Abstract：
Many intensive care unit (ICU) survivors suffer long-term health issues that affect their quality of life. Nutrition inadequacy can limit their rehabilitation potential. This study investigates nutrition intake and support during ICU admission and recovery.
In this prospective cohort study, 81 adult ICU patients with stays ≥48 h were included. Data on dietary intake, feeding strategies, baseline and ICU characteristics, and 1-year outcomes (physical health and readmission rates) were collected. The number of patients achieving 1.2 gram per kilogram per day of protein and 25 kilocalories per kilogram per day at 3 months, 6 months, and 12 months after ICU admission was recorded. The impact of dietary supplementation during the year was assessed. Baseline characteristics, intake barriers, and rehabilitation\'s influence on nutrition intake at 12 months were evaluated, along with the effect of inadequate intake on outcomes.
After 12 months, only 10% of 60 patients achieved 1.2 g/kg/day protein intake, whereas 28% reached the advised 25 kcal/kg/day energy target. Supplementary feeding significantly increased protein intake at 3, 6, and 12 months (P = 0.003, P = 0.012, and P = 0.033, respectively) and energy intake at 3 months (P = 0.003). A positive relation was found between female sex and energy intake at 12 months after ICU admission (β = 4.145; P = 0.043) and taste issues were independently associated with higher protein intake (β = 0.363; P = 0.036). However, achieving upper-quartile protein or energy intake did not translate into improved physical health outcomes.
Continuous and improved nutrition care is urgently needed to support patients in reaching nutrition adequacy.
In this prospective cohort study, 81 adult ICU patients with stays ≥48 h were included. Data on dietary intake, feeding strategies, baseline and ICU characteristics, and 1-year outcomes (physical health and readmission rates) were collected. The number of patients achieving 1.2 gram per kilogram per day of protein and 25 kilocalories per kilogram per day at 3 months, 6 months, and 12 months after ICU admission was recorded. The impact of dietary supplementation during the year was assessed. Baseline characteristics, intake barriers, and rehabilitation\'s influence on nutrition intake at 12 months were evaluated, along with the effect of inadequate intake on outcomes.
After 12 months, only 10% of 60 patients achieved 1.2 g/kg/day protein intake, whereas 28% reached the advised 25 kcal/kg/day energy target. Supplementary feeding significantly increased protein intake at 3, 6, and 12 months (P = 0.003, P = 0.012, and P = 0.033, respectively) and energy intake at 3 months (P = 0.003). A positive relation was found between female sex and energy intake at 12 months after ICU admission (β = 4.145; P = 0.043) and taste issues were independently associated with higher protein intake (β = 0.363; P = 0.036). However, achieving upper-quartile protein or energy intake did not translate into improved physical health outcomes.
Continuous and improved nutrition care is urgently needed to support patients in reaching nutrition adequacy.
摘要：
目标：许多ICU幸存者遭受长期健康问题，影响他们的生活质量。营养不足会限制他们的康复潜力。这项研究调查了ICU入院和恢复期间的营养摄入和支持。
方法：在这项前瞻性队列研究中，纳入81例住院时间≥48小时的成人ICU患者。关于饮食摄入量的数据，喂养策略，基线/ICU特征，收集1年结局(身体健康和再入院率).记录ICU后3、6和12个月达到1.2g/kg/d蛋白质和25kcal/kg/d的患者人数。评估了一年中饮食补充的影响。基线特征，摄入障碍,并评估康复对12个月时营养摄入的影响，以及摄入不足对结果的影响。
结果：12个月后，60例患者中只有10％达到1.2g/kg/d的蛋白质摄入量，而28%达到了建议的25千卡/千克/天能量目标。补充喂养显着增加了3、6和12个月时的蛋白质摄入量（p=0.003，p=0.012，p=0.033）和3个月时的能量摄入量（p=0.003）。女性性别与ICU后12个月的能量摄入呈正相关（β=4.145，p=0.043）。和味觉问题与较高的蛋白质摄入量独立相关（β=0.363，p=0.036）。然而,达到高四分位数的蛋白质或能量摄入并不能转化为改善的身体健康结果.
结论：这项研究表明，在康复的第一年中，大多数ICU幸存者的蛋白质和能量摄入低于建议。迫切需要持续和改进的营养护理，以支持患者达到营养充足。本文受版权保护。保留所有权利。
方法：在这项前瞻性队列研究中，纳入81例住院时间≥48小时的成人ICU患者。关于饮食摄入量的数据，喂养策略，基线/ICU特征，收集1年结局(身体健康和再入院率).记录ICU后3、6和12个月达到1.2g/kg/d蛋白质和25kcal/kg/d的患者人数。评估了一年中饮食补充的影响。基线特征，摄入障碍,并评估康复对12个月时营养摄入的影响，以及摄入不足对结果的影响。
结果：12个月后，60例患者中只有10％达到1.2g/kg/d的蛋白质摄入量，而28%达到了建议的25千卡/千克/天能量目标。补充喂养显着增加了3、6和12个月时的蛋白质摄入量（p=0.003，p=0.012，p=0.033）和3个月时的能量摄入量（p=0.003）。女性性别与ICU后12个月的能量摄入呈正相关（β=4.145，p=0.043）。和味觉问题与较高的蛋白质摄入量独立相关（β=0.363，p=0.036）。然而,达到高四分位数的蛋白质或能量摄入并不能转化为改善的身体健康结果.
结论：这项研究表明，在康复的第一年中，大多数ICU幸存者的蛋白质和能量摄入低于建议。迫切需要持续和改进的营养护理，以支持患者达到营养充足。本文受版权保护。保留所有权利。
