Korean J Community Nutr.  2006 Feb;11(1):124-132.

Effects of the APACHE III Score, Hypermetabolic Score on the Nutrition Status and Clinical Outcome of the Patients Administered with Total Parenteral Nutrition and Enteral Nutrition

• Rha M
• Kim E
• Cho YY
• Seo JM
• Choi H

Abstract

The aim of this study is to evaluate the clinical outcome. Between January 1, 2002 to September 30, 2002, we prospectively and retrospectively recruited 111 hospitalized patients who received Enteral Nutrition (ENgroup n = 52) and Total Parenteral Nutrition (TPNgroup n = 59) for more than seven days. The factors of clinical outcomes are costs, incidences of in-fection, lengths of hospital stay, and changes in weight. The characteristics of patients were investigated, which included nutritional status, disease severity (APACHE III score) and hypermetabolic severity (hypermetabolic score). Hypermeta-bolic scores were determined by high fever (>38 degrees C), rapid breathing (>30 breaths/min), rapid pulse rate (>100 beats/min), leukocytosis (WBC > 12000 mm3), leukocytopenia (WBC < 3000 mm3), status of infection, inflammatory bowel disease, surgery and trauma. There was a positive correlation between hypermetabolic score and length of hospital stay (ICU), medical cost, weight loss, antibiotics adjusted by age while APACHE III score did not show correlation to clinical outcome. Medical cost was higher by 18.2% in the TPN group than the EN group. In conclusion, there was a strong negative correlation between the clinical outcome (cost, incidence of infection, hospital stay) and hypermetabolic score. Higher metabolic stress caused more malnutrition and complications. For nutritional management of patients with malnutrition, multiple factors, including nutritional assessment, and evaluation of hypermetabolic severity are needed to provide nutritional support for critically ill patients.

Keyword

malnutrition; nutrition support; TPN; EN; hypermetabolism; APACHEIII score

MeSH Terms

Anti-Bacterial Agents
APACHE*
Critical Illness
Cross Infection
Enteral Nutrition*
Fever
Heart Rate
Humans
Incidence
Inflammatory Bowel Diseases
Length of Stay
Leukocytosis
Leukopenia
Malnutrition
Nutrition Assessment
Nutritional Status*
Nutritional Support
Parenteral Nutrition, Total*
Prospective Studies
Respiration
Retrospective Studies
Stress, Physiological
Weight Loss
Anti-Bacterial Agents