Retrospective evaluation of the impact of early enteral nutrition on clinical outcomes in dogs with pancreatitis: 34 cases (2010-2013)
| Autor: | Korinn E. Saker, Jessica P. Harris, Emily H. Griffith, Nolie K. Parnell |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
General Veterinary medicine.diagnostic_test 040301 veterinary sciences Diet therapy business.industry Physical examination 04 agricultural and veterinary sciences medicine.disease Enteral administration Surgery 0403 veterinary science 03 medical and health sciences 0302 clinical medicine Parenteral nutrition Internal medicine medicine Acute pancreatitis Pancreatitis 030211 gastroenterology & hepatology Medical nutrition therapy Canine pancreatitis business |
| Zdroj: | Journal of Veterinary Emergency and Critical Care. 27:425-433 |
| ISSN: | 1479-3261 |
| DOI: | 10.1111/vec.12612 |
| Popis: | Objective To evaluate the effect of early enteral nutritional therapy on time to return to voluntary intake, maximum food consumption, incidence of gastrointestinal intolerance (GI), and total hospitalization time for dogs with acute pancreatitis. Design and Setting Retrospective analysis of dogs with pancreatitis at a veterinary teaching hospital between 2010 and 2013. Animals Thirty-four client-owned dogs diagnosed with acute or acute-on-chronic pancreatitis. Procedures and Interventions Medical records of dogs evaluated for inappetence, anorexia, and GI for which a diagnosis of pancreatitis was recorded were reviewed. The time to initiation of food offerings since hospitalization were recorded in addition to signalment, historical medical conditions, chief complaint, physical examination findings, diagnostic results, treatments provided, timing of food offering (within 48 h of hospitalization, early feeding group (EFG) versus delayed feeding group (DFG), diet therapy (low fat versus high fat), caloric intake (% resting energy requirement), incidence of GI (%), and length of hospitalization (LOH) (days). A Clinical Severity Index Score (CSIS) was determined for each patient. Measurements and Main Results Dogs in the EFG demonstrated a decreased time to return of voluntary intake (2.1 days, EFG versus 2.7 days, DFG; P = 0.05) and time (days) to maximum intake (3, EFG versus 3.4 DFG) as compared to the DFG dogs. The DFG exhibited more GI versus EFG irrespective of CSIS grouping (60% versus 26%, P = 0.04). A CSIS ≥ 7 was associated with prolonged LOH (P = 0.004); however, time to initiation of feeding and diet selection did not impact LOH (P = 0.8). Conclusions and Clinical Relevance Results of the study suggested that feeding within 48 hours of hospitalization for canine pancreatitis has a positive impact on return to voluntary intake and decreases the frequency of GI in these patients, independent of CSIS. The traditional protocol of withholding food during hospitalization may not be necessary nor yield the most benefit for patient recovery; subsequently early enteral refeeding should be considered. |
| Databáze: | OpenAIRE |
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