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THE NUTRITIONAL RISK ASSESSMENT AND NOURSHMENT REALITY OF PATIENTS AFTER ABDOMINAL SURGERY IN SURGICAL ICU
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Abstract
Aims: This study was carried out to assess the nutritional risk and nourishment reality in patients after abdominal surgery in surgical intensive care unit (ICU). Patients and methods: A prospective observational study on 60 patients undergoing abdominal surgeries in surgical ICU, Bachmai Hospital, from January to April in 2022. Patients characteristics, variables required to calculate mNUTRIC score and nourishment in first 24 hours were recorded. Patients with mNUTRIC score ≥5 are considered as high nutritional risk. Results: Mean age of the patients was 67,.4 ± 14.5 years. The average scores of SOFA, APACHE II and mNUTRIC were 5.0 ± 2.3; 13.9 ± 4.4 and 3.4 ± 1.5, respectively. About 31.7 % patients were at high nutritional risk (mNUTRIC score ≥5). Regarding the nourishment, 100% of patients received intravenous nutrition and up to 80% of patients received all 3 thermogenic substances (glucose, protein, lipid) in first 24 hours in surgical ICU. The mean dietary energy was 980.9 ± 250.4 kcal/day. Protein intake reached 1.0 ± 0.7 g/kg/day. Conclusions: In surgical ICU, 31.7% of patients after abdominal surgery were at high nutritional risk. In the first 24 hours, all patients received intravenous nutrition and the average calories of nourishment was 980.9 ± 250.4 kcal.
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Keywords
nutritional risk, mNUTRIC score, abdominal surgery, surgical ICU
References
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