A study on Nutritional status and Support in Critically ill patients

서울시내 1 개병원 중환자의 영양상태와 영양지원 실태에 관한 연구

  • Choe, Mi-Suk (Dietary department, SEVERANCE Hospital YONSEI University College of Medicine) ;
  • Kim, Jeong-Nam (Dietary department, SEVERANCE Hospital YONSEI University College of Medicine)
  • 최미숙 (연세의료원 세브란스병원 영양과) ;
  • 김정남 (연세의료원 세브란스병원 영양과)
  • Published : 1995.07.25

Abstract

Critically ill patients admitted in ICU and NCU were studied with respect to their nutritional status and support to them at initial period, and the effect of nutritional support after 3 weeks. The nutritional support was supplied to these patients with the enteral and parenteral nutrition. The results of biochemical test and status of nutritional support on 52(29 males, 23 females) critically ill patients were based on medical records and the anthropometry was measured on 28 patients. The subjects were in mild malnutrition. Their initial calorie intakes were 85% of BEE, 57% of total energy requirements and 49% of protein requirement were provided. Two groups, one group of serum albumin level more than 3.5g/dl and the other group of serum albumin level less than 3.5g/dl, were significant different in total calorie and protein intakes. After 3 weeks, inappropriate nutritional support in the group of normal nutrition results in significant decreasing of serum albumin level but, there were no changes in the group of malnutrition. Nutritional support is one of the mainstays in the management of these critically ill patients and is aimed at preventing malnutrition. Therefore, timely nutritional support is heavily required in cases of critically ill patients whether their initial nutritional status is normal or not.

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