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Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit
BACKGROUNDWe evaluated clinical and nutritional outcomes according to multidisciplinary team involvement in nutrition support in a regional trauma intensive care unit (TICU). METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for >5 days depending on nutrition s...
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Published in: | Acute and critical care 2020, 35(3), , pp.142-148 |
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creator | Oh, Eunsuk Shim, Hongjin Yon, Hyon Ju Moon, Jin Sil Kang, Dae Ryong Jang, Ji Young |
description | BACKGROUNDWe evaluated clinical and nutritional outcomes according to multidisciplinary team involvement in nutrition support in a regional trauma intensive care unit (TICU). METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for >5 days depending on nutrition support team (NST) involvement (n=176) and non-NST involvement (n=163). RESULTSThe mean age and injury severity score (ISS) were 57.3±16.7 years and 18.6±9.7, respectively. Fifty-three patients (15.6%) had shock on admission and 182 (53.7%) underwent surgery during TICU admission. Some patients were admitted to neurosurgery (46%), general surgery (35.4%), and other (18.6%) departments. There were significant differences in the ISS, Acute Physiology and Chronic Health Evaluation (APACHE) II score, shock on TICU admission, and initial laboratory results. After propensity score matching, the total delivered/required caloric ratio and total delivered/required protein ratio were significantly higher in the NST group than in the non-NST group (calorie: 80.4% vs. 66.7%, P=0.007; protein: 93.1% vs. 68.3%, P |
doi_str_mv | 10.4266/acc.2020.00318 |
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METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for >5 days depending on nutrition support team (NST) involvement (n=176) and non-NST involvement (n=163). RESULTSThe mean age and injury severity score (ISS) were 57.3±16.7 years and 18.6±9.7, respectively. Fifty-three patients (15.6%) had shock on admission and 182 (53.7%) underwent surgery during TICU admission. Some patients were admitted to neurosurgery (46%), general surgery (35.4%), and other (18.6%) departments. There were significant differences in the ISS, Acute Physiology and Chronic Health Evaluation (APACHE) II score, shock on TICU admission, and initial laboratory results. After propensity score matching, the total delivered/required caloric ratio and total delivered/required protein ratio were significantly higher in the NST group than in the non-NST group (calorie: 80.4% vs. 66.7%, P=0.007; protein: 93.1% vs. 68.3%, P<0.001). The NST group had an adequate protein supply more frequently than the non-NST group (protein: 48.0% vs. 25.8%, P=0.002). There was no significant difference in survival, even after adjustment for risk factors using Cox proportional hazard analysis. CONCLUSIONSThe results of our study suggest that multidisciplinary team involvement in nutrition support in TICU patients may improve nutritional, but not clinical, outcomes.</description><identifier>ISSN: 2586-6052</identifier><identifier>EISSN: 2586-6060</identifier><identifier>DOI: 10.4266/acc.2020.00318</identifier><identifier>PMID: 32811135</identifier><language>eng</language><publisher>Korean Society of Critical Care Medicine</publisher><subject>Original ; 마취과학</subject><ispartof>Acute and Critical Care, 2020, 35(3), , pp.142-148</ispartof><rights>Copyright © 2020 The Korean Society of Critical Care Medicine 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-44dbfc5fcf267d4ba0caf5316ee73c0a9ec07182c0aa6fdb3d6551aca3048b6e3</citedby><cites>FETCH-LOGICAL-c467t-44dbfc5fcf267d4ba0caf5316ee73c0a9ec07182c0aa6fdb3d6551aca3048b6e3</cites><orcidid>0000-0002-6197-7742 ; 0000-0001-5106-0781 ; 0000-0002-0376-1994 ; 0000-0003-3073-3806 ; 0000-0002-8792-9730 ; 0000-0001-6372-4194</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7483010/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7483010/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002621555$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Eunsuk</creatorcontrib><creatorcontrib>Shim, Hongjin</creatorcontrib><creatorcontrib>Yon, Hyon Ju</creatorcontrib><creatorcontrib>Moon, Jin Sil</creatorcontrib><creatorcontrib>Kang, Dae Ryong</creatorcontrib><creatorcontrib>Jang, Ji Young</creatorcontrib><title>Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit</title><title>Acute and critical care</title><description>BACKGROUNDWe evaluated clinical and nutritional outcomes according to multidisciplinary team involvement in nutrition support in a regional trauma intensive care unit (TICU). METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for >5 days depending on nutrition support team (NST) involvement (n=176) and non-NST involvement (n=163). RESULTSThe mean age and injury severity score (ISS) were 57.3±16.7 years and 18.6±9.7, respectively. Fifty-three patients (15.6%) had shock on admission and 182 (53.7%) underwent surgery during TICU admission. Some patients were admitted to neurosurgery (46%), general surgery (35.4%), and other (18.6%) departments. There were significant differences in the ISS, Acute Physiology and Chronic Health Evaluation (APACHE) II score, shock on TICU admission, and initial laboratory results. After propensity score matching, the total delivered/required caloric ratio and total delivered/required protein ratio were significantly higher in the NST group than in the non-NST group (calorie: 80.4% vs. 66.7%, P=0.007; protein: 93.1% vs. 68.3%, P<0.001). The NST group had an adequate protein supply more frequently than the non-NST group (protein: 48.0% vs. 25.8%, P=0.002). There was no significant difference in survival, even after adjustment for risk factors using Cox proportional hazard analysis. CONCLUSIONSThe results of our study suggest that multidisciplinary team involvement in nutrition support in TICU patients may improve nutritional, but not clinical, outcomes.</description><subject>Original</subject><subject>마취과학</subject><issn>2586-6052</issn><issn>2586-6060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpVkUFLJDEQhYMoKqPXPeeoh5mtJJ10z0UQ0V1BWFjcc0inK7vR7qRN0sL--83MiLCnelCvvkrqEfKFwabhSn011m44cNgACNYdkXMuO7VWoOD4U0t-Ri5zfgGoRiaUEKfkTPCOMSbkOdH3zqEt_h0D5kyjo4ZOy1j84LP18-iDSX9pQTNRFxMNS0m--BhoXuY5pkJ9qBMlmWUyVRcMubKoNQnpEny5ICfOjBkvP-qK_Hq4f777vn768e3x7vZpbRvVlnXTDL2z0lnHVTs0vQFrnBRMIbbCgtmihZZ1vEqj3NCLQUnJjDUCmq5XKFbk-sANyelX63U0fl9_R_2a9O3P50e9lUp1XVu9NwfvvPQTDhZDff-o5-Sn-tn95P-d4P9Uzrtum04Agwq4-gCk-LZgLnqq18JxNAHjkjVvhJR8C_XaK7I5WG2KOSd0n2sY6F2IuoaodyHqfYjiHwlKkNg</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Oh, Eunsuk</creator><creator>Shim, Hongjin</creator><creator>Yon, Hyon Ju</creator><creator>Moon, Jin Sil</creator><creator>Kang, Dae Ryong</creator><creator>Jang, Ji Young</creator><general>Korean Society of Critical Care Medicine</general><general>대한중환자의학회</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0002-6197-7742</orcidid><orcidid>https://orcid.org/0000-0001-5106-0781</orcidid><orcidid>https://orcid.org/0000-0002-0376-1994</orcidid><orcidid>https://orcid.org/0000-0003-3073-3806</orcidid><orcidid>https://orcid.org/0000-0002-8792-9730</orcidid><orcidid>https://orcid.org/0000-0001-6372-4194</orcidid></search><sort><creationdate>20200801</creationdate><title>Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit</title><author>Oh, Eunsuk ; Shim, Hongjin ; Yon, Hyon Ju ; Moon, Jin Sil ; Kang, Dae Ryong ; Jang, Ji Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-44dbfc5fcf267d4ba0caf5316ee73c0a9ec07182c0aa6fdb3d6551aca3048b6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Original</topic><topic>마취과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Eunsuk</creatorcontrib><creatorcontrib>Shim, Hongjin</creatorcontrib><creatorcontrib>Yon, Hyon Ju</creatorcontrib><creatorcontrib>Moon, Jin Sil</creatorcontrib><creatorcontrib>Kang, Dae Ryong</creatorcontrib><creatorcontrib>Jang, Ji Young</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Acute and critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Eunsuk</au><au>Shim, Hongjin</au><au>Yon, Hyon Ju</au><au>Moon, Jin Sil</au><au>Kang, Dae Ryong</au><au>Jang, Ji Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit</atitle><jtitle>Acute and critical care</jtitle><date>2020-08-01</date><risdate>2020</risdate><volume>35</volume><issue>3</issue><spage>142</spage><epage>148</epage><pages>142-148</pages><issn>2586-6052</issn><eissn>2586-6060</eissn><abstract>BACKGROUNDWe evaluated clinical and nutritional outcomes according to multidisciplinary team involvement in nutrition support in a regional trauma intensive care unit (TICU). METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for >5 days depending on nutrition support team (NST) involvement (n=176) and non-NST involvement (n=163). RESULTSThe mean age and injury severity score (ISS) were 57.3±16.7 years and 18.6±9.7, respectively. Fifty-three patients (15.6%) had shock on admission and 182 (53.7%) underwent surgery during TICU admission. Some patients were admitted to neurosurgery (46%), general surgery (35.4%), and other (18.6%) departments. There were significant differences in the ISS, Acute Physiology and Chronic Health Evaluation (APACHE) II score, shock on TICU admission, and initial laboratory results. After propensity score matching, the total delivered/required caloric ratio and total delivered/required protein ratio were significantly higher in the NST group than in the non-NST group (calorie: 80.4% vs. 66.7%, P=0.007; protein: 93.1% vs. 68.3%, P<0.001). The NST group had an adequate protein supply more frequently than the non-NST group (protein: 48.0% vs. 25.8%, P=0.002). There was no significant difference in survival, even after adjustment for risk factors using Cox proportional hazard analysis. CONCLUSIONSThe results of our study suggest that multidisciplinary team involvement in nutrition support in TICU patients may improve nutritional, but not clinical, outcomes.</abstract><pub>Korean Society of Critical Care Medicine</pub><pmid>32811135</pmid><doi>10.4266/acc.2020.00318</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6197-7742</orcidid><orcidid>https://orcid.org/0000-0001-5106-0781</orcidid><orcidid>https://orcid.org/0000-0002-0376-1994</orcidid><orcidid>https://orcid.org/0000-0003-3073-3806</orcidid><orcidid>https://orcid.org/0000-0002-8792-9730</orcidid><orcidid>https://orcid.org/0000-0001-6372-4194</orcidid><oa>free_for_read</oa></addata></record> |
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title | Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit |
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