Impact of nutrition support on the outcomes of patients at nutritional risks
10.3760/cma.j.issn.1674-635X.2010.05.001
- VernacularTitle:营养支持对有营养风险患者结局的影响
- Author:
Zhuming JIANG
;
Kang YU
;
Hailong LI
- Publication Type:Journal Article
- Keywords:
Nutrition support;
Nutrition risk;
Malnutrition;
Nutrition support and outcome;
Prospective cohort study
- From:
Chinese Journal of Clinical Nutrition
2010;18(5):263-267
- CountryChina
- Language:Chinese
-
Abstract:
Nutrition support includes three parts: supplementation, support, and therapy. When? and how? to use nutrition support which should be related with clinical outcome of the patients. Parenteral nutrition became widely accepted in the States since the presentation at American College of Surgeons Congress 1967 by Dudrick et al. More detail study of baby growth and development receiving all nutrients exclusively by vein from Wilmore et al 1968. In China, it was Jiang et al reported the clinical applications of parenteral nutrition at Surgical Congress of Chinese Medical Association 1978. Enteral elemental diet and parenteral nutrition for intestinal fistulae illness by Jiang et al 1979 which enrolled by Medline. Although nutrition support has become a standardized technology in China, but evidences on improving the patients' outcomes were still insufficient. After Kondrup et al estsblished Nutritional Risk Screening 2002 tool, the nutrition support could use an evidence-based approaching with outcome. One prospective cohort study based on hospitals in Baltimore and Beijing, using Nutrition Risk Screening 2002 as the tool, have evaluated the impact of nutritional support (both parenteral and enteral nutrition) on the infective complications among patients at nutritional risk and demonstrated that the overall incidence of complications was significantly lower in patients who had received nutritional support, which was achieved mainly due to the decline of the incidence of infective complications. Therefore, support with appropriate nutrients being necessary for patients at nutritional risks or already with malnutrition. However, more cohort studies and randomized controlled studies with larger samples are still required.
