Comparison of the Initiation Time of Enteral Nutrition for Critically Ill Patients: At Admission vs. 24 to 48 Hours after Admission

Autor: Yan-mei Xie, Huachun Huang, Hong-quan Zhu, Liang Nie, Fen Wang, Mingfang Xiao, Meixin Zhong, Anshan Yu, Xiao-feng Liu
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Emergency Medicine International, Vol 2021 (2021)
Emergency Medicine International
ISSN: 2090-2859
2090-2840
Popis: Objective. To investigate the better time of initiation of enteral nutrition for critically ill patients, such as at admission or 24 to 48 hours after admission. Methods. This was a prospective, randomized, parallel-controlled, single-blind, interventional clinical trial. A total of 100 patients admitted to the intensive care unit (ICU) of our hospital between January 2017 and December 2018 were recruited in this study. These patients had been divided into the control group or intervention group by a computer-generated random number table, and each group had 50 patients. For the control group, a gastric tube was inserted to start enteral nutrition at 24 to 48 hours after admission. For the intervention group, a nasojejunal tube was placed to start enteral nutrition at admission. The main endpoints included serum albumin and prealbumin at admission and on days 3, 7, and 14 after admission, length of ICU stay, ventilator time, and complications such as diarrhea, gastric retention, esophageal reflux, and pulmonary infection. Results. The results showed that serum albumin and prealbumin were significantly higher in the intervention group than in the control group ( P P P P
Databáze: OpenAIRE
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