J Korean Crit Care Nurs.  2018 Oct;11(3):108-119. 10.0000/jkccn.2018.11.3.108.

Effect of Nutrition Support Team Management: Focusing on Medical Intensive Care Unit Patients

• Im WS
• Lee YM

• KMID: 2434712
• DOI: http://doi.org/10.0000/jkccn.2018.11.3.108

Abstract

PURPOSE
This study evaluated the nutritional status and effect of nutritional support team (NST) management in critically ill patients. METHOD: From January 2015 to August 2017, the study retrospectively investigated 128 patients aged above 19 years admitted to a medical intensive care unit (MICU). The patients were divided into two groups: NST (n=65) and non-NST (n=63) groups. Nutritional status, classification of bedsore risks, incidence rate of bedsore and clinical outcomes were compared.
RESULTS
The study found a higher rate of the use of enteral nutrition in the NST group (χ²=45.60, p < .001). The prescription rate of parenteral nutrition (PN) was found to be lower in the NST group (4.6%) compared to the non-NST group (60.3%). There was a higher PN of total delivered/required caloric ratio in the NST, compared to the non-NST, group (χ²=3.33, p=.025). There were significant differences for higher albumin levels (t=2.50, p=.014), higher total protein levels (t=2.94, p =.004), and higher proportion of discharge with survival rates (χ²=18.26, p < .001) in the NST group.
CONCLUSION
Providing NST management to critically ill patients showed an increase in the nutrition support. Further, to achieve effective clinical outcomes, measures such as nutrition education and continuous monitoring and management for the provision of nutritional support by the systemic administration of a nutritional support team should be considered.

Keyword

Critically ill; Nutrition status; Nutritional support

MeSH Terms

Classification
Critical Care*
Critical Illness
Education
Enteral Nutrition
Humans
Incidence
Intensive Care Units*
Methods
Nutritional Status
Nutritional Support
Parenteral Nutrition
Prescriptions
Pressure Ulcer
Retrospective Studies
Survival Rate