Article Sidebar
Views PDF: 109
CURRENT STATUS OF NUTRITIONAL CARE FOR PATIENTS WITH ACUTE PANCREATITIS AT HANOI MEDICAL UNIVERSITY HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the current status of care and nutrition for patients with acute pancreatitis at Hanoi Medical University Hospital. Methods: A cross-sectional descriptive study was conducted on 113 inpatients with AP from August 2024 to July 2025. Results: Male patients accounted for 78.8% of cases, with a mean age of 49.9±13.2 years. Hypertriglyceridaemia was the most common aetiology (54.9%). Malnutrition risk was identified in 15.9% of patients by the mNUTRIC score and in 8.9% by BMI. Nutritional support was initiated within 48 hours of admission in 83.2% of patients, including 41.6% who received it within the first 24 hours. Early resumption of enteral feeding (< 3 days) was associated with a significantly shorter hospital stay compared with delayed feeding (7.9 ± 3.2 days vs 12.7 ± 4.8 days; p<0.05). Actual caloric delivery during the first 10 days was below guideline‑recommended targets. Conclusions: Patients with acute pancreatitis are at a high risk of malnutrition. Early enteral nutrition shortens hospital length of stay. Total energy and protein delivery remains below recommended targets. Timely, appropriate nutritional screening and intervention are therefore essential.
Article Details
References
2. Meyers C., Rigassio Radler D., Zelig R.S. (2023). Impact of solid food provision within 24 hours of hospital admission on clinical outcomes for adult patients with acute pancreatitis: A literature review. Nutr Clin Pract, 38(5), 976–986.
3. De Lucia S.S., Candelli M., Polito G., et al. (2023). Nutrition in Acute Pancreatitis: From the Old Paradigm to the New Evidence. Nutrients, 15(8), 1939.
4. Fostier R., Arvanitakis M., Gkolfakis P. (2022). Nutrition in acute pancreatitis: when, what and how. Curr Opin Clin Nutr Metab Care, 25(5), 325.
5. Nguyễn Thu Minh, Vũ Trường Khanh, Nguyễn Hoàng Anh (2014). Khảo sát thực trạng nuôi dưỡng nhân tạo trên bệnh nhân viêm tụy cấp tại Khoa Tiêu hóa, Bệnh viện Bạch Mai. Tạp Chí Y Dược Học, 54(10), 7–12.
6. Trần Minh Anh, Nguyễn Đăng Hưng, Nguyễn Bá Thắng và cộng sự. (2023). Thực trạng nuôi dưỡng người bệnh viêm tuỵ cấp điều trị tại khoa Hồi sức tích cực - Chống độc, Bệnh viện Đa khoa Xanh Pôn năm 2022. Tạp Chí Y Học Việt Nam, 527(1), 161–165.
7. Banks P.A., Bollen T.L., Dervenis C., et al. (2013). Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut, 62(1), 102–111.
8. Lê Hữu Á (2022), Khảo sát nguy cơ dinh dưỡng ở bệnh nhân viêm tụy cấp và mối liên quan với kết quả điều trị, Luận văn Thạc sĩ Y học. Trường Đại học Y Hà Nội.
9. Lê Thị Thương (2021), Đánh giá tình trạng và nhu cầu dinh dưỡng khi vào viện của bệnh nhân viêm tụy nặng thở máy, Luận văn Thạc sĩ Y học. Trường Đại học Y Hà Nội.
10. Arvanitakis M., Ockenga J., Bezmarevic M., et al. (2020). ESPEN guideline on clinical nutrition in acute and chronic pancreatitis. Clin Nutr, 39(3), 612–631.