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JPEN. Journal of Parenteral and Enteral Nutrition

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https://www.readbyqxmd.com/read/30207386/economic-evaluation-of-nutrition-support-in-the-prevention-and-treatment-of-pressure-ulcers-in-acute-and-chronic-care-settings-a-systematic-review
#1
Alvin Wong, Geraldine Goh, Merrilyn D Banks, Judith D Bauer
BACKGROUND: Recent developments in nutrition intervention indicated clinical effectiveness for pressure ulcer (PU) prevention and treatment, but it is important to assess whether they are cost-effective. The aims of this systematic review are to determine the cost-effectiveness and clinical outcomes of nutrition support in PU prevention and treatment. METHODS: A systematic search of randomized controlled trials, observational studies, and statistical models that investigated cost-effectiveness and economic outcomes for prevention and/or treatment of PUs were performed using standard literature and electronic databases...
September 12, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30199103/jpen-journal-club-38-one-tailed-testing
#2
Ronald L Koretz
No abstract text is available yet for this article.
September 10, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30199088/-i-wouldn-t-ever-want-it-a-qualitative-evaluation-of-patient-and-caregiver-perceptions-toward-enteral-tube-feeding-in-hip-fracture-inpatients
#3
Patricia C King, Sally E Barrimore, Ranjeev C Pulle, Jack J Bell
BACKGROUND: One in 2 hip fracture inpatients are malnourished on admission to hospital, with many experiencing nutrition decline during their length of stay. Despite this, enteral tube feeding (ETF) is rarely used in this population. As patient/caregiver viewpoints regarding the utility of ETF remain unclear, this study explored the perceptions of hip fracture inpatients and caregivers toward ETF use to assist recovery. METHODS: An inductive qualitative research project was conducted within a tertiary hospital orthogeriatric ward...
September 10, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30175461/glim-criteria-for-the-diagnosis-of-malnutrition-a-consensus-report-from-the-global-clinical-nutrition-community
#4
Gordon L Jensen, Tommy Cederholm, M Isabel T D Correia, M Christina Gonzalez, Ryoji Fukushima, Takashi Higashiguchi, Gertrudis Adrianza de Baptista, Rocco Barazzoni, Renée Blaauw, Andrew J S Coats, Adriana Crivelli, David C Evans, Leah Gramlich, Vanessa Fuchs-Tarlovsky, Heather Keller, Luisito Llido, Ainsley Malone, Kris M Mogensen, John E Morley, Maurizio Muscaritoli, Ibolya Nyulasi, Matthias Pirlich, Veeradej Pisprasert, Marian de van der Schueren, Soranit Siltharm, Pierre Singer, Kelly A Tappenden, Nicolas Velasco, Dan L Waitzberg, Preyanuj Yamwong, Jianchun Yu, Charlene Compher, Andre Van Gossum
BACKGROUND: This initiative aims to build a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings. METHODS: The Global Leadership Initiative on Malnutrition (GLIM) was convened by several of the major global clinical nutrition societies. Empirical consensus was reached through a series of face-to-face meetings, telephone conferences, and e-mail communications. RESULTS: A 2-step approach for the malnutrition diagnosis was selected, that is, first screening to identify at risk status by the use of any validated screening tool, and second, assessment for diagnosis and grading the severity of malnutrition...
September 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30156306/calcium-chloride-and-calcium-gluconate-in-neonatal-parenteral-nutrition-solutions-with-added-cysteine-compatibility-studies-using-laser-light-obscuration-methodology
#5
Robert K Huston, J Mark Christensen, Sultan M Alshahrani, Sumeia M Mohamed, Carl F Heisel, Kim N Stout
BACKGROUND: Parenteral nutrition (PN) solutions containing calcium gluconate (CaGlu) and cysteine have elevated particle counts when analyzed using laser light obscuration (LO) as recommended by the United States Pharmacopeia (USP). There are no compatibility studies for solutions compounded with cysteine and containing calcium chloride (CaCl2 ) using LO. The purpose of this study was to conduct compatibility testing for neonatal PN solutions containing CaCl2 and CaGlu with cysteine. METHODS: Solutions of amino acids (2...
August 29, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30156305/cost-time-and-error-assessment-during-preparation-of-parenteral-nutrition-multichamber-bags-versus-hospital-compounded-bags
#6
David Berlana, M Asunción Almendral, María Reyes Abad, Ana Fernández, Amalia Torralba, Mercedes Cervera-Peris, Guadalupe Piñeiro, Rosa Romero-Jiménez, Amparo Vázquez, Esther Ramírez, María Yébenes, Álvaro Muñoz
BACKGROUND: Parenteral nutrition (PN) is associated with material and manpower costs and requires preparation time. The aim of this study was to evaluate the cost of PN using multichamber bags (MCBs) compared with hospital-compounded bags (COBs). The secondary aim of this study was to assess and compare preparation time and errors related to the production and preparation processes of PN bags. MATERIALS AND METHODS: A prospective, observational, cost-accounting study was conducted in 10 Spanish hospital pharmacy services...
August 29, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30144113/early-postoperative-oral-feeding-after-total-gastrectomy-in-gastric-carcinoma-patients-a-retrospective-before-after-study-using-propensity-score-matching
#7
Aelee Jang, Oh Jeong
BACKGROUND: Despite its clinical benefits, early oral nutrition after total gastrectomy is not widely implemented because of concerns about tolerability and safety. We investigated the feasibility and safety of early oral nutrition after total gastrectomy in gastric carcinoma patients. METHODS: This is a retrospective before-after study. From 2008-2016, 301 patients received conventional oral feeding (COF) before May 2012, and 454 patients, early oral feeding (EOF) after May 2012...
August 25, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30144104/burden-of-underweight-in-israel
#8
Gary M Ginsberg, Yehudit Saday
BACKGROUND: This study measures the burden of chronic diseases associated with being underweight. METHODS: Underweight prevalence in the community was obtained from national survey data, together with hospital use rates for malnourished and non-malnourished persons for diagnoses associated with underweight. Meta-analyses of published literature calculated the following disease-specific relative risks: incidence of underweight-associated disease (UAD), mortality from UAD, and all-cause and disease-specific mortality after hospitalization in underweight persons...
August 25, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30144105/milk-fat-globule-membrane-inhibits-nlrp3-inflammasome-activation-and-enhances-intestinal-barrier-function-in-a-rat-model-of-short-bowel
#9
Ying Li, Jiang Wu, Yang Niu, Honghao Chen, Qingya Tang, Yan Zhong, Tim T Lambers, Wei Cai
BACKGROUND: The milk fat globule membrane (MFGM) contains various bioactive components which have been shown to maintain gut barrier integrity. This study aimed to evaluate the protective effects of MFGM on intestinal barrier function and its possible mechanisms in a rat model of short bowel syndrome (SBS). MATERIALS AND METHODS: Five-week-old male Sprague-Dawley rats were divided into 3 groups (n = 8 per group), consisting of Sham group and rats submitted to massive small-bowel resection then supplemented with either water (SBS) or 1...
August 24, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30137679/impact-of-clinical-use-of-parenteral-lipid-emulsions-on-bile-acid-metabolism-and-composition-in-neonatal-piglets
#10
Celeste M Lavallee, David W Lim, Pamela R Wizzard, Vera C Mazurak, Si Mi, Jonathan M Curtis, Benjamin P Willing, Jason Y Yap, Paul W Wales, Justine M Turner
BACKGROUND: Neonates with intestinal failure dependent on parenteral nutrition (PN) are at risk of intestinal failure-associated liver disease (IFALD). PN lipid composition relates to the risk of IFALD, but the mechanisms are poorly understood. We investigated the effects of soybean oil (SO), a mixed-lipid (ML) emulsion containing fish oil (FO), and a pure FO. We hypothesized FO-containing PN lipids would result in increased gene expression of canalicular bile acid transporters and a larger, more hydrophilic bile acid pool, predictive of increased bile flow...
August 23, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30088831/essential-fatty-acid-deficiency-with-smoflipid-reduction-in-an-infant-with-intestinal-failure-associated-liver-disease
#11
Naureen Memon, Karen Hussein, Thomas Hegyi, Aimee Herdt, Ian J Griffin
Multicomponent lipid emulsions, such as SMOFlipid, contain intermediate amounts of essential fatty acids (EFAs) compared with traditional soybean-oil based lipid emulsions and 100% fish-oil lipid emulsions. We describe the development of moderate EFA deficiency (EFAD) and slow weight gain in an infant with intestinal failure-associated liver disease managed with SMOFlipid reduction (1 g/kg/d). Once SMOFlipid dosage was increased (2-3 g/kg/d), EFA levels normalized, adequate growth resumed, and the infant's cholestasis resolved...
August 8, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30070736/impact-of-feeding-on-resting-metabolic-rate-and-gas-exchange-in-critically-ill-patients
#12
David C Frankenfield
BACKGROUND: Feeding is understood to alter gas exchange and resting metabolic rate (RMR) in critically ill patients, but there are limited data describing such changes. METHODS: A large collection of RMR measurements and energy intake was assembled in mechanically ventilated and critically ill patients. The data were used to explore differences in RMR, respiratory quotient (RQ), and carbon dioxide production (V̇co2 ) related to feeding state. RESULTS: A total of 708 RMR measurements were available...
August 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30070721/energy-and-fat-intake-for-preterm-infants-fed-donor-milk-is-significantly-impacted-by-enteral-feeding-method
#13
Marina Castro, Michelle Asbury, Sara Shama, Debbie Stone, Eugene W Yoon, Deborah L O'Connor, Sharon Unger
BACKGROUND: Pasteurized donor milk is the recommended supplement for preterm infants when mother's milk volumes are insufficient. Compared with mother's milk, the macronutrient content of donor milk is thought to be lower due to pasteurization and additional container changes during processing. Given that poor growth is concerning for preterm infants, it is important to understand how processing and feeding methods influence the nutrition composition of donor milk feeds. The research aim of this study was to determine the effects of pasteurization and feeding method on the macronutrient and energy composition of donor milk...
August 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30070716/early-hypophosphatemia-in-high-risk-preterm-infants-efficacy-and-safety-of-sodium-glycerophosphate-from-first-day-on-parenteral-nutrition
#14
Gerardo Bustos Lozano, María Soriano-Ramos, María Teresa Pinilla Martín, Silvia Chumillas Calzada, Carmen Elia García Soria, Carmen Rosa Pallás-Alonso
BACKGROUND: Early hypophosphatemia is common in premature infants ≤1250 g. The aim of this study was to assess the frequency and severity of hypophosphatemia after sodium glycerophosphate supplementation from first day of life in parenteral nutrition and to address the safety of this practice. METHODS: Prospective cohort study of infants ≤1250 g birth weight born in a tertiary-care level neonatal intensive care unit and supplied with sodium glycerophosphate from the first day of life...
August 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30070713/propensity-score-matched-comparative-study-on-effects-of-intravenous-human-serum-albumin-administration-in-critically-ill-adult-patients-receiving-parenteral-nutrition
#15
Javier Mateu-de Antonio, Daniel Echeverria-Esnal, Jaime Barceló-Vidal, Xènia Fernández-Sala
BACKGROUND: The objective of this study was to assess the effect of intravenous human serum albumin administration (IV HSA) on nutrition markers, including non-serum-albumin plasma protein levels, in adult critically ill patients receiving parenteral nutrition (PN). METHODS: This was a retrospective study of prospectively collected data. Patients included in an initial cohort were patients who initiated IV HSA within 24 hours of start of PN. A second cohort who did not received IV HSA during PN was manually selected, matching several variables...
August 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30070711/association-of-anthropometric-and-nutrition-status-indicators-with-hand-grip-strength-and-gait-speed-in-older-adults
#16
Joana Mendes, Cláudia Afonso, Pedro Moreira, Patrícia Padrão, Alejandro Santos, Nuno Borges, Rita Negrão, Teresa F Amaral
BACKGROUND: How nutrition status indicators relate to function in older adults is an issue that needs to be explored. This study aimed to quantify the associations of anthropometric parameters and nutrition status indicators with hand grip strength (HGS) and gait speed (GS) in older adults. METHODS: A cross-sectional observational study was conducted in a population-based sample of 1500 older adults ≥65 years old. Logistic regression models were used to explore the associations between anthropometric, nutrition, and functional measures...
August 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30070710/energy-and-protein-requirements-in-children-undergoing-cardiopulmonary-bypass-surgery-current-problems-and-future-direction
#17
REVIEW
Jian Zhang, Yan-Qin Cui, Ze-Ming Ma Md, Yi Luo, Xin-Xin Chen, Jia Li
Congenital heart disease (CHD) is 1 of the most common congenital malformations, and considerable numbers of infants and young children with CHD undergo cardiopulmonary bypass surgery. It has been increasingly realized that perioperative nutrition support plays an important role in improving clinical outcomes. The purpose of this review, by searching PubMed, was to examine the nutrition conditions in perioperative children with CHD and the main problems in nutrition management in the cardiac intensive care unit (CICU), based on which future directions were proposed...
August 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30070709/the-gut-microbiome-in-patients-with-intestinal-failure-current-evidence-and-implications-for-clinical-practice
#18
REVIEW
Esther Neelis, Barbara de Koning, Edmond Rings, René Wijnen, Ben Nichols, Jessie Hulst, Konstantinos Gerasimidis
Intestinal failure (IF) is the reduction of gut function or mass below a minimum needed to absorb nutrients and fluids, such that patients are dependent on parenteral nutrition (PN). Patients with IF have an altered gut microbiome. Our aim was to review and evaluate the current evidence on gut microbiome and its metabolic activity, as well as its association with disease characteristics in adults and children with IF. We performed a PubMed literature search for articles published after 2000 using the following terms: intestinal, microbiome, microbiota, short-chain fatty acids, short bowel syndrome, and PN...
August 2, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30035814/implementation-of-an-enhanced-recovery-after-surgery-program-can-change-nutrition-care-practice-a-multicenter-experience-in-elective-colorectal-surgery
#19
Lisa Martin, Chelsia Gillis, Marlis Atkins, Melani Gillam, Caroline Sheppard, Sue Buhler, Carlota Basualdo Hammond, Gregg Nelson, Leah Gramlich
BACKGROUND: Enhanced recovery after surgery (ERAS) programs are multimodal evidenced-based care pathways for optimal recovery. Central to ERAS is integration of perioperative nutrition care into the overall management of the patient. This study describes changes to perioperative nutrition care after implementation of an ERAS program, and identifies factors that affect compliance to ERAS care elements and short-term postoperative outcomes. METHODS: Data were prospectively collected from patients undergoing elective colorectal surgery at 6 hospitals in Alberta, Canada, from 2013-2017...
July 23, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/30035806/rate-of-catheter-related-bloodstream-infections-between-tunneled-central-venous-catheters-versus-peripherally-inserted-central-catheters-in-adult-home-parenteral-nutrition-a-meta-analysis
#20
REVIEW
Kay Hon, Shailesh Bihari, Andrew Holt, Andrew Bersten, Hemant Kulkarni
BACKGROUND: Tunneled central venous catheters (TCVCs) and peripherally inserted central catheters (PICC) are often used for the provision of home parenteral nutrition (HPN). There is no formal comparison being made to study the rate of catheter-related bloodstream infection (CRBSI) between TCVCs and PICC in HPN to recommend the use of 1 over the other. METHODS: An online MEDLINE, PubMed, and Scopus search was conducted. Studies reporting the rate of CRBSI in HPN patients were included...
July 23, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
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