A comparison of complications associated with nutrition between the patients receiving enteral or parenteral in the intensive care unit
Open Access
- 29 September 2020
- journal article
- Published by Heighten Science Publications Corporation in International Journal of Clinical Anesthesia and Research
- Vol. 4 (1), 013-018
- https://doi.org/10.29328/journal.ijcar.1001015
Abstract
The aim of this study was to investigate and compare the complications including infection and mortality associated with enteral and parenteral nutrition on patients in the ICU of a university hospital. In this study, a total of 100 patients who were under follow-up in the ICU for two years were examined. In our study, demographic characteristics, the reason for admission, comorbidity, initial ICU laboratory values, morbidity and mortality during the follow-up period of the patients who only received enteral nutrition (EN) or parenteral nutrition (PN) were evaluated, and the results between two were compared as well as evaluating the complications within the groups. The comparison of the reason for admission between the EN and PN groups showed that surgical reasons were significantly higher in the PN group. Nosocomial infections, the presence of infection and the development of sepsis were significantly higher in the EN group. The 28-day mortality rate was higher in the PN group compared to the EN group. The length of stay in the ICU and on mechanical ventilation was longer in the EN group. There was no significant difference in the 28-day mortality, readmission to the ICU and repeated endotracheal intubation between the two groups. Because there is no statistical difference between EN and PN groups in point of infection and mortality, we conclude that the length of stay in the ICU and reason for admission play a more crucial role in the development of infection and on mortality rather than enteral or parenteral nutrition route.Keywords
This publication has 18 references indexed in Scilit:
- Trial of the Route of Early Nutritional Support in Critically Ill AdultsThe New England Journal of Medicine, 2014
- Reanimasyon ünitemizin bir yıllık nütrisyon profiliSiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2013
- Postoperative Nutritional Effects of Early Enteral Feeding Compared with Total Parental Nutrition in Pancreaticoduodectomy Patients: A Prosepective, Randomized StudyJournal of Korean Medical Science, 2012
- The Effect of Intravenous Alanyl-Glutamine Supplementation on Plasma Glutathione Levels in Intensive Care Unit Trauma Patients Receiving Enteral Nutrition: The Results of a Randomized Controlled TrialAnesthesia & Analgesia, 2009
- Enteral vs. parenteral nutrition for the critically ill patient: a combined support should be preferredCurrent Opinion in Critical Care, 2008
- Parenteral nutrition in adult inpatients with functioning gastrointestinal tracts: assessment of outcomesThe Lancet, 2006
- Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patientsJournal of Parenteral and Enteral Nutrition, 2003
- Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric PatientsJournal of Parenteral and Enteral Nutrition, 2002
- Early Enteral Feeding, Compared With Parenteral, Reduces Postoperative Septic Complications The Results of a Meta-AnalysisAnnals of Surgery, 1992
- TEN versus TPN following Major Abdominal Trauma—Reduced Septic MorbidityThe Journal of Trauma and Acute Care Surgery, 1989