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Physician Compliance with Tube Feeding Protocol Improves Nutritional and Clinical Outcomes in Acute Lung Injury Patients

DC FieldValueLanguage
dc.contributor.author고신옥-
dc.contributor.author나성원-
dc.date.accessioned2015-04-23T17:47:39Z-
dc.date.available2015-04-23T17:47:39Z-
dc.date.issued2010-
dc.identifier.issn1229-4802-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/103144-
dc.description.abstractBACKGROUND: Nutrition delivery is frequently interrupted or delayed by physicians' ordering patterns. We conducted this study to investigate the effect of physician compliance with tube feeding (TF) protocol on the nutritional and clinical outcomes in acute lung injury (ALI) patients. METHODS: After implementing a TF protocol, 71 ALI patients with mechanical ventilation (MV) for > or = 7 days were observed. A dietician assessed the nutritional status of the patients and established individualized nutrition plans according to the protocol. If the physicians followed the dietician's recommendation within 48 hours, the patients were classified under the compliant group (Group 1). RESULTS: Forty patients (56.3%) were classified into Group 1. Prealbumin was comparable in both groups at ICU admission but higher in Group 1 at the time of discharge from the ICU (228 +/- 81 vs 157 +/- 77 mg/dl, p = 0.025). Nitrogen balance was only improved in Group 1. The time to reach calorie goal was shorter and non-feeding days were reduced in Group 1. The proportion of parenteral nutrition to nutritional support days was lower and delivered calories on the 4th and 7th day of TF were higher in Group 1 (p < 0.001). ICU mortality/stay and hospital mortality failed to show differences but hospital stay was prolonged in the noncompliant group (Group 2) (p = 0.023). Arterial oxygen tension and PaO2/FiO2 were maintained during the 1st week of ICU stay in Group 1 but were decreased in Group 2. CONCLUSIONS: Physicians' compliance with the TF protocol contributed to the likelihood of nutritional improvement and a shorter hospital stay in ALI patients with prolonged MV.-
dc.description.statementOfResponsibilityopen-
dc.format.extent136~143-
dc.relation.isPartOfKorean Journal of Critical Care Medicine-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titlePhysician Compliance with Tube Feeding Protocol Improves Nutritional and Clinical Outcomes in Acute Lung Injury Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorSungwon Na-
dc.contributor.googleauthorHosun Lee-
dc.contributor.googleauthorShin Ok Koh-
dc.contributor.googleauthorAi Soon Park-
dc.contributor.googleauthorA Reum Han-
dc.identifier.doi10.4266/kjccm.2010.25.3.136-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00126-
dc.contributor.localIdA01232-
dc.relation.journalcodeJ01995-
dc.subject.keywordacute lung injury-
dc.subject.keywordmechanical ventilation-
dc.subject.keywordnutrition status-
dc.subject.keywordprotocol compliance-
dc.subject.keywordtube feeding-
dc.contributor.alternativeNameKoh, Shin Ok-
dc.contributor.alternativeNameNa, Sung Won-
dc.contributor.affiliatedAuthorKoh, Shin Ok-
dc.contributor.affiliatedAuthorNa, Sung Won-
dc.citation.volume25-
dc.citation.number3-
dc.citation.startPage136-
dc.citation.endPage143-
dc.identifier.bibliographicCitationKorean Journal of Critical Care Medicine, Vol.25(3) : 136-143, 2010-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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