Nutritional Support Team vs Nonteam Management of Enteral Nutritional Support in a Veterans Administration Medical Center Teaching Hospital
| Autor: | David A. Sutherland, P. Gregory Drexler, Douglas A. Powers, R. Wayne Luther, George S.M. Cowan, Rex O. Brown |
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| Rok vydání: | 1986 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Resuscitation Calorie Demographics Hospitals Veterans Nitrogen 030309 nutrition & dietetics Medicine (miscellaneous) Enteral administration Teaching hospital 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Patient disposition medicine Humans Prospective Studies Hospitals Teaching Aged Aged 80 and over Patient Care Team 0303 health sciences Nutrition and Dietetics business.industry Significant difference Middle Aged Nutrition Disorders Emergency medicine Basal metabolic rate Female 030211 gastroenterology & hepatology Energy Metabolism business Delivery of Health Care |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 10:635-638 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1177/0148607186010006635 |
| Popis: | One hundred one patients receiving enteral nutritional support (ENS) by tube feeding during a 5-month period were prospectively studied. Fifty patients were managed by a nutritional support team (T) and 51 patients were managed by the nonteam approach (NT). Demographics, primary diagnosis, chronic diseases, medical service, calculated basal energy expenditure (BEE), duration of ENS, and final patient disposition were recorded. Enteral formula, formula modifications, results of laboratory tests and calories delivered were obtained daily. Results of nitrogen balance studies were obtained when available and each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. No significant difference was found between the team and nonteam managed groups in regard to total feeding days, mean feeding days per patient, total laboratory tests, laboratory tests per patient or laboratory tests per day. Significantly more team patients attained 1.2 times BEE (T = 47, NT = 38, p less than 0.05) for a significantly greater period of time (T = 398 days, NT = 281 days, p less than 0.05). Significantly more team patients achieved a measured positive nitrogen balance than nonteam patients (T = 42, NT = 1, p less than 0.05). Formula modifications to correct nutritional or metabolic aberrations were made in 15 (30%) team patients and five (9.8%) nonteam patients (p less than 0.05). The number of individual abnormalities (pulmonary, mechanical, gastrointestinal, and metabolic), as well as total abnormalities occurring in the team-managed group, was significantly lower than in the nonteam managed group (160 vs 695, p less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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