This was a single-center retrospective study conducted at a health care network in Melbourne, Australia. Adult patients in the ICU >48 h and discharged to inpatient rehabilitation within 28 d were included. Dietitian assessment data and nutrition impacting symptoms were collected until day 28. Data are presented as n (%), mean ± SD or median (interquartile range).
Fifty patients were included. Of the 50 patients, 28 were men (56%). Patients were 65 ± 19 y of age with an Acute Physiology And Chronic Health Evaluation II score 15.5 ± 5.2. ICU length of stay (LOS) was 3 d (3-6), acute ward LOS was 10 d (7-14), and rehabilitation LOS was 17 d (8-37). Patients assessed by a dietitian and days to assessment in ICU, acute ward, and rehabilitation were 43 (86%) and 1 (0-1); 42 (84%) and 1 (1-3), and 32 (64%) and 2 (1-4) d, respectively. Oral nutrition was the most common mode: 40 (80%) in the ICU and 48 (96%) on the acute ward and rehabilitation. There was at least one nutrition impacting symptom reported in 44 patients (88%).
Rehabilitation LOS was longer than in the ICU or acute wards, yet patients in rehabilitation were assessed the least by a dietitian and time to assessment was longest. Symptoms that impact nutrition intake were common; nutrition interventions beyond the acute care setting in critical illness need investigation.
方法:这是一项在墨尔本的医疗保健网络中进行的单中心回顾性研究,澳大利亚。纳入ICU>48h并在28d内出院住院康复的成年患者。直到第28天收集营养师评估数据和营养影响症状。数据以n(%)表示,平均值±SD或中位数(四分位距)。
结果:纳入50例患者。在50名患者中,28人是男性(56%)。患者年龄为65±19岁,急性生理学和慢性健康评估II评分为15.5±5.2。ICU住院时间(LOS)为3d(3-6),急性病房LOS为10d(7-14),康复LOS为17d(8-37)。由营养师评估的患者和在ICU评估的天数,急性病房,康复率分别为43(86%)和1(0-1);42(84%)和1(1-3),32(64%)和2(1-4)d,分别。口服营养是最常见的模式:ICU中40例(80%),急性病房和康复中48例(96%)。44例患者(88%)至少有一种营养影响症状。
结论:康复住院时间长于ICU或急性病房,然而康复患者由营养师评估最少,评估时间最长.影响营养摄入的症状很常见;在危重病的急性护理环境之外的营养干预需要调查。