Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure
Background Providing optimal nutrition to patients with acute respiratory failure is difficult because nutritional requirements vary according to disease severity and comorbidities. In 2021, the National Medical Center initiated a protocol for screening upon admission and regular monitoring by a mul...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Critical Care Medicine
2025-05-01
|
| Series: | Acute and Critical Care |
| Subjects: | |
| Online Access: | http://accjournal.org/upload/pdf/acc-003312.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849423163138506752 |
|---|---|
| author | Inhan Lee Junghyun Kim Mihyun Ku Yurim Choi Sohyun Park Jihyeon Bang Joohae Kim |
| author_facet | Inhan Lee Junghyun Kim Mihyun Ku Yurim Choi Sohyun Park Jihyeon Bang Joohae Kim |
| author_sort | Inhan Lee |
| collection | DOAJ |
| description | Background Providing optimal nutrition to patients with acute respiratory failure is difficult because nutritional requirements vary according to disease severity and comorbidities. In 2021, the National Medical Center initiated a protocol for screening upon admission and regular monitoring by a multidisciplinary nutritional support team (NST), for all patients in the medical intensive care unit (ICU). This study aimed to evaluate the effects of routine NST monitoring and active intervention on the clinical outcomes of patients with acute respiratory failure. Methods Patients with acute respiratory failure requiring high-flow nasal cannula, non-invasive ventilation, or mechanical ventilation were included. The primary outcome was 28-day mortality after ICU admission. Secondary outcomes included the supplied/target calorie ratio, supplied/target protein ratio on day 7, and complications. Results In total, 152 patients were included in the analysis. The patients were divided into a pre-monitoring (n=96) and post-monitoring groups (n=56). More patients in the post-monitoring group received NST intervention and had earlier initiation of enteral feeding. In survival analysis, 28-day mortality was significantly lower in post-monitoring group (adjusted hazard ratio, 0.42; 95% CI, 0.24–0.74). The ratio of achievement for required calories and protein on day 7 was higher, but not significantly, in the post-monitoring group. No significant differences were observed in the incidence of complications. Conclusions Regular NST monitoring in the ICU could have contributed to a reduced risk of 28-day mortality in critically ill patients with acute respiratory failure. |
| format | Article |
| id | doaj-art-47ea87ae1b554240865be18f1455f3da |
| institution | Kabale University |
| issn | 2586-6052 2586-6060 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Acute and Critical Care |
| spelling | doaj-art-47ea87ae1b554240865be18f1455f3da2025-08-20T03:30:44ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602025-05-0140231332110.4266/acc.0033121595Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failureInhan Lee0Junghyun Kim1Mihyun Ku2Yurim Choi3Sohyun Park4Jihyeon Bang5Joohae Kim6 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea Nutrition Support Team, National Medical Center, Seoul, Korea Department of Clinical Nutrition, National Medical Center, Seoul, Korea Department of Pharmacy, National Medical Center, Seoul, Korea Department of Clinical Nutrition, National Medical Center, Seoul, Korea Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, KoreaBackground Providing optimal nutrition to patients with acute respiratory failure is difficult because nutritional requirements vary according to disease severity and comorbidities. In 2021, the National Medical Center initiated a protocol for screening upon admission and regular monitoring by a multidisciplinary nutritional support team (NST), for all patients in the medical intensive care unit (ICU). This study aimed to evaluate the effects of routine NST monitoring and active intervention on the clinical outcomes of patients with acute respiratory failure. Methods Patients with acute respiratory failure requiring high-flow nasal cannula, non-invasive ventilation, or mechanical ventilation were included. The primary outcome was 28-day mortality after ICU admission. Secondary outcomes included the supplied/target calorie ratio, supplied/target protein ratio on day 7, and complications. Results In total, 152 patients were included in the analysis. The patients were divided into a pre-monitoring (n=96) and post-monitoring groups (n=56). More patients in the post-monitoring group received NST intervention and had earlier initiation of enteral feeding. In survival analysis, 28-day mortality was significantly lower in post-monitoring group (adjusted hazard ratio, 0.42; 95% CI, 0.24–0.74). The ratio of achievement for required calories and protein on day 7 was higher, but not significantly, in the post-monitoring group. No significant differences were observed in the incidence of complications. Conclusions Regular NST monitoring in the ICU could have contributed to a reduced risk of 28-day mortality in critically ill patients with acute respiratory failure.http://accjournal.org/upload/pdf/acc-003312.pdfcritical illnessintensive care unitnutritional supportrespiratory insufficiency |
| spellingShingle | Inhan Lee Junghyun Kim Mihyun Ku Yurim Choi Sohyun Park Jihyeon Bang Joohae Kim Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure Acute and Critical Care critical illness intensive care unit nutritional support respiratory insufficiency |
| title | Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure |
| title_full | Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure |
| title_fullStr | Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure |
| title_full_unstemmed | Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure |
| title_short | Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure |
| title_sort | effect of nutrition support team on 28 day mortality in korean patients with acute respiratory failure |
| topic | critical illness intensive care unit nutritional support respiratory insufficiency |
| url | http://accjournal.org/upload/pdf/acc-003312.pdf |
| work_keys_str_mv | AT inhanlee effectofnutritionsupportteamon28daymortalityinkoreanpatientswithacuterespiratoryfailure AT junghyunkim effectofnutritionsupportteamon28daymortalityinkoreanpatientswithacuterespiratoryfailure AT mihyunku effectofnutritionsupportteamon28daymortalityinkoreanpatientswithacuterespiratoryfailure AT yurimchoi effectofnutritionsupportteamon28daymortalityinkoreanpatientswithacuterespiratoryfailure AT sohyunpark effectofnutritionsupportteamon28daymortalityinkoreanpatientswithacuterespiratoryfailure AT jihyeonbang effectofnutritionsupportteamon28daymortalityinkoreanpatientswithacuterespiratoryfailure AT joohaekim effectofnutritionsupportteamon28daymortalityinkoreanpatientswithacuterespiratoryfailure |