Nutrition Characteristics and Delivery in Relation to 28-day Mortality in Critically Ill Patients
https://doi.org/10.47836//mjmhs18.4.15
- Author:
Asiya Abdul Raheem
1
;
Barakatun-Nisak Mohd Yusof
1
;
Lee Zheng Yii
2
;
Noor Airini binti Ibrahim
3
;
Ali Abdulla Latheef
4
Author Information
1. Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
2. Department of Anesthesiology, University of Malaya, 50603 Kuala Lumpur, Malaysia
3. Department of Anesthesiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia
4. Department of Medicine, Indira Gandhi Memorial Hospital, Male, Maldives
- Publication Type:Journal Article
- Keywords:
Critically ill, Mortality, Nutrition Characteristics, Nutrition Delivery, ICU
- From:Malaysian Journal of Medicine and Health Sciences
2022;18(No.4):104-112
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: The limited data regarding nutrition characteristics and the delivery of critically ill patients in South
Asia is intriguing. This study was conducted to investigate the nutrition characteristics and delivery in relation to 28-
day mortality in mechanically ventilated patients. Methods: This prospective observational study was conducted in
the intensive care unit (ICU) of the Maldives government referral hospital. Data about nutrition characteristics and
delivery were collected from the ICU charts, and each patient was followed for a maximum of 28 days. Results: We
recruited a total of 115 patients (mean age: 61.57±17.26 years, 52% females, mean BMI: 25.5±6.19kg/m2), of which
61 (53%) of them died within 28 days of ICU admission. Mean energy intake was 681.15±395.37 kcal per day, and
mean protein intake was 30.32±18.97g per day. In the univariate logistic regression analysis, length of stay in ICU
(OR = 0.950, 95% CI: 0.908 – 0.994, p = 0.027), and received intervention by a dietitian (OR = 0.250, 95% CI:
0.066 – 0.940, p = 0.040) were associated with 28-day mortality. None of the factors in the multivariate regression
analysis remains significant when adjusted for sex, SOFA total score, daily energy and protein dosage. Conclusion:
28-day mortality was much higher in this study than in similar studies in South Asia, Asia and around the globe. None
of the variables was significantly associated with 28-day mortality in the multivariate logistic model. However, there
was a trend towards higher mortality for patients with shorter length of stay in the ICU, larger mean gastric residual
volume, and no intervention by a dietitian.
- Full text:11.2022my1303.pdf
