We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Incidence and Effects of Feeding Intolerance in Trauma Patients.
- Authors
Virani, Farrukh R.; Peery, Travis; Rivas, Orlyn; Tomasek, Jeffrey; Huerta, Ravin; Wade, Charles E.; Lee, Jenny; Holcomb, John B.; Uray, Karen
- Abstract
<bold>Background: </bold>Although feeding intolerance is a common complication in trauma patients, the incidence, development, and effects are poorly understood.<bold>Methods: </bold>We performed a retrospective study in which trauma patients were classified as having feeding intolerance based on time to reach feeding goal. Subsequently, we sorted patients by gastric residual volumes (GRVs) or symptoms of slowed gastrointestinal motility.<bold>Results: </bold>One-third of trauma patients experienced delayed time to reach feeding goal after diet initiation. Delayed feeding was associated with prolonged intensive care unit (ICU) stays, increased readmission rates, and increased incidence of sepsis. Patients with elevated GRV (>500 mL) had significantly prolonged ICU and hospital stays and increase incidence of sepsis. Patients with >2 symptoms of slowed gastrointestinal motility had prolonged ICU and hospital stays, delayed time to reach feeding goals, significantly increased readmission rates, increased incidence of infectious and thromboembolic complications and sepsis, decreased serum prealbumin levels, and increased CRP levels.<bold>Conclusion: </bold>Decreased gastrointestinal motility in trauma patients is associated with worse outcomes and increased systemic inflammation.
- Subjects
INTENSIVE care units; TRAUMATOLOGY; GASTROINTESTINAL motility disorders; NUTRITION; LENGTH of stay in hospitals; SEPSIS; INJURY complications; WOUND care; C-reactive protein; CATASTROPHIC illness; COMPARATIVE studies; ENTERAL feeding; GASTROINTESTINAL motility; HOSPITAL care; INFLAMMATION; RESEARCH methodology; MEDICAL cooperation; PARENTERAL feeding; RESEARCH; SERUM albumin; STOMACH; GASTRIC intubation; THROMBOEMBOLISM; EVALUATION research; DISEASE incidence; RETROSPECTIVE studies
- Publication
JPEN Journal of Parenteral & Enteral Nutrition, 2019, Vol 43, Issue 6, p742
- ISSN
0148-6071
- Publication type
journal article
- DOI
10.1002/jpen.1469