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중환자실에서 지속성 신대체요법을 받은 신부전 환자의 칼로리와 단백질 공급 현황

Other Titles
 The Calorie and Protein Intake of Critically Ill Patients Who Require Continuous Renal Replacement Therapy in the Intensive Care Unit 
Authors
 이호선  ;  박무석  ;  나성원  ;  이재길  ;  유태현  ;  고신옥 
Citation
 Journal of the Korean Dietetic Association (대한영양사협회 학술지), Vol.15(4) : 335-342, 2009 
Journal Title
 Journal of the Korean Dietetic Association (대한영양사협회 학술지) 
ISSN
 1225-9861 
Issue Date
2009
Keywords
continuous renal replacement therapy ; nutrition support ; calorie ; protein ; intensive care unit
Abstract
Forty-two percent of the patients with renal failure that requires continuous renal replacement therapy (CRRT) have been reported to have severe malnutrition, and preexisting malnutrition is a statistically significant and independent predictor of negative hospital outcomes. We performed this study to evaluate the appropriateness of the calorie and protein provided for the critically ill patients who require CRRT. One hundred forty-nine patients who received CRRT were enrolled. The demographic data, the length of the ICU stay and the mortality were recorded. The calorie/protein intake and the blood urea nitrogen (BUN), albumin and creatinine levels were used as nutritional parameters. The mean daily calorie intake during CRRT was 16.1±7.4 kcal/kg, which was 64% of the recommended intake. Only 10% of the patients received the recommended caloric intake and the ratio of the enteral and parenteral calories was 26%/74%. The mean protein intake was 0.58±0.34 g/kg, which was 38% of the recommended intake. The calorie and protein intakes at the termination of CRRT were significantly increased compared to the initial day of treatment, but they stayed under the recommended intake. The BUN, creatinine and albumin levels were significantly increased in the survival group (odds ratio for albumin: 2.73; creatinine: 2.43). A strategy to increase the nutrition provision is needed to improve the nutritional statuses and clinical outcomes of the critically ill patients who require CRRT.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Shin Ok(고신옥)
Na, Sungwon(나성원) ORCID logo https://orcid.org/0000-0002-1170-8042
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Yoo, Tae Hyun(유태현) ORCID logo https://orcid.org/0000-0002-9183-4507
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105359
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