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Nutrition in Clinical Practice

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https://www.readbyqxmd.com/read/30207411/use-of-intradialytic-parenteral-nutrition-in-patients-undergoing-hemodialysis
#1
REVIEW
Menaka Sarav, Allon N Friedman
Intradialytic parenteral nutrition (IDPN) is a form of supplemental nutrition used to treat patients with malnutrition who receive hemodialysis. Once the diagnosis of malnutrition is made in such patients, encouragement of oral intake is the first-line treatment. If this fails, then enteral or parenteral nutrition may be needed. This review examines the literature on the use of IDPN and summarizes the current recommendations. There is considerable controversy over indications and benefits of IDPN, and well-controlled, long-term studies are needed to help tease out these issues...
September 12, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30207404/patient-and-nutrition-derived-outcome-risk-assessment-score-as-a-predictor-of-mortality-in-critically-ill-surgical-patients-a-retrospective-single-center-observational-study
#2
Anna Nakayama, Cecilia Canales, D Dante Yeh, Donna Belcher, Caitlin M McCarthy, Sadeq A Quraishi
BACKGROUND: The Patient- And Nutrition-Derived Outcome Risk Assessment (PANDORA) was recently validated for predicting mortality in hospitalized patients; however, its utility in the intensive care unit (ICU) remains unknown. METHODS: We investigated whether PANDORA is associated with 30, 90, and 180 day mortality in critically ill surgical patients by performing logistic regressions, controlling for age, sex, race, body mass index, macronutrient deficit, and length of stay...
September 12, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30203493/early-enteral-nutrition-adequacy-mitigates-the-neutrophil-lymphocyte-ratio-improving-clinical-outcomes-in-critically-ill-surgical-patients
#3
Luis Alfonso Ortiz-Reyes, Yuchiao Chang, Sadeq A Quraishi, Liyang Yu, Haytham Kaafarani, Marc de Moya, David R King, Peter Fagenholz, George Velmahos, Daniel Dante Yeh
BACKGROUND: Neutrophil-lymphocyte ratio (NLR) is a measure of host inflammatory response; a higher NLR is associated with worse clinical outcomes. Enteral nutrition (EN) may mitigate inflammation through interaction with gut-associated lymphoid tissue. We hypothesized that early EN adequacy in critically ill surgical patients is associated with lower NLR and better clinical outcomes. METHODS: In this retrospective study, we analyzed data from adult surgical intensive care unit (ICU) patients receiving EN...
September 10, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30187517/pediatric-nasogastric-tube-placement-and-verification-best-practice-recommendations-from-the-novel-project
#4
Sharon Y Irving, Gina Rempel, Beth Lyman, Wednesday Marie A Sevilla, LaDonna Northington, Peggi Guenter
The placement of a nasogastric tube (NGT) in a pediatric patient is a common practice that is generally perceived as a benign bedside procedure. There is potential risk for NGT misplacement with each insertion. A misplaced NGT compromises patient safety, increasing the risk for serious and even fatal complications. There is no standardized method for verification of the initial NGT placement or reverification assessment of NGT location prior to use. Measurement of the acidity or pH of the gastric aspirate is the most frequently used evidence-based method to verify NGT placement...
September 6, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30101996/nutritional-risk-screening-2002-cut-off-to-identify-high-risk-is-a-good-predictor-of-icu-mortality-in-critically-ill-patients
#5
Laura Rafaela Monteiro de Almeida Maciel, Oellen Stuani Franzosi, Diego Silva Leite Nunes, Sérgio Henrique Loss, Audrey Machado Dos Reis, Bibiana de Almeida Rubin, Silvia Regina Rios Vieira
BACKGROUND: The Nutritional Risk Screening 2002 (NRS-2002) is a widely recommended nutrition risk indicator. Two cut-offs have been proposed for intensive care unit (ICU) patients to classify nutrition risk: ≥3-<5, at risk and ≥5, high risk. To date, no study has directly compared these cut-offs. The aim of this study is to compare the NRS-2002 ICU nutrition risk cut-offs as predictors of clinical outcomes including infections, ICU and hospital mortality, length of stay (LOS), duration of mechanical ventilation (MVd), weaning failure, tracheotomy for prolonged MVd, and chronic critical illness (CCI)...
August 13, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30101993/vitamin-d-status-is-associated-with-development-of-hospital-acquired-pressure-injuries-in-critically-ill-surgical-patients
#6
Tiffany M N Otero, Cecilia Canales, D Dante Yeh, Ali Elsayes, Donna M Belcher, Sadeq A Quraishi
BACKGROUND: Hospital-acquired pressure injuries (HAPIs) typically develop following critical illness due to immobility and suboptimal perfusion. Vitamin D helps to maintain epithelial cell integrity, particularly at barrier sites such as skin. It is unclear whether vitamin D status is a modifiable risk factor for HAPIs in critically ill patients. Our goal was to investigate the relationship between admission 25-hydroxyvitamin D (25OHD) levels with the development of HAPIs in surgical intensive care unit (ICU) patients...
August 13, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30101991/nutrition-and-inflammatory-biomarkers-in-chronic-pancreatitis-patients
#7
Julia B Greer, Phil Greer, Bimaljit S Sandhu, Samer Alkaade, C Mel Wilcox, Michelle A Anderson, Stuart Sherman, Timothy B Gardner, Michele D Lewis, Nalini M Guda, Thiruvengadam Muniraj, Darwin Conwell, Gregory A Cote, Christopher E Forsmark, Peter A Banks, Gong Tang, Kim Stello, Andres Gelrud, Randall E Brand, Adam Slivka, David C Whitcomb, Dhiraj Yadav
BACKGROUND: Chronic pancreatitis (CP) patients frequently experience malabsorption and maldigestion, leading to micronutrient and macronutrient deficiencies. Comorbid diabetes and lifestyle habits, such as alcohol consumption, may impact nutrition status. METHODS: We compared micronutrient antioxidant, bone metabolism, serum protein, and inflammatory marker levels in 301 CP patients and 266 controls with no known pancreatic disease. We analyzed serum prealbumin and retinol binding protein; vitamins A, D, E, and B12; osteocalcin; tumor necrosis factor-α; and C-reactive protein (CRP)...
August 13, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30088841/effect-of-a-probiotic-preparation-on-ventilator-associated-pneumonia-in-critically-ill-patients-admitted-to-the-intensive-care-unit-a-prospective-double-blind-randomized-controlled-trial
#8
Ata Mahmoodpoor, Hadi Hamishehkar, Roghaieh Asghari, Ramin Abri, Kamran Shadvar, Sarvin Sanaie
BACKGROUND: Ventilator-associated pneumonia (VAP) occurs as a life-threatening complication in critically ill mechanically ventilated patients. Probiotic administration may modify the gut microbiota; however, whether this modification could decrease VAP occurrence is not known. METHODS: In this study, 100 adult critically ill patients undergoing mechanical ventilation for >48 hours were randomly assigned to either the probiotic or the control group. The patients in the probiotic group received 2 capsules of probiotic preparation containing Lactobacillus, Bifidobacterium, and Streptococcus spp...
August 8, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30071151/validation-and-adaptation-of-the-spanish-version-of-the-strongkids-nutrition-screening-tool
#9
Salvador Ortíz-Gutiérrez, Elizabeth Pérez-Cruz, Nara Elizabeth Lara-Pompa, Aurora E Serralde-Zúñiga, Mary Fewtrell, María Luisa Peralta-Pedrero, Isabel Medina-Vera, Claudia María Christlieb-Zaldívar, Erika Damasco-Avila, Martha Guevara-Cruz
BACKGROUND: The use of malnutrition screening tools (MSTs) among hospitalized pediatric patients is a simple practice that may allow the identification of patients at nutrition risk. There are different tools developed in the English language, but there are limited data available on their validity when translated into other languages. The aim of this study was to construct a Spanish version (SV) of the STRONGkids MST and determine its validity and reliability in a pediatric population...
August 2, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30071139/subjective-global-assessment-can-be-performed-in-critically-ill-surgical-patients-as-a-predictor-of-poor-clinical-outcomes
#10
Thainá Gattermann Pereira, Jaqueline da Silva Fink, Jéssica Abdo Gonçalves Tosatti, Flávia Moraes Silva
BACKGROUND: There is limited evidence on the applicability of subjective global assessment (SGA) in critically ill patients, despite its good performance in diagnosing undernutrition in clinical and surgical patients. Our aim was to evaluate the association between SGA and anthropometric measures and the performance of SGA in predicting clinical outcomes and mortality in critically ill surgical patients. METHODS: This observational prospective study was carried out with patients admitted to the surgical intensive care unit (SICU) of a Brazilian hospital...
August 2, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30070732/prognostic-value-of-the-espen-consensus-and-guidelines-for-malnutrition-prediction-of-post-discharge-clinical-outcomes-in-older-inpatients
#11
Dolores Sánchez-Rodríguez, Cédric Annweiler, Natalia Ronquillo-Moreno, Olga Vázquez-Ibar, Ferran Escalada, Xavier Duran, Josep M Muniesa, Ester Marco
INTRODUCTION: Our study aimed to determine whether malnutrition and nutrition-related conditions using the European Society for Clinical Nutrition and Metabolism (ESPEN) consensus were associated with functional status, institutionalization, readmissions, and mortality in older patients at 3-month follow-up. METHODS: A cohort of 102 consecutive deconditioned patients was assessed at 3 months postdischarge from postacute geriatric care. Inclusion criteria were age ≥70 years, scores of Mini-Mental Status Examination ≥21/30, and being admitted for rehabilitation after an acute non-disabling disease...
August 2, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30070730/enteral-nutrition-via-nasogastric-tube-for-refeeding-patients-with-anorexia-nervosa-a-systematic-review
#12
REVIEW
Saara M Rizzo, Joy W Douglas, Jeannine C Lawrence
Weight restoration is an important first step in treating patients with anorexia nervosa (AN), because it is essential for medical stabilization and reversal of long-term complications. Tube feeding may help facilitate weight restoration, but its role in treatment remains unclear. This study aimed to review the literature describing the efficacy, safety, tolerance, and long-term effects of nasogastric (NG) refeeding for patients with AN. Four electronic databases were systematically searched through May 2018...
August 2, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30004594/effect-of-home-enteral-nutrition-on-diabetes-and-its-management
#13
Nishanth Vallumsetla, Lisa Epp, Ryan T Hurt, Manpreet S Mundi
BACKGROUND: Diabetes mellitus (DM) is estimated to affect 9% of Americans and is associated with significant morbidity, mortality, and increased healthcare costs. METHODS: A retrospective review of a home enteral nutrition (HEN) database of patients seen between March 1, 2004, and April 31, 2014, at our institution was conducted to identify HEN patients who had a diagnosis of DM or were diagnosed within the acute period (4 months) of starting HEN therapy. RESULTS: 174 (3...
July 13, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29959848/comparison-of-two-methods-for-estimating-the-tip-position-of-a-nasogastric-feeding-tube-a-randomized-controlled-trial
#14
Tim Torsy, Renée Saman, Kurt Boeykens, Ivo Duysburgh, Nele Van Damme, Dimitri Beeckman
BACKGROUND: Several studies have shown that the nose-earlobe-xiphoid distance (NEX) is inadequate to estimate the insertion length of nasogastric tubes. An alternative approach tested in these studies, which leads to > 90% well-placed nasogastric tubes, used a corrected calculation of the NEX: (NEX × 0.38696) + 30.37. The primary aim of this study was to determine whether using the corrected NEX was more successful than the NEX in determining the insertion length. The secondary aim was to investigate the likelihood to successfully obtain gastric aspirate...
June 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30208265/editor-s-note
#15
EDITORIAL
Jeanette M Hasse
No abstract text is available yet for this article.
October 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30208264/a-call-to-action-for-optimizing-the-electronic-health-record-in-the-parenteral-nutrition-workflow-executive-summary
#16
Vincent W Vanek, Phil Ayers, Michael Kraft, Jean M Bouche, Van T Do, Charles W Durham, Peggi Guenter, Lindsey Hoggle, Sue Kent, Emily T Lin, L Steven Molinar, Steven W Plogsted, Jessica M Poehls, Peggy Turner, Charles Van Way
Parenteral nutrition (PN) is a complex therapeutic modality provided to neonates, children, and adults for various indications. Surveys have shown that current electronic health record (EHR) systems are in need of functionality enhancement for safe and optimal delivery of PN. This is a consensus statement from the American Society for Parenteral and Enteral Nutrition, the Academy of Nutrition and Dietetics, and the American Society of Health-System Pharmacists outlining some of the key challenges to prescribing, order review/verification, compounding, and administration of PN using EHRs today and is a call to action for clinicians and vendors to optimize their EHRs regarding the PN build and workflow...
October 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30137646/early-history-of-home-parenteral-nutrition-from-hospital-to-home
#17
REVIEW
Ryan T Hurt, Ezra Steiger
Technologic advances in the past century have led to the ability to safely deliver parenteral nutrition (PN) to hospitalized patients. Key breakthroughs included the development of saline and glucose infusions, infusion pumps, macronutrients (lipids, dextrose, and amino acids), and central venous catheters. In the 1960s, centrally delivered PN was performed in short-term hospitalized patients by Lincoln James Lawson (North Staffordshire Royal Infirmatory, United Kingdom) and long-term patients by Stanley Dudrick (University of Pennsylvania, United States)...
October 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30088829/hospital-nutrition-assessment-practice-2016-survey
#18
Kris M Mogensen, Sandra Bouma, Amanda Haney, Vincent W Vanek, Ainsley Malone, Sadeq A Quraishi, Peggi Guenter
BACKGROUND: Malnutrition is a significant problem for hospitalized patients in the United States. Nutrition assessment is an important step in recognizing malnutrition; however, it is not always performed using consistent parameters. METHODS: A survey among U.S. American Society for Parenteral and Enteral Nutrition (ASPEN) members was conducted to collect data on nutrition assessment parameters used in hospitals and to establish how facilities use their electronic health record (EHR) to permit data retrieval and outcome reporting...
October 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30071147/proton-pump-inhibitors-risks-and-rewards-and-emerging-consequences-to-the-gut-microbiome
#19
REVIEW
Amandeep Singh, Gail A Cresci, Donald F Kirby
In recent years, proton pump inhibitors (PPIs) have been criticized for their various adverse interactions and side effects, creating a dilemma among practitioners regarding their use. Our goal is to review the proper use and possible side effects that might be caused by or associated with PPI use. Conclusions were drawn based on the evidence supporting or refuting short-term and long-term adverse events associated with PPI use. We also looked for the evidence regarding effects of PPIs on gut microbiota and their overall safety profile...
October 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/30043492/a-call-to-action-for-optimizing-the-electronic-health-record-in-the-parenteral-nutrition-workflow
#20
Vincent W Vanek, Phil Ayers, Michael Kraft, Jean M Bouche, Van T Do, Charles W Durham, Peggi Guenter, Lindsey Hoggle, Sue Kent, Emily T Lin, L Steven Molinar, Steven W Plogsted, Jessica M Poehls, Peggy Turner, Charles Van Way
Parenteral nutrition (PN) is a complex therapeutic modality provided to neonates, children, and adults for various indications. Surveys have shown that current electronic health record (EHR) systems are in need of functionality enhancement for safe and optimal delivery of PN. This is a consensus statement from the American Society for Parenteral and Enteral Nutrition, the Academy of Nutrition and Dietetics, and the American Society of Health-System Pharmacists outlining some of the key challenges to prescribing, order review/verification, compounding, and administration of PN using EHRs today and is a call to action for clinicians and vendors to optimize their EHRs regarding the PN build and workflow...
October 2018: Nutrition in Clinical Practice
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