Nutrition - Original Article

Importance of target calorie intake in hospitalized patients

Volume 28 · Issue 4 Publish Date: July 15, 2017
Ferda Akbay Harmandar Ismail Gömceli Başak Oğuz Yolcular Ayhan Hilmi Çekin
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Turkish Journal of Gastroenterology

Volume 28 · Issue 4

Pages: 289-297

History

Published Online: July 15, 2017

Copyright © 2017 Ferda Akbay Harmandar, Ismail Gömceli, Başak Oğuz Yolcular, Ayhan Hilmi Çekin

Ferda Akbay Harmandar
Department of Gastroenterology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
Ismail Gömceli
Department of Gastrointestinal Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Başak Oğuz Yolcular
Department of Biostatistics and Medical Informatics, Akdeniz University School of Medicine, Antalya
Ayhan Hilmi Çekin
Department of Gastroenterology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Akbay Harmandar, F., Gömceli, I., Oğuz Yolcular, B., & Çekin, A. H. (2017). Importance of target calorie intake in hospitalized patients. Turkish Journal of Gastroenterology, 28(4), 289–297. https://doi.org/10.5152/tjg.2017.16718
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Abstract

Abstract Background/Aims: To evaluate the feasibility and clinical outcome of a nutritional algorithm based on target calorie intake commenced as enteral nutrition (EN) alone or in combination with supplemental parenteral nutrition (SPN) among hospitalized patients. Materials and Methods: In total, 301 hospitalized patients who were provided with nutritional support, including EN (n=125) or EN+SPN (n=176), due to various medical conditions during their hospitalization were included in this study conducted at Antalya Training and Research Hospital. All the patients were evaluated during their hospitalization under nutritional support until discharge or in-hospital death. Data on the length of stay (LOS) and serum pre-albumin and C-reactive protein (CRP) levels and records for feeding days considering nutritional risk screening (NRS) 2002 scores were collected. Results: Overall, 85.7% of patients achieved the target calorie intake within a median of 4.0 days, while discharge and in-hospital death rates were 58.1% and 41.9%, respectively. Of the 5719 feeding days recorded during follow-up, 1076 (18.8%) days were associated with failure to achieve the target calorie intake with hemodynamic instability (33.3%), procurement problems (33.3%), and oral reluctance (23.0%). Conclusion: Our findings emphasize the role of keeping the intake closer to the target calorie intake and immediate use of SPN whenever full EN fails to achieve the target calorie intake for improving the adequacy of clinical nutrition in the early phase of critical illness. The EN and EN+SPN groups were found to be similar in terms of rates of target achievement, mortality, and discharge, while a lower mortality rate and improved nutritional status were evident in achievers than in non-achievers of the target calorie intake regardless of the type of nutrition. Cite this article as: Harmandar FA, Gömceli İ, Yolcular BO, Çekin AH. Importance of target calorie intake in hospitalized patients. Turk J Gastroenterol 2017; 28: 289-97.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 28 · Issue 4
Pages 289-297
DOI 10.5152/tjg.2017.16718
History
Published Online July 15, 2017
Copyright
Copyright (c) 2017 Ferda Akbay Harmandar, Ismail Gömceli, Başak Oğuz Yolcular, Ayhan Hilmi Çekin
Affiliations
Ferda Akbay Harmandar
Department of Gastroenterology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
Ismail Gömceli
Department of Gastrointestinal Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Başak Oğuz Yolcular
Department of Biostatistics and Medical Informatics, Akdeniz University School of Medicine, Antalya
Ayhan Hilmi Çekin
Department of Gastroenterology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
Cite this Article
Akbay Harmandar, F., Gömceli, I., Oğuz Yolcular, B., & Çekin, A. H. (2017). Importance of target calorie intake in hospitalized patients. Turkish Journal of Gastroenterology, 28(4), 289–297. https://doi.org/10.5152/tjg.2017.16718
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