In ICU patients with acute Pancreatitis In ICU Patients, Nutritional Therapy is associated with a high Ratio of Pneumonia. Physician's Weekly Report

Although nutrition for the enteral tract was linked to improved outcomes in patients suffering from the acute phase of pancreatitis (AP) prior studies have not focused on patients with severe illness. Researchers wanted to establish whether there was a connection between nutrition and infection problems among AP ICU patients. The eICU Collaborative conducted an examination of the retrospective records of ICU patients admitted to 127 US hospitals suffering from AP. Patients were classified based on the kind of nutrition support they received (both in the initial and ongoing) (none (NN) (NN), oral (ON) and enteral (EN) as well as parenteral (PN). A total of 925 people were identified. The PN initial group had a greater length of hospitalization (PN 21.3+-15.4 days, EN 19.1+-20.1 d, ON 8 +-7.1 days (NN 6.6+-6.3 days, P<0.001), and the initial EN group had a higher rate of mortality (EN 16.7 percent (PN 8.9% on 2.7 percent and the NN 10.9 percent, P<0.001). Any EN usage was found to be associated with the development of infections (OR 2.12 1.12, 95 percent CI: 1.13-3.98, P=0.019) and pneumonia (OR 2.04, 95 percent CI: 1.04-4.03, P=0.039) in multivariate analyses. EN was associated with the risk for contracting pneumonia and general infections when patients are critically sick AP patients. More research is required to identify the most effective nutrition strategies for critically seriously AP patients as well as those who are unable to take EN.

Source:www.sciencedirect.com/science/article/abs/pii/S0883944122000387