Effects of nutrition factors on mortality and sepsis occurrence in a multicenter university-based surgical intensive care unit in Thailand (THAI-SICU study).
Nutrition
; 58: 94-99, 2019 02.
Article
em En
| MEDLINE
| ID: mdl-30391697
ABSTRACT
OBJECTIVES:
The aim of this study was to demonstrate the role of nutrition factors on a 28-d mortality outcome and sepsis occurrence in surgical intensive care unit.METHODS:
The data was extracted from a THAI-SICU study that prospectively recruited participants (≥18 y of age) from three Thai surgical intensive care units (SICUs) of university-based hospitals. The demographic data and nutrition factors at SICU admission included energy delivery deficit, weight loss severity, route of energy delivery, and albumin and nutrition risk screening (NRS-2002). The outcomes were 28-d hospital mortality and sepsis occurrence. The statistical analysis was performed using Cox regression.RESULTS:
The study included 1503 eligible patients with a predominantly male population. The 28-d mortality and sepsis occurrences were 211 (14%) and 452 (30%), respectively. Regarding multivariable analysis, for mortality outcome, the protective effects of nutrition variables were higher body mass index (BMI; hazard ratio [HR], 0.82; 95% confidence interval [CI], 0.68-0.99; Pâ¯=â¯0.039), tube feeding (HR, 0.46; 95% CI, 0.26-0.83; Pâ¯=â¯0.010), and a combination of enteral and parenteral nutrition (HR, 0.24; 95% CI, 0.07-0.77; Pâ¯=â¯0.016). The harmful effects were severe weight loss (HR, 1.61; 95% CI, 1.16-2.22; Pâ¯=â¯0.004), albumin ≤2.5 (HR, 2.15; 95% CI, 1.20-3.84; Pâ¯=â¯0.010), and at risk according to NRS-2002 (HR, 1.34; 95% CI, 0.98-1.85; Pâ¯=â¯0.071). For the sepsis occurrence, only tube feeding had a protective effect (HR, 0.58; 95% CI, 0.39-0.88; Pâ¯=â¯0.009), and only albumin ≤2.5 had a harmful effect (HR, 1.71; 95% CI, 1.20-2.45; Pâ¯=â¯0.003).CONCLUSION:
Nutrition factors affecting the mortality or sepsis occurrence in this study were BMI, enteral feeding or combination with parenteral nutrition, severe weight loss, preadmission albumin ≤2.5, and at risk according to NRS-2002.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Estado Nutricional
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Mortalidade Hospitalar
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Estado Terminal
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Sepse
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Unidades de Terapia Intensiva
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article