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Nutrition
Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit
Eunsuk Oh, Hongjin Shim, Hyon Ju Yon, Jin Sil Moon, Dae Ryong Kang, Ji Young Jang
Acute Crit Care. 2020;35(3):142-148.   Published online August 19, 2020
DOI: https://doi.org/10.4266/acc.2020.00318
  • 6,575 View
  • 191 Download
  • 10 Web of Science
  • 14 Crossref
AbstractAbstract PDF
Background
We evaluated clinical and nutritional outcomes according to multidisciplinary team involvement in nutrition support in a regional trauma intensive care unit (TICU).
Methods
We retrospectively compared the outcomes for 339 patients admitted to the TICU for >5 days depending on nutrition support team (NST) involvement (n=176) and non-NST involvement (n=163).
Results
The mean age and injury severity score (ISS) were 57.3±16.7 years and 18.6±9.7, respectively. Fifty-three patients (15.6%) had shock on admission and 182 (53.7%) underwent surgery during TICU admission. Some patients were admitted to neurosurgery (46%), general surgery (35.4%), and other (18.6%) departments. There were significant differences in the ISS, Acute Physiology and Chronic Health Evaluation (APACHE) II score, shock on TICU admission, and initial laboratory results. After propensity score matching, the total delivered/required caloric ratio and total delivered/required protein ratio were significantly higher in the NST group than in the non-NST group (calorie: 80.4% vs. 66.7%, P=0.007; protein: 93.1% vs. 68.3%, P<0.001). The NST group had an adequate protein supply more frequently than the non-NST group (protein: 48.0% vs. 25.8%, P=0.002). There was no significant difference in survival, even after adjustment for risk factors using Cox proportional hazard analysis.
Conclusions
The results of our study suggest that multidisciplinary team involvement in nutrition support in TICU patients may improve nutritional, but not clinical, outcomes.

Citations

Citations to this article as recorded by  
  • Impact of a multidisciplinary collaborative nutritional treatment model in patients who are critically ill with neurological disorders: A randomized controlled trial
    Bao-Di Gu, Yun Wang, Rong Ding
    Technology and Health Care.2024; 32(3): 1767.     CrossRef
  • Implementation of a multidisciplinary nutritional support team and clinical outcomes in critically ill patients with COVID-19
    In-Ae Song, Kyunghwa Lee, Sunghee Lee, Keonhee Kim, Tak Kyu Oh
    Clinical Nutrition.2024; 43(2): 315.     CrossRef
  • Nutrition support teams: Institution, evolution, and innovation
    Albert Barrocas, Denise Baird Schwartz, Bruce R. Bistrian, Peggi Guenter, Charles Mueller, Ronni Chernoff, Jeanette M. Hasse
    Nutrition in Clinical Practice.2023; 38(1): 10.     CrossRef
  • Multidisciplinary Difficult Airway Team Characteristics, Airway Securement Success, and Clinical Outcomes: A Systematic Review
    Vinciya Pandian, Talha U. Ghazi, Marielle Qiaoshu He, Ergest Isak, Abdulmalik Saleem, Lindsay R. Semler, Emily C. Capellari, Michael J. Brenner
    Annals of Otology, Rhinology & Laryngology.2023; 132(8): 938.     CrossRef
  • Nutrition Therapy by Nutrition Support Team: A Comparison of Multi-Chamber Bag and Customized Parenteral Nutrition in Hospitalized Patients
    Seunghyun Cheon, Sang-Hyeon Oh, Jung-Tae Kim, Han-Gon Choi, Hyojung Park, Jee-Eun Chung
    Nutrients.2023; 15(11): 2531.     CrossRef
  • Consultation pattern changes of parenteral nutrition with a multidisciplinary nutrition support team in a recently opened hospital in Korea: a retrospective cohort study
    Kyoung Won Yoon, Hyo Jin Kim, Yujeong Im, Seul Gi Nam, Joo Yeon Lee, Hyo Gee Lee, Joong-Min Park
    Annals of Clinical Nutrition and Metabolism.2023; 15(2): 57.     CrossRef
  • Lipid emulsion treatment of cardiotoxicity caused by calcium channel blocker and beta-blocker
    Ju-Tae Sohn
    The American Journal of Emergency Medicine.2022; 58: 331.     CrossRef
  • Physician Compliance with Nutrition Support Team Recommendations: Effects on the Outcome of Treatment for Critically Ill Patients
    Hyon-Ju Yon, Eun-Suk Oh, Ji Young Jang, Ji Yun Jang, Hongjin Shim
    Journal of Acute Care Surgery.2022; 12(1): 1.     CrossRef
  • Nutritional Status of Intensive Care Unit Patients According to the Referral to the Nutrition Support Team and Compliance with the Recommendations
    Yunjin Sohn, Taisun Hyun
    Korean Journal of Community Nutrition.2022; 27(2): 121.     CrossRef
  • Lipid emulsion dosage used for resuscitation after drug toxicity
    Ju-Tae Sohn
    The American Journal of Emergency Medicine.2022; 59: 168.     CrossRef
  • Intensive care management of traumatic brain injury: How can mnemonics help?
    Biljana Damnjanović, Jovana Stanisavljević, Adi Hadžibegović, Ivan Rović, Đuro Šijan, Nemanja Jovanović, Sanja Ratković, Marija Milenković
    Serbian Journal of Anesthesia and Intensive Therapy.2022; 44(5-6): 105.     CrossRef
  • 救急・集中治療領域 重症患者における栄養管理
    信人 中西, 穣治 小谷
    The Japanese Journal of SURGICAL METABOLISM and NUTRITION.2022; 56(6): 229.     CrossRef
  • Urinary Titin N-Fragment as a Biomarker of Muscle Atrophy, Intensive Care Unit-Acquired Weakness, and Possible Application for Post-Intensive Care Syndrome
    Nobuto Nakanishi, Rie Tsutsumi, Kanako Hara, Masafumi Matsuo, Hiroshi Sakaue, Jun Oto
    Journal of Clinical Medicine.2021; 10(4): 614.     CrossRef
  • Lack of evidence for a nutritional support team in a trauma intensive care unit?
    Jae Hwa Cho
    Acute and Critical Care.2020; 35(3): 205.     CrossRef
Nutrition Support in the Intensive Care Unit of 6 Korean Tertiary Teaching Hospitals: A National Multicenter Observational Study
Song Mi Lee, Seon Hyeung Kim, Yoon Kim, Eunmee Kim, Hee Joon Baek, Seungmin Lee, Hosun Lee, Chul Ho Chang, Cheung Soo Shin
Korean J Crit Care Med. 2012;27(3):157-164.
DOI: https://doi.org/10.4266/kjccm.2012.27.3.157
  • 3,711 View
  • 71 Download
  • 4 Crossref
AbstractAbstract PDF
BACKGROUND
Malnutrition is a frequent nutritional problem among ICU patients, and their nutritional status is known to affect clinical prognosis. We conducted this study to examine nutritional status and actual nutrition delivery in the ICU patients and its relations to clinical outcomes.
METHODS
This study was a multicenter retrospective observational study based on the medical records of 163 patients admitted to ICU of tertiary teaching hospitals in Korea. We included the patients who were treated with mechanical ventilation for 3 or more days and received enteral or parenteral nutrition.
RESULTS
According to albumin and total lymphocyte count levels, 54.6% of the subjects were moderately or severely malnourished. Mean percentage of calorie and protein delivery to estimated needs for 10 days were 55.8 +/- 29.3% and 46.1 +/- 30.1%, respectively. While parenteral nutrition (PN) started at 1.6 +/- 1.4 days after admission, enteral nutrition (EN) did at 3.6 +/- 2.1 days. Days to PN and EN start, the calorie and protein amount via EN or PN were significantly different among 6 hospitals. No clinical outcomes differed by the levels of calorie or protein delivery. In-hospital mortality was significantly higher in the severely malnourished group at admission as compared to the other 2 groups (54.3% vs. 31.2% vs. 27.7%, p < 0.05) CONCLUSIONS: Malnutrition prevalence is high among Korean intensive care unit patients, but current nutritional therapy practice is inconsistent across institutions and far below the international guidelines. Systematic efforts should be made to develop nutritional support guidelines for Korean ICU patients.

Citations

Citations to this article as recorded by  
  • Nutritional Status of Intensive Care Unit Patients According to the Referral to the Nutrition Support Team and Compliance with the Recommendations
    Yunjin Sohn, Taisun Hyun
    Korean Journal of Community Nutrition.2022; 27(2): 121.     CrossRef
  • Comparison of the nutritional indicators of critically Ill patients on extracorporeal membrane oxygen (ECMO)
    Nah-Mee Shin, Suk Yeon Ha, Yoon Soo Cho
    Journal of Nutrition and Health.2021; 54(5): 489.     CrossRef
  • The impact of multidisciplinary nutritional team involvement on nutritional care and outcomes in a medical intensive care unit
    H J Jo, D B Shin, B K Koo, E S Ko, H J Yeo, W H Cho
    European Journal of Clinical Nutrition.2017; 71(11): 1360.     CrossRef
  • The effect of nutritional supply on clinical outcomes and nutritional status in critically ill patients receiving continuous renal replacement therapy
    Ju Yeun Kim, Ji-Myung Kim, Yuri Kim
    Journal of Nutrition and Health.2015; 48(3): 211.     CrossRef

ACC : Acute and Critical Care