Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital
Introduction Introducing proper nutrition interventions to critically ill patients has been proven effective in mitigating the metabolic stress response and positively influencing immune reactions. Providing nutritional support to critically ill patients helps prevent further metabolic decline and p...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Alexandria Journal of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/20905068.2024.2368691 |
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| author | Reham Hossam Mohamed Zaki Amr Abdulla Elsayed Ehab Mahmoud Elreweny Tamer Nabil Habib |
| author_facet | Reham Hossam Mohamed Zaki Amr Abdulla Elsayed Ehab Mahmoud Elreweny Tamer Nabil Habib |
| author_sort | Reham Hossam Mohamed Zaki |
| collection | DOAJ |
| description | Introduction Introducing proper nutrition interventions to critically ill patients has been proven effective in mitigating the metabolic stress response and positively influencing immune reactions. Providing nutritional support to critically ill patients helps prevent further metabolic decline and preserves lean body mass.Material and Methods This study was conducted in Critical Care Units 1, 2, 3 and 4 at our Main Hospital included 316 patients divided into 2 groups, 155 patient (control group) and 161 patient (interventional group), where the interventional group was subjected to local nutritional protocol; which is based on various existing guidelines, meta-analyses, and randomized controlled trials (RCTs). The comprehensive study focuses on the impact of the local nutritional protocol on length of ICU stay, length of hospital stay, survival at 30 days, and at 90 days.Results There is statistically significant difference between interventional group ICU stay and control group ICU stay with P-value <0.001. Also, there is statistically significant difference between interventional group hospital stay and control group hospital stay with P-value <0.001. For 30 days overall survival; mean survival time of interventional group compared to mean survival time of control group, results show statistically significant with P-value <0.001. For 90 days overall survival; mean survival time of interventional group compared to mean survival time of control group results show statistically significant with P-value <0.001.Conclusions Applying our local nutritional protocol effectively reduced the duration of ICU stay, duration of hospital stay, 30 days all-cause mortality rate and mortality rate at 90 days. |
| format | Article |
| id | doaj-art-8d30c6fab9bf4e3397e9bdca7d04f258 |
| institution | Kabale University |
| issn | 2090-5068 2090-5076 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Alexandria Journal of Medicine |
| spelling | doaj-art-8d30c6fab9bf4e3397e9bdca7d04f2582024-11-22T08:38:07ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682090-50762024-12-0160117117710.1080/20905068.2024.2368691Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospitalReham Hossam Mohamed Zaki0Amr Abdulla Elsayed1Ehab Mahmoud Elreweny2Tamer Nabil Habib3Department of Critical Care Medicine, Faculty of Medicine, Alexandria University, Alexandria, EgyptDepartment of Critical Care Medicine, Faculty of Medicine, Alexandria University, Alexandria, EgyptDepartment of Critical Care Medicine, Faculty of Medicine, Alexandria University, Alexandria, EgyptDepartment of Critical Care Medicine, Faculty of Medicine, Alexandria University, Alexandria, EgyptIntroduction Introducing proper nutrition interventions to critically ill patients has been proven effective in mitigating the metabolic stress response and positively influencing immune reactions. Providing nutritional support to critically ill patients helps prevent further metabolic decline and preserves lean body mass.Material and Methods This study was conducted in Critical Care Units 1, 2, 3 and 4 at our Main Hospital included 316 patients divided into 2 groups, 155 patient (control group) and 161 patient (interventional group), where the interventional group was subjected to local nutritional protocol; which is based on various existing guidelines, meta-analyses, and randomized controlled trials (RCTs). The comprehensive study focuses on the impact of the local nutritional protocol on length of ICU stay, length of hospital stay, survival at 30 days, and at 90 days.Results There is statistically significant difference between interventional group ICU stay and control group ICU stay with P-value <0.001. Also, there is statistically significant difference between interventional group hospital stay and control group hospital stay with P-value <0.001. For 30 days overall survival; mean survival time of interventional group compared to mean survival time of control group, results show statistically significant with P-value <0.001. For 90 days overall survival; mean survival time of interventional group compared to mean survival time of control group results show statistically significant with P-value <0.001.Conclusions Applying our local nutritional protocol effectively reduced the duration of ICU stay, duration of hospital stay, 30 days all-cause mortality rate and mortality rate at 90 days.https://www.tandfonline.com/doi/10.1080/20905068.2024.2368691Critical illnesscatabolic stressnutritionprotocol |
| spellingShingle | Reham Hossam Mohamed Zaki Amr Abdulla Elsayed Ehab Mahmoud Elreweny Tamer Nabil Habib Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital Alexandria Journal of Medicine Critical illness catabolic stress nutrition protocol |
| title | Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital |
| title_full | Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital |
| title_fullStr | Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital |
| title_full_unstemmed | Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital |
| title_short | Impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital |
| title_sort | impact of implementing a local nutritional strategy on the outcome of critically ill patients in our main hospital |
| topic | Critical illness catabolic stress nutrition protocol |
| url | https://www.tandfonline.com/doi/10.1080/20905068.2024.2368691 |
| work_keys_str_mv | AT rehamhossammohamedzaki impactofimplementingalocalnutritionalstrategyontheoutcomeofcriticallyillpatientsinourmainhospital AT amrabdullaelsayed impactofimplementingalocalnutritionalstrategyontheoutcomeofcriticallyillpatientsinourmainhospital AT ehabmahmoudelreweny impactofimplementingalocalnutritionalstrategyontheoutcomeofcriticallyillpatientsinourmainhospital AT tamernabilhabib impactofimplementingalocalnutritionalstrategyontheoutcomeofcriticallyillpatientsinourmainhospital |