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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
Main Authors: Oh, Eunsuk, Shim, Hongjin, Yon, Hyon Ju, Moon, Jin Sil, Kang, Dae Ryong, Jang, Ji Young
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container_end_page 148
container_issue 3
container_start_page 142
container_title Acute and critical care
container_volume 35
creator Oh, Eunsuk
Shim, Hongjin
Yon, Hyon Ju
Moon, Jin Sil
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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
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METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for &gt;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&lt;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. 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METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for &gt;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&lt;0.001). 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METHODSWe retrospectively compared the outcomes for 339 patients admitted to the TICU for &gt;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&lt;0.001). 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마취과학
title Effectiveness of a multidisciplinary team for nutrition support in a trauma intensive care unit
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