کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2686320 | 1564762 | 2010 | 7 صفحه PDF | دانلود رایگان |
SummaryBackground & aimsIn-between meals (I-BM) and supplements are needed in nutrition risk patients, however often not served. The aim of this study was to increase energy (E)- and protein (P) intake and to investigate associations between food intake and clinical outcome.InterventionA manned trolley served I-BM including supplements to patients at bedside in three medical departments (haematology, gastroenterology and infectious disease). Nutrition intake was registered before and after intervention.Clinical outcomeLOS, 6 months mortality and patient satisfaction were investigated. Independent samples test and Pearson's chi-square test were used for comparisons; logistic regression analysis and Kaplan Meyers plot for outcome.ResultsThe study included 628 registration days of E/P intake in 276 patients (111 before and 165 after). No increase in total E − or P intake was found. Reduced oral intake (<50%) was associated to a four times higher mortality (p < 0.05), not to LOS. Overall patients expressed a positive attitude to the intervention.ConclusionEnergy and protein intake was not increased by intensified I-BM. Insufficient energy and protein intake were both related to increased mortality.
Journal: e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism - Volume 5, Issue 1, February 2010, Pages e30–e36