Preventing Malnutrition
Conditions
Keywords
gastric residual volume, malnutrition, target calorie, intensive care unit, enteral nutrition
Brief summary
Nutritional support is considered a key component of the treatment strategy for intensive care patients. Malnutrition, energy protein, and inadequate or excessive intake of other nutrients have measurable effects on tissues, body structure, body function, and clinical outcomes of patients receiving treatment. It increases hospital-acquired infections, hospitalizations, and intensive care prolongs and leads to complications. This study aimed to observe the time to reach target calories, nutritional failures, and complications during feeding in measured and unmeasured gastric residual volume patients receiving enteral nutrition under ventilation in the intensive care unite.
Interventions
OTHERGastric residual volume measurement stopped.
GRV is checked during routine enteral nutrition, but we think that GRV prolongs the time to reach target calories and does not reduce complications.
Sponsors
Erzincan Binali Yildirim Universitesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Gastric residual volume (GRV) was measured in one group and not in the other. Nutrition was started at an infusion rate of 20 ml/hour in the GRV group. The GRV was measured every four hours. When it was less than 200 ml, the infusion rate was increased by 20 ml/hour. The infusion rate, which was increased every four hours according to the GRV, was continued constantly when the target calorie was reached. It was kept constant when the GRV was above 200 ml, and then the feeding rate was reduced to half when the GRV volume was above 400 ml. In four patients, enteral nutrition was discontinued due to melena and excluded from the study. In six patients with persistently high GRV values, enteral nutrition was discontinued and parenteral nutrition initiated. The study was completed with 62 patients. GRV (n=31) and Non-GRV (n=31).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Mechanical ventilatory support * open enteral route (nasogastric/PEG)
Exclusion criteria
* History of gastrointestinal bleeding, * parenteral nutrition support, * hospital stay of fewer than two days, * under 18 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The difference in the time to reach target calories in patients with gastric residual volume measurement compared to those without gastric residual volume measurement. | 10 days | The difference in the time to reach target calories in patients with gastric residual volume measurement compared to those without gastric residual volume measurement. |
Countries
Turkey (Türkiye)
Outcome results
None listed