Effects of enteral and total parenteral nutrition on length of stay in intensive care unit in postoperative period

Patients post-operatively followed in intensive care units in are known to have high morbidity and mortality rates. The aim of the present study was to compare the effects of enteral versus total parenteral nutrition for length of ICU stay in postoperative patients. Nutritional support for patients were divided into two groups; enteral nutrition (Group E) total parenteral administered (Group P). Demographic findings, APACHE II score and serum albumin levels were determined in the preoperative period in both groups of patients. In both groups were recorded type of operation and blood transfusion during the operation. Gas, fecal discharge time in the postoperative period, of patients in groups and, postoperative day 7th, serum albumin, and serum C-reactive protein (CRP), length of stay intensive care unit and mortality rates were determined. Abdominal cramps, the tension in the abdomen, nausea and diarrhea in patients in group E were accepted as complications of enteral nutrition. In this study were included group E 89, group P 82 patients. Between groups were similar demographic features, APACHE II score and serum albumin levels. Both groups was not significant difference operation type, operation time and blood transfusion. Postoperative gas discharge and fecal discharge were significantly difference earlier period in Group E (p

___

Thiele RH, Huffmyer JL, Raphael J. Perioperative morbidity: lessons from recent clinical trials. Curr Opin Crit Care. 2012;18(4):358-65.

Ljungqvist O. Guidelines for perioperative care. World J Surg. 2013;37(2):239

Russo N. Perioperative glycemic control. Anesthesiol Clin. 2012;30(3):445-66.

The Veterans affairs total parenteral nutrition cooperative study group. Perioperative total parenteral nutrition in surgical patients. N Eng J Med. 1991;325(8):525-32.

Sobotka L, Soeters PB, Raguso CA, Jolliet P, Pichard C.Nutritional support in critically ill and septic patients. In: Lubos Sobotka, edtion Basics in clinical nutrition.3rd Prag: House Galen; 2004. p.294-9

Moore FA, Feliciano DV, Andrassy RJ, McArdle AH, Booth FV, MorgensteinWagner TB, Kellum JM Jr, Welling RE, Moore EE. Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis. Ann Surg. 1992;216:172-83

Scurlock C, Mechanick JI. Early nutrition support in the intensive care unit: a US perspective. Curr Opin Clin Nutr Metab Care. 2008;11(2):152-5.

Woodcock NP, Zeigler D, Palmer MD, Buckley P, Mitchell CJ, MacFie J. Enteral versus parenteral nutrition: a pragmatic study. Nutrition. 2001;17(1):1-12.

Jeejeebhoy KN. Total parenteral nutrition: potion or poison? Am J Clin Nutr. 2001;74(2):160-3.

Iapichino G, Rossi C, Radrizzani D, Simini B, Albicini M, Ferla L, Bassi G, Bertolini G; Italian Group for the Evaluation of Interventions in Intensive Care Medicine. Nutrition given to critically ill patients during high level/ complex care (on Italian ICUs). Clin Nutr. 2004;23(3):409-16.

Dhaliwal R, Jurewitsch B, Harrietha D, Heyland DK. Combination enteral and parenteral nutrition in critically ill patients: harmful or beneficial? A systematic review of the evidence. Intensive Care Med. 2004;30(8):1666-71.

Krishnan JA, Parce PB, Martinez A, Diette GB, Brower RG. Caloric intake in medical ICU patients: consistency of care with guidelines and relationship to clinical outcomes. Chest. 2003;124(1):297- 305.

Roberts SR, Kennerly DA, Keane D, George C. Outcomes of nutrition support in the intensive care. Adequacy, timeliness, and outcomes. Crit Care Nurse. 2003;23(6):49-57.

The Veterans affairs total parenteral nutrition cooperative study group. Perioperative total parenteral nutrition in surgical patients. N Eng J Med. 1991;325(8):525-32.

Heyland DK, Montalvo M, MacDonald S, Keefe L, Su XY, Drover JW. Total parenteral nutrition in the surgical patient: a meta-analysis. Can J Surg. 2001;44(2):102-11

van den Berg A, van Elburg RM, Westerbeek EA, Twisk JW, Fetter WP. Glutamine-enriched enteral nutrition in very-lowbirth-weight infants and effects on feeding tolerance and infectious morbidity: a randomized controlled trial. Am J Clin Nutr. 2005;81(6):1397-404.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

The effect of effleurage and abdominal lifting massage in the labor pain

Sri WULAN, Ariawan SOEJOENOES, Sri WAHYUNİ M, Syarief Thaufik HİDAYAT, Melyana Nurul WİDYAWATİ, Rahmad GURUSİNGA

An investigation of infection rate and seasonal effect level in total joint replacement cases

REŞİT SEVİMLİ, Okan ASLANTÜRK, KADİR ERTEM, Ahmet HARMA, Gökay GÖRMELİ, AYDIN ARSLAN

Asymptomatic calf vein DVT in high risk surgical patients: A single centre study

Gouriprasad KURUMAPU, Manas R. PATTNAİK, Madhusudan DEY

Correlation between red cell distribution width and grade of hepatic steatosis and liver enzymes in patients with Non-Alcoholic steatohepatitis

ALİ DOĞAN, Narin YILDIRIM DOĞAN, ÖMER EKİNCİ, Melih KARINCAOĞLU

Relationship between living arrangements, quality of life and depressive symptoms of older adults

Hatice YİĞEN, Osman GÜNAY, ARDA BORLU

An examination of factors affecting the length of stay in long-term intensive care

METİN DİNÇER, Kadriye KAHVECİ, Cihan DÖĞER

Relationship between the mean platelet volume values and tilt-table test results in patients with vasovagal syncope

Yalçın GÖKOĞLAN, Erkan YILDIRIM

Delivering rehabilitation and relief services in the conflict affected hard-to reach areas of Borno state

Saurabh RamBihariLal SHRIVASTAVA, Prateek Saurabh SHRİVASTAVA, Jegadeesh RAMASAMY

Is vancomycin monitoring of real value in pediatric cancer patients?

Mohamed S. IMAM, Wael Z. KHALED, Mohamed E.A. ABDELRAHİM, Ahmed A.H ALİ, Lobna M. E. SHALABY

Clinical features and follow-up results of the patients with methicillin-resistant Staphylococcus aureus (MRSA) in orthopedic practice

REŞİT SEVİMLİ, AYDIN ARSLAN, YÜCEL DUMAN, MEHMET FATİH KORKMAZ, MEHMET NURİ ERDEM