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- Title
The Incidence of Diarrhea in Patients with Hypoalbuminemia Due to Acute or Chronic Malnutrition during Enteral Feeding.
- Authors
Tsann-Long Hwang; Ming-Chuan Lue; Yu-Jane Nee; Yi-Yin Jan; Miin-Fu Chen
- Abstract
Objectives: Critically ill patients usually have hypoalbuminemia. The incidence of diarrhea in patients with hypoalbuminemia receiving enteral nutrition was studied. Methods: One hundred and ninety-eight patients with serum albumin level below 3 g/dl in the Burn Unit and Nutritional Support Service were retrospectively studied. Diarrhea was defined as liquid or loose stool at least three times a day with a daily volume of more than 300 g for at least 2 days. Most patients in the Burn Unit had acute or subacute onset of hypoalbuminemia, and most patients who were referred to the Nutritional Support Service had a chronic onset of hypoalbuminemia. The patients whose diarrhea were due to formula-related factors, administration techniques, or concomitant drug therapy were excluded. Results: The results showed that 27% of the patients with albumin levels less than 2 g/dl had diarrhea, but only 10.5% of patients with albumin levels higher than 2 g/dl had diarrhea; the difference was significant. Diarrhea occurred in 35.1% of the patients with chronic development of hypoalbuminemia, but only 9.9% of the patients with rapid development of hypoalbuminemia had diarrhea; that difference also was significant. Conclusions: We concluded that the hypoalbuminemia-related diarrhea during tube feeding was significantly higher in patients with albumin levels less than 2 g/dl, and the patients with hypoalbuminemia due to chronic malnutrition had a significantly higher incidence of diarrhea than those with acute malnutrition, such as burned patients.
- Subjects
DIARRHEA; ENTERAL feeding; MALNUTRITION; ALBUMINS; SERUM albumin
- Publication
American Journal of Gastroenterology (Springer Nature), 1994, Vol 89, Issue 3, p376
- ISSN
0002-9270
- Publication type
Article