Effects of nutrition factors on mortality and sepsis occurrence in a multicenter university-based surgical intensive care unit in Thailand (THAI-SICU study)

The aim of this study was to demonstrate the role of nutrition factors on a 28-d mortality outcome and sepsis occurrence in surgical intensive care unit. Nutrition factors affecting the mortality or sepsis occurrence in this study were BMI, enteral feeding or combination with parenteral nutrition, severe weight loss, preadmission albumin ≤2.5, and at risk according to NRS-2002.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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In the past decades, considerable progress has been made in intensive care and survival rate of premature infants. Administration of parenteral nutrition (PN) has improved the nutritional status of premature infants in their early life, especially for infants with extremely low birth weight. Lipid emulsions (LEs) are recognized as essential components of non-protein energy supplement of PN. In addition to their high caloric value and low osmolality, the use of LE prevents the complications of using glucose as sole non-protein energy source; these complications include fatty acid deficiency, hyperglycemia, and hepatic steatosis.
Source: Pediatrics and Neonatology - Category: Perinatology & Neonatology Authors: Tags: Editorial Source Type: research
CONCLUSION: GI hormone profiles are associated with time to achieve 50% of EN goal and gastric emptying in critically ill children. We have described a feasible model to study the role of GI hormones in this cohort, including the potential clinical applicability of GI hormone measurement in the management of delayed gastric emptying. PMID: 31304610 [PubMed - as supplied by publisher]
Source: JPEN Journal Of Parenteral And Enteral Nutrition - Category: Nutrition Authors: Tags: JPEN J Parenter Enteral Nutr Source Type: research
Amer J Perinatol DOI: 10.1055/s-0039-1693429 Objective To examine the impact of different antibiotic treatments on necrotizing enterocolitis (NEC) outcomes. Study Design Patient outcomes, including total parenteral nutrition and hospitalization durations, abdominal surgeries, intestinal strictures, and mortality data, were analyzed and compared by various antibiotic groups and treatment durations for 160 NEC patients managed at the Women and Children's Hospital of Buffalo between 2008 and 2016. Results Fourteen different antibiotics were used for NEC, most commonly ampicillin, gentamicin, and metron...
Source: American Journal of Perinatology - Category: Perinatology & Neonatology Authors: Tags: Original Article Source Type: research
ConclusionHypernatremic dehydration can be a serious problem even in term healthy neonates especially in exclusively breast-fed neonates born to primiparous women. Our study shows that quantified oral feeding is effective in successful management of hypernatremic dehydration and not associated with the dreaded CNS complications due to rapid correction.
Source: Medical Journal Armed Forces India - Category: General Medicine Source Type: research
Authors: Lauro A, Coletta R, Morabito A Abstract Introduction: Short bowel syndrome represents the leading aetiology that causes intestinal failure both in children and adults. Total parenteral nutrition support has dramatically improved the prognosis for these patients but, if related irreversible complications occur, the alternative is represented by surgery and/or transplantation. Areas covered: Autologous gastrointestinal reconstructive procedures are a feasible, alternative approach with good long-term outcome data in experienced surgical centres. Expert commentary: Ongoing innovative efforts have driven the s...
Source: Expert Review of Gastroenterology and Hepatology - Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research
Intestinal failure (IF) is a term applied when intestinal function becomes insufficient to allow adequate absorption of fluid, electrolytes, or nutrients required for normal growth and survival. The development of parenteral nutrition (PN) as a treatment modality has greatly improved the outcome for children with IF and has contributed to improved outcomes in neonates and children from intensive care settings. Home parenteral nutrition (HPN) is central to the care of patients when IF is expected to last for more than 3 –6 months.
Source: Paediatrics and Child Health - Category: Pediatrics Authors: Tags: Symposium: nutrition Source Type: research
AbstractBackgroundGastroparesis is an end-organ sequela of diabetes. We evaluated the roles of race and socioeconomic status in hospitalization rates and utilization of surgical treatments in these patients.MethodsData was extracted from the National Inpatient Sample (NIS) between the years 2012 and 2014, and any discharge diagnosis of gastroparesis (536.3) was included. Gastrostomy, jejunostomy, and total parenteral nutrition were considered nutritional support procedures, and procedures aimed at improving motility were considered definitive disease-specific procedures: pyloroplasty, endoscopic pyloric dilation, gastric p...
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
Carnitine longitudinal pattern in preterm infants
Source: Pediatric Research - Category: Pediatrics Authors: Tags: Pediatr Res Source Type: research
Blunt pancreatic injury is frequently managed nonoperatively in children. Nutritional support practices – either enteral or parenteral – are heterogeneous and lack evidence-based guidelines. We hypothesized that use of parenteral nutrition (PN) in children with nonoperatively managed blunt pancreatic injury would 1) be associated with longer hospital stay and more frequent complications, and 2) di ffer in frequency by trauma center type.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
Morning sickness — the common term for nausea and vomiting during early pregnancy — is not unusual, as many women know. Starting around the sixth to eighth week of pregnancy, as many as 80% of women report having nausea and 50% experience vomiting. But as comedian Amy Schumer can attest, hyperemesis goes well beyond what people generally think of as morning sickness. Marked by doggedly persistent nausea and vomiting, hyperemesis occurs in up to three out of 100 pregnancies. Not surprisingly, women who have hyperemesis often lose weight: losing approximately 5% of pre-pregnancy weight is common. Why does hyperem...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Parenting Pregnancy Women's Health Source Type: blogs
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