Are We Giving Sufficient Protein in Parenteral Nutrition Support to Adult Patients in Intensive Care Unit?
| Autor: | Fong Pui Wun Fiona, Mahmud Majdi bin Mahmud Saedon, Stella Caroline J. Bangguan |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| DOI: | 10.5281/zenodo.5360029 |
| Popis: | Introduction Protein plays a significant role in nutrition support, especially for patients at intensive care unit (ICU) who commonly suffer from net loss of protein. ASPEN and ESPEN guidelines recommend a minimum protein of 1.2g/kg/day for ICU patients, while Kidney Disease: Improving Global Outcomes (KDIGO) recommends 0.8g/kg/day for chronic kidney disease (CKD) stage 4-5. Methodology This was a cross-sectional study involving all adult ICU patients receiving PN in Hospital Queen Elizabeth (HQE) and HQE II from January 2018 to April 2019 to determine protein sufficiency. Information was obtained from patients' pharmacotherapy review forms. If PN and enteral nutrition (EN) were received concurrently, protein from both sources was accounted for. Results Among the 52 patients, majority were male (n=41; 78.8%) with median age of 52 years old (IQR=34.5). Median duration of PN support was 6 days (IQR=6.3), and gastrointestinal perforation was the most common indication (n=11; 21.2%). All 45 non-CKD patients (86.5%) received minimum recommended protein of 1.2g/kg/day. Ten patients (19.2% out of 52) who received PN and EN concurrently received a higher average protein up to 1.5g/kg/day. Out of 7 patients (13.5%) with underlying CKD stage 4-5, two (3.8% of total 52 patients) received insufficient protein below 0.8g/kg/day due to restriction of fluid (ROF). Discussion/Conclusion Majority of the patients received sufficient protein as per guidelines, otherwise with justifiable reason. In real-life practice, discrepancy may occur due to the fixed-content formulations of commercial PN bags and the local practice of deciding PN regimen mainly based on calorie requirement. [Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster] This poster was submitted to the 14th National Conference for Clinical Research (NCCR) in August 18-20, 2021. https://nccrconference.com.my/ |
| Databáze: | OpenAIRE |
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