Effects of the APACHE III Score, Hypermetabolic Score on the Nutrition Status and Clinical Outcome of the Patients Administered with Total Parenteral Nutrition and Enteral Nutrition.
- Author:
Miyong RHA
1
;
Eunmi KIM
;
Young Y CHO
;
Jeong Meen SEO
;
Haymie CHOI
Author Information
1. Department of Dietetics, Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
malnutrition;
nutrition support;
TPN;
EN;
hypermetabolism;
APACHEIII score
- MeSH:
Anti-Bacterial Agents;
APACHE*;
Critical Illness;
Cross Infection;
Enteral Nutrition*;
Fever;
Heart Rate;
Humans;
Incidence;
Inflammatory Bowel Diseases;
Length of Stay;
Leukocytosis;
Leukopenia;
Malnutrition;
Nutrition Assessment;
Nutritional Status*;
Nutritional Support;
Parenteral Nutrition, Total*;
Prospective Studies;
Respiration;
Retrospective Studies;
Stress, Physiological;
Weight Loss
- From:Korean Journal of Community Nutrition
2006;11(1):124-132
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The aim of this study is to evaluate the clinical outcome. Between January 1, 2002 to September 30, 2002, we prospectively and retrospectively recruited 111 hospitalized patients who received Enteral Nutrition (ENgroup n = 52) and Total Parenteral Nutrition (TPNgroup n = 59) for more than seven days. The factors of clinical outcomes are costs, incidences of in-fection, lengths of hospital stay, and changes in weight. The characteristics of patients were investigated, which included nutritional status, disease severity (APACHE III score) and hypermetabolic severity (hypermetabolic score). Hypermeta-bolic scores were determined by high fever (>38 degrees C), rapid breathing (>30 breaths/min), rapid pulse rate (>100 beats/min), leukocytosis (WBC > 12000 mm3), leukocytopenia (WBC < 3000 mm3), status of infection, inflammatory bowel disease, surgery and trauma. There was a positive correlation between hypermetabolic score and length of hospital stay (ICU), medical cost, weight loss, antibiotics adjusted by age while APACHE III score did not show correlation to clinical outcome. Medical cost was higher by 18.2% in the TPN group than the EN group. In conclusion, there was a strong negative correlation between the clinical outcome (cost, incidence of infection, hospital stay) and hypermetabolic score. Higher metabolic stress caused more malnutrition and complications. For nutritional management of patients with malnutrition, multiple factors, including nutritional assessment, and evaluation of hypermetabolic severity are needed to provide nutritional support for critically ill patients.
