ESPEN 2021 Late Breaking Abstracts

Topic: Critical care

Abstract Submission Identifier: ESPEN21-LB-2013

THE EFFECT OF NUTRITIONAL SUPPORT ON THE TREATMENT PROCESS OF ADULT PATIENTS IN THE INTENSIVE CARE UNIT

B. YÜRÜK ¹, F. ÇELİK ¹, I. H. BAĞIŞ^*, ¹

¹BIRUNI UNIVERSITY, Istanbul, Türkiye

Rationale: This study aims to use examine the effectiveness of nutritional support applied to patients with chronic diseases treated in intensive care for different reasons.

Methods: This retrospective and cross-sectional study was conducted with 155 patients treated in the intensive care unit of Biruni University Hospital (Istanbul/Turkey). From the hospital information management system and the archive files of the patients; anamnesis, disease history, biochemical parameters and nutritional support data were collected. “Pearson Chi-square” or “Fisher's Exact” for qualitative variables, and according to the suitability of the data for quantitative variables; “Independents-Sample T Test”, “One-Way ANOVA”, “Mann-Whitney U” or “Kruskal-Wallis H” tests were used. In addition, "Paired-Samples T Test", "Repeated Measures ANOVA", "Wilcoxon" or "Friedman" tests were used for biochemical parameters.

Results: Patients with a median age of 75 (IQR: 40-99) years and a hospital stay of 8 (IQR: 3-30) days; 49,7% are female. It was observed that 83,2% of the patients were given nutritional therapy and 38,8% of them were started on the first day. It was determined that the number of comorbidities made a significant difference on the time of initiation of nutritional therapy (p=0,003) and the time of initiation of nutritional therapy on the duration of hospitalization (p<0,001). Phosphorus and creatinine in patients receiving nutritional therapy; CRP, hematocrit and hemoglobin were found to be different according to the nutrition initiation time (p<0.05). It was determined that the time of initiation of nutritional therapy made a significant difference on the length of stay (p<0,001).

Conclusion: In conclusion, it has been revealed that the application of timely and adequate nutritional therapy supports survival, shortens the length of hospital stay and positively affects the prognosis of the disease.

References: Chen, J., Sun, D., Yang, W., Liu, M., Zhang, S., Peng, J., & Ren, C. (2018). Clinical and economic outcomes of telemedicine programs in the intensive care unit: a systematic review and meta-analysis. Journal of Intensive Care Medicine, 33(7), 383–393.

Disclosure of Interest: None Declared

Keywords: length of stay hospital, nutrition in intensive care, nutrition initiation time, nutritional therapy