Occurrence risk of enteral nutrition intolerance and its influencing factors in 302 elderly critically ill patients
10.3969/j.issn.1006-2483.2025.04.032
- VernacularTitle:302例老年急危重症患者肠内营养不耐受发生风险及其影响因素
- Author:
Xiaorong SHI
1
;
Zhang WANG
1
;
Yan REN
1
;
Ying XIANG
1
Author Information
1. Second Ward , Department of Cadre Ward III , General Hospital of Western Theater Command , Chengdu , Sichuan 610000 , China
- Publication Type:Journal Article
- Keywords:
Elderly critical illness;
Enteral nutrition intolerance;
Occurrence risk
- From:
Journal of Public Health and Preventive Medicine
2025;36(4):141-144
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the occurrence risk of enteral nutrition intolerance and analyze its influencing factors in 302 elderly critically ill patients. Methods The clinical case data of elderly critically ill patients in department of elderly cadres of the hospital were retrospectively analyzed from January 2019 to January 2024. According to the occurrence of enteral nutrition intolerance or not, they were divided into occurrence group (n=156) and non-occurrence group (n=146). The risk of nutritional intolerance in elderly critically ill patients was evaluated by feeding intolerance risk assessment form, and the influencing factors of enteral nutrition intolerance were analyzed by multivariate logistic regression analysis. Results Among the 302 elderly patients with critical illness, 53.31% (161/302) had high risk of enteral nutrition intolerance, and 51.66% (156/302) had enteral nutrition intolerance. Multivariate logistic analysis revealed that CRP level>10mg/L, APACHE-II score≥20 points, Lac≥3mmol/L and hypoalbuminemia were risk factors in elderly critically ill patients (OR=1.806, 2.977, 8.232, 3.031, P=0.011, 0.001, 0.041, 0.047), and addition of dietary fiber was a protective factor for enteral nutrition intolerance (OR=1.652, P=0.037). Conclusion The risk of enteral nutrition intolerance is high in elderly critically ill patients. Lac level, CRP level, hypoalbuminemia, and APACHE-II score of patients are independent risk factors for enteral nutrition intolerance, and addition of dietary fiber is a protective factor. It is necessary to take targeted interventions for patients according to the above factors to minimize the occurrence of enteral nutrition intolerance.
