Nutritional support practices among intensive care unit (ICU) patients, observational study
Summary: Background and Aims: Critically ill patients are at high risk of mortality, morbidity, and poor outcomes. Therefore, nutritional support is the standard care to avoid related complications and improve health outcomes. The aim of this study is to identify feeding practices among ICU patient...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Clinical Nutrition Open Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667268525000373 |
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| author | May Hamdan Fatima Al-Amouri Ayat Ali Abu-fara Mai Qasem Heih Fatima Ibrahim Manasrah Hanan Alaa Abu-shamsyh Manal Badrasawi |
| author_facet | May Hamdan Fatima Al-Amouri Ayat Ali Abu-fara Mai Qasem Heih Fatima Ibrahim Manasrah Hanan Alaa Abu-shamsyh Manal Badrasawi |
| author_sort | May Hamdan |
| collection | DOAJ |
| description | Summary: Background and Aims: Critically ill patients are at high risk of mortality, morbidity, and poor outcomes. Therefore, nutritional support is the standard care to avoid related complications and improve health outcomes. The aim of this study is to identify feeding practices among ICU patients, evaluate their nutritional adequacy, and assess the prevalence of malnutrition and its associated factors. Methods: This observational study involved 106 ICU patients in three hospitals at Hebron/Palestine. An interview-based questionnaire was used to collect data related to sociodemographic, lifestyle, ICU-related data, medical history, clinical outcomes, physical examination, energy, and protein consumption. Malnutrition was evaluated using the malnutrition universal screening tool (MUST), and biochemical data were recruited from patients' medical records. Results: Among study participants aged 18–99 years (63.69 ± 20.48), enteral feeding was the predominant route among 51.9 %, and nutritional support was initiated two days after ICU admission. In addition, 91.5 % and 67 % of patients failed to receive their nutritional requirements of energy and protein, respectively. The malnutrition universal screening tool revealed that 53.8 % of ICU patients were at low risk of malnutrition, 20.8 % were at medium risk, and 25.5 % were at high risk of malnutrition, while lower energy consumption contributed significantly to the higher risk of malnutrition among ICU patients. Conclusion: The study found that enteral feeding is the main nutritional support in ICU patients, but energy and protein intake are insufficient. Despite early feeding, malnutrition rates are high and linked to lower calorie intake, emphasizing the need for better nutritional screening and interventions to improve patient outcomes. |
| format | Article |
| id | doaj-art-1eb7ed8ef1bc408fbc79dcf91207c57f |
| institution | DOAJ |
| issn | 2667-2685 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Open Science |
| spelling | doaj-art-1eb7ed8ef1bc408fbc79dcf91207c57f2025-08-20T03:19:53ZengElsevierClinical Nutrition Open Science2667-26852025-06-016112913710.1016/j.nutos.2025.03.010Nutritional support practices among intensive care unit (ICU) patients, observational studyMay Hamdan0Fatima Al-Amouri1Ayat Ali Abu-fara2Mai Qasem Heih3Fatima Ibrahim Manasrah4Hanan Alaa Abu-shamsyh5Manal Badrasawi6Healthy and Therapeutic Nutrition Program, Department of Health Professions, Faculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, PalestineDepartment of Nutrition and Food technology, Faculty of Agriculture and Veterinary Medicine, An-Najah National University, Tulkarm, West Bank PO. Box 7, PalestineHealthy and Therapeutic Nutrition Program, Department of Health Professions, Faculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, PalestineHealthy and Therapeutic Nutrition Program, Department of Health Professions, Faculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, PalestineHealthy and Therapeutic Nutrition Program, Department of Health Professions, Faculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, PalestineHealthy and Therapeutic Nutrition Program, Department of Health Professions, Faculty of Medicine and Health Sciences, Palestine Polytechnic University, Hebron, PalestineDepartment of Nutrition and Food technology, Faculty of Agriculture and Veterinary Medicine, An-Najah National University, Tulkarm, West Bank PO. Box 7, Palestine; Corresponding author. Department of Nutrition and Food technology, Faculty of Agriculture and Veterinary Medicine, An-Najah National University, Tulkarm, West Bank PO. Box 7, Palestine.Summary: Background and Aims: Critically ill patients are at high risk of mortality, morbidity, and poor outcomes. Therefore, nutritional support is the standard care to avoid related complications and improve health outcomes. The aim of this study is to identify feeding practices among ICU patients, evaluate their nutritional adequacy, and assess the prevalence of malnutrition and its associated factors. Methods: This observational study involved 106 ICU patients in three hospitals at Hebron/Palestine. An interview-based questionnaire was used to collect data related to sociodemographic, lifestyle, ICU-related data, medical history, clinical outcomes, physical examination, energy, and protein consumption. Malnutrition was evaluated using the malnutrition universal screening tool (MUST), and biochemical data were recruited from patients' medical records. Results: Among study participants aged 18–99 years (63.69 ± 20.48), enteral feeding was the predominant route among 51.9 %, and nutritional support was initiated two days after ICU admission. In addition, 91.5 % and 67 % of patients failed to receive their nutritional requirements of energy and protein, respectively. The malnutrition universal screening tool revealed that 53.8 % of ICU patients were at low risk of malnutrition, 20.8 % were at medium risk, and 25.5 % were at high risk of malnutrition, while lower energy consumption contributed significantly to the higher risk of malnutrition among ICU patients. Conclusion: The study found that enteral feeding is the main nutritional support in ICU patients, but energy and protein intake are insufficient. Despite early feeding, malnutrition rates are high and linked to lower calorie intake, emphasizing the need for better nutritional screening and interventions to improve patient outcomes.http://www.sciencedirect.com/science/article/pii/S2667268525000373ICU patientsNutritional supportEnteral nutritionMalnutrition |
| spellingShingle | May Hamdan Fatima Al-Amouri Ayat Ali Abu-fara Mai Qasem Heih Fatima Ibrahim Manasrah Hanan Alaa Abu-shamsyh Manal Badrasawi Nutritional support practices among intensive care unit (ICU) patients, observational study Clinical Nutrition Open Science ICU patients Nutritional support Enteral nutrition Malnutrition |
| title | Nutritional support practices among intensive care unit (ICU) patients, observational study |
| title_full | Nutritional support practices among intensive care unit (ICU) patients, observational study |
| title_fullStr | Nutritional support practices among intensive care unit (ICU) patients, observational study |
| title_full_unstemmed | Nutritional support practices among intensive care unit (ICU) patients, observational study |
| title_short | Nutritional support practices among intensive care unit (ICU) patients, observational study |
| title_sort | nutritional support practices among intensive care unit icu patients observational study |
| topic | ICU patients Nutritional support Enteral nutrition Malnutrition |
| url | http://www.sciencedirect.com/science/article/pii/S2667268525000373 |
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