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1. Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals

Author

Juan Xing, Zhongheng Zhang, Lu Ke, Jing Zhou, Bingyu Qin, Hongkai Liang, Xiaomei Chen, Wenming Liu, Zhongmin Liu, Yuhang Ai, Difeng Wang, Qiuhui Wang, Qingshan Zhou, Fusen Zhang, Kejian Qian, Dongpo Jiang, Bin Zang, Yimin Li, Xiaobo Huang, Yan Qu, Yinguang Xie, Donglin Xu, Zhiqiang Zou, Xiangde Zheng, Jianbo Liu, Feng Guo, Yafeng Liang, Qiang Sun, Hongmei Gao, Yang Liu, Ping Chang, Aibin Ceng, Rongli Yang, Gaiqi Yao, Yun Sun, Xiaorong Wang, Yi Zhang, Yichao Wen, Jian Yu, Rongqing Sun, Zhiwei Li, Shiying Yuan, Yunlin Song, Peiyang Gao, Haiyan Liu, Zhaohui Zhang, Yunfu Wu, Biao Ma, Qiang Guo, Feng Shan, Mingshi Yang, Hailing Li, Yuanfei Li, Weihua Lu, Lei Wang, Chuangyun Qian, Zhiyong Wang, Jiandong Lin, Rumin Zhang, Peng Wan, Zhiyong Peng, Yuqiang Gong, Linxi Huang, Guobao Wu, Jie Sun, Yijun Deng, Dongwu Shi, Lixin Zhou, Fachun Zhou, Qindong Shi, Xiaodong Guo, Xueyan Liu, Weidong Wu, Xiangzhong Meng, Liandi Li, Weiwei Chen, Shusheng Li, Xianyao Wan, Zhixin Chao, An Zhang, Liming Gu, Wei Chen, Jinglan Wu, Lihua Zhou, Zhenhuan Zhang, Yibing Weng, Yongshun Feng, Chunli Yang, Yongjian Feng, Sumin Zhao, Fei Tong, Dong Hao, Hui Han, Baocai Fu, Chuanyong Gong, Zhiping Li, Kunlin Hu, Qiuye Kou, Han Zhang, Jie Liu, Chuming Fan, Xin Zhou, Xiumei Chen, Junli Sun, Xuejun Zhou, Bin Song, Cheng Sun, Liyun Zhao, Xinglu Dong, Linlin Zhang, Dafei Tong, Zhiguo Pan, Chuangjie Cai, Donghao Wang, Yingjun Dong, Yuanqi Gong, Zhisong Wu, Xinke Meng, Ping Wang, and Weiqin Li

Subjects
Enteral feeding, Intensive care units, Cross-sectional study, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background There is a lack of large-scale epidemiological data on the clinical practice of enteral nutrition (EN) feeding in China. This study aimed to provide such data on Chinese hospitals and to investigate factors associated with EN delivery. Methods This cross-sectional study was launched in 118 intensive care units (ICUs) of 116 mainland hospitals and conducted on April 26, 2017. At 00:00 on April 26, all patients in these ICUs were included. Demographic and clinical variables of patients on April 25 were obtained. The dates of hospitalization, ICU admission and nutrition initiation were reviewed. The outcome status 28 days after the day of investigation was obtained. Results A total of 1953 patients were included for analysis, including 1483 survivors and 312 nonsurvivors. The median study day was day 7 (IQR 2–19 days) after ICU entry. The proportions of subjects starting EN within 24, 48 and 72 h after ICU entry was 24.8% (84/352), 32.7% (150/459) and 40.0% (200/541), respectively. The proportion of subjects receiving > 80% estimated energy target within 24, 48, 72 h and 7 days after ICU entry was 10.5% (37/352), 10.9% (50/459), 11.8% (64/541) and 17.8% (162/910), respectively. Using acute gastrointestinal injury (AGI) 1 as the reference in a Cox model, patients with AGI 2–3 were associated with reduced likelihood of EN initiation (HR 0.46, 95% CI 0.353–0.599; p

Published
2018
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2. Enteral nutrition feeding in Chinese intensive care units: a cross-sectional study involving 116 hospitals

Author

Yunlin Song, Zhiguo Pan, Rong-li Yang, Xiangde Zheng, Zhisong Wu, Qindong Shi, Zhixin Chao, Peiyang Gao, Fusen Zhang, Jing Zhou, Qiang Sun, Feng Guo, Yinguang Xie, Weiqin Li, Jinglan Wu, Yang Liu, Xing-lu Dong, Liming Gu, Zhiwei Li, Yuanqi Gong, Qingshan Zhou, Yu-qiang Gong, Zhiyong Peng, Xiaobo Huang, Kunlin Hu, Rumin Zhang, Difeng Wang, Bin Song, Qiuye Kou, Dongwu Shi, Juan Xing, Ping Chang, Feng Shan, Yi-bing Weng, Kejian Qian, Hai-yan Liu, Wei Chen, Xiang-zhong Meng, Aibin Ceng, Weihua Lu, Jian Yu, Xiu-mei Chen, Han Zhang, Xiao-dong Guo, Xueyan Liu, Yuhang Ai, Shusheng Li, Hailing Li, Xin-ke Meng, Yong-shun Feng, Yimin Li, Xianyao Wan, Xiaomei Chen, Linxi Huang, Chuangyun Qian, Wei-wei Chen, Jianbo Liu, Bin Zang, Wenming Liu, Ming-shi Yang, Ping Wang, Shi-ying Yuan, Zhiqiang Zou, Cheng Sun, Lei Zhang, Peng Wan, Xiao-rong Wang, Chuming Fan, Hong-mei Gao, Zhen-huan Zhang, Yichao Wen, Chunli Yang, Qiuhui Wang, Fachun Zhou, Ying-jun Dong, Yuanfei Li, Zhaohui Zhang, Lixin Zhou, Yafeng Liang, Lihua Zhou, Jie Sun, An Zhang, Lu Ke, Jie Liu, Chuangjie Cai, Dong-po Jiang, Baocai Fu, Rongqing Sun, Zhongheng Zhang, Dong Hao, Chuanyong Gong, Hui Han, Bingyu Qin, Biao Ma, Xin Zhou, Gai-qi Yao, Dafei Tong, Liandi Li, Yan Qu, Fei Tong, Zhong-min Liu, Lei Wang, Qiang Guo, Jiandong Lin, Yun Sun, Zhiyong Wang, Zhiping Li, Junli Sun, Yongjian Feng, Dong-hao Wang, Guobao Wu, Hong-kai Liang, Yi-jun Deng, Weidong Wu, Liyun Zhao, Su-min Zhao, Xue-jun Zhou, Donglin Xu, Yi Zhang, and Yunfu Wu

Subjects
Male, 0301 basic medicine, China, medicine.medical_specialty, Organ Dysfunction Scores, Cross-sectional study, Enteral feeding, Gastrointestinal Injury, Critical Care and Intensive Care Medicine, 03 medical and health sciences, Enteral Nutrition, 0302 clinical medicine, Intensive care, Internal medicine, Epidemiology, medicine, Humans, Male gender, APACHE, Aged, Proportional Hazards Models, Aged, 80 and over, Chi-Square Distribution, 030109 nutrition & dietetics, Intensive care units, Proportional hazards model, business.industry, lcsh:Medical emergencies. Critical care. Intensive care. First aid, 030208 emergency & critical care medicine, lcsh:RC86-88.9, Length of Stay, Middle Aged, Icu admission, Cross-Sectional Studies, Treatment Outcome, Parenteral nutrition, Female, business
Abstract

Background There is a lack of large-scale epidemiological data on the clinical practice of enteral nutrition (EN) feeding in China. This study aimed to provide such data on Chinese hospitals and to investigate factors associated with EN delivery. Methods This cross-sectional study was launched in 118 intensive care units (ICUs) of 116 mainland hospitals and conducted on April 26, 2017. At 00:00 on April 26, all patients in these ICUs were included. Demographic and clinical variables of patients on April 25 were obtained. The dates of hospitalization, ICU admission and nutrition initiation were reviewed. The outcome status 28 days after the day of investigation was obtained. Results A total of 1953 patients were included for analysis, including 1483 survivors and 312 nonsurvivors. The median study day was day 7 (IQR 2–19 days) after ICU entry. The proportions of subjects starting EN within 24, 48 and 72 h after ICU entry was 24.8% (84/352), 32.7% (150/459) and 40.0% (200/541), respectively. The proportion of subjects receiving > 80% estimated energy target within 24, 48, 72 h and 7 days after ICU entry was 10.5% (37/352), 10.9% (50/459), 11.8% (64/541) and 17.8% (162/910), respectively. Using acute gastrointestinal injury (AGI) 1 as the reference in a Cox model, patients with AGI 2–3 were associated with reduced likelihood of EN initiation (HR 0.46, 95% CI 0.353–0.599; p

Published
2018

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