Feeding effect of not monitoring gastric residual volume in ICU patients receiving continuous enteral feeding: a Meta-analysis
10.3760/cma.j.issn.1672-7088.2019.30.015
- VernacularTitle: 不常规监测胃残余量对持续肠内营养的危重症患者喂养并发症及摄入热量影响的Meta分析
- Author:
Kunrong YU
1
;
Mei LI
;
Yu′e WANG
;
Zhuli ZHAO
Author Information
1. Pulmonary and Critical Care Medicine Ward, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing100730, China
- Publication Type:Review
- Keywords:
Not monitoring;
gastric residual volume;
Enteral nutrition;
Intensive care units;
Meta-analysis
- From:
Chinese Journal of Practical Nursing
2019;35(30):2395-2401
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feeding effect of not monitoring gastric residual volume in ICU patients receiving continuous enteral feeding,including complications and calorie intake.
Methods:We searched for relevant studies in China national knowledge internet(CNKI), Wanfang Data, PubMed, Embase, Cochrane library. We included all Randomized controlled trials (RCTs) and pre-post studies related to the feeding effect of not monitoring gastric residual volume in ICU patients receiving continuous enteral feeding. Two researchers independently screened, appraised and extracted data, and meta-analysis was conducted via RevMan 5.3 software.
Results:3 RCTs and 2 pre-post studies with 1 000 patients were included. Not monitoring gastric residual volume increase the rate of vomiting [OR=1.35, 95%CI(1.02, 1.80), Z=2.08, P=0.04], decrease the proportion of intolerance to enteral nutrition [OR=0.35, 95%CI(0.26, 0.46), Z=7.29, P<0.01], there were no significant differences in diarrhea [OR=1.14, 95%CI(0.78, 1.67), Z=0.67, P=0.51] and distention[OR=1.24, 95%CI(0.76, 2.03), Z=0.87, P=0.38]. The cumulative calorie deficit between targeted volume and provided volume in not monitoring gastric residual volume group was significantly lower than the control group[MD=-0.29, 95%CI(-0.47, -0.11), Z=3.23, P=0.001], daily provided calorie amount was also significantly higher than the control group [MD=0.35, 95%CI(0.10, 0.59), Z=2.75, P=0.006].
Conclusions:Not monitoring gastric residual volume in ICU patients increase calorie intake and have better enteral nutrition provision, decrease the proportion of intolerance to enteral nutrition. Monitoring gastric residual volume should not be taken as a routine task in critical care nursing.
