khademrezaiyan M, Mohammad Zadeh Honarvar N, Sedaghat A, Hashemian SM, Ardehali SH, Nematy M, Pournik O, Beigmohammadi MT, Safarian M, Moradi Moghaddam O, Khoshfetrat M, Zand F, Mohammad Alizadeh A, Kosari Monfared M, Mazaheri Eftekhar F, Mohamadi Narab M, Taheri AS, ... Norouzy A (2021). Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study. Clinical Nutrition, 40(2), 511-517.
Chicago	Javid Z, Shadnoush M, Khademrezaiyan M, Mohammad Zadeh Honarvar N, Sedaghat A, Hashemian SM, Ardehali SH, et al.. "Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study." Clinical Nutrition 40, no. 2 (2021): 511-517.
Harvard	Javid Z et al. (2021) 'Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study', Clinical Nutrition, 40(2), pp. 511-517.
Vancouver	Javid Z, Shadnoush M, Khademrezaiyan M, Mohammad Zadeh Honarvar N, Sedaghat A, Hashemian SM, et al.. Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study. Clinical Nutrition. 2021;40(2):511-517.
BibTex	@article{ author = {Javid Z and Shadnoush M and Khademrezaiyan M and Mohammad Zadeh Honarvar N and Sedaghat A and Hashemian SM and Ardehali SH and Nematy M and Pournik O and Beigmohammadi MT and Safarian M and Moradi Moghaddam O and Khoshfetrat M and Zand F and Mohammad Alizadeh A and Kosari Monfared M and Mazaheri Eftekhar F and Mohamadi Narab M and Taheri AS and Babakhani K and Foroutan B and Jamialahmadi T and Jabbarzadeh Gangeh B and Meshkani M and Kimiaee F and Norouzy A}, title = {Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study}, journal = {Clinical Nutrition}, volume = {40}, number = {2}, pages = {511-517}, year = {2021} }
RIS	TY - JOUR AU - Javid Z AU - Shadnoush M AU - Khademrezaiyan M AU - Mohammad Zadeh Honarvar N AU - Sedaghat A AU - Hashemian SM AU - Ardehali SH AU - Nematy M AU - Pournik O AU - Beigmohammadi MT AU - Safarian M AU - Moradi Moghaddam O AU - Khoshfetrat M AU - Zand F AU - Mohammad Alizadeh A AU - Kosari Monfared M AU - Mazaheri Eftekhar F AU - Mohamadi Narab M AU - Taheri AS AU - Babakhani K AU - Foroutan B AU - Jamialahmadi T AU - Jabbarzadeh Gangeh B AU - Meshkani M AU - Kimiaee F AU - Norouzy A TI - Nutritional Adequacy in Critically Ill Patients: Result of Pnsi Study JO - Clinical Nutrition VL - 40 IS - 2 SP - 511 EP - 517 PY - 2021 ER -

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